Overview of Transparency
The AAFP recognizes the potential value of Medicare physician claims data. If used correctly, it can potentially provide accurate and meaningful information to patients, physicians, and other stakeholders that could improve quality at the point of care.
On June 1, 2015, CMS posted the annual release of the Medicare hospital utilization and payment data (both inpatient and outpatient) and the second annual release of the physician and other supplier utilization and payment data. The Medicare hospital utilization and payment data consists of information for 2013 about the average amount a hospital bills for services that may be provided in an inpatient stay or outpatient visit. The Medicare Part B physician, practitioner, and other supplier utilization and payment data shows payment and submitted charges, or bills, for those services and procedures by provider. It allows for comparisons by physician, specialty, location, types of medical services and procedures delivered, Medicare payment, and submitted charges. The new 2013 dataset has information for over 950,000 distinct health care providers who collectively received $90 billion in Medicare payments.
Recent AAFP Communications
AAFP Letter to HHS in Response to the “Transparency in Coverage” Proposed Rule - January 29, 2020(2 page PDF)
AAFP Summary of the 2020 Final Outpatient Perspective Payment System - November 6, 2019(1 page PDF)
AAFP Letter to CMS on the 2020 Proposed OPPS Rule - September 19, 2019(2 page PDF)
AAFP Letter on the Senate HELP Committee’s Lower Health Care Costs Draft Bill - June 5, 2019(5 page PDF)
AAFP Letter to the House Supporting the SPIKE Act of 2019 - April 8, 2019(2 page PDF)
Joint Communications with Other Organizations
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