Protecting Physician Payment
All-Payer Claims Database FAQ
This FAQ on the All-Payer Claims Databases (APCD) helps you understand how the data can be used to measure and improve the percent of a state’s health care budget on primary care. Additionally, it helps you learn how to discover if your state has an APCD, and if it doesn't, how to create one.
With more than 100 million total enrollees, the Medicare and Medicaid programs represent the largest and most far-reaching health plans in the country. For nearly 50 years, these landmark initiatives have supported critical health care access for young and old alike, while providing an essential revenue base for health care providers.
Today, both programs are evolving rapidly as policymakers and elected officials attempt to reduce costs and improve the quality of care. The AAFP has actively supported these reform efforts as the role primary care can play in improving both the efficiency and quality of care gains widespread recognition.
At the same time, the AAFP understands that primary care physicians must be adequately compensated for the services they provide through means that are responsible without imposing excessive administrative burden. That’s why we will continue to advocate on behalf of family physicians to ensure that Medicare and Medicaid reimbursements appropriately reflect both the costs of clinical services and the new duties and responsibilities primary care physicians are taking on in the current reform-driven environment.
Learn about the the Direct Primary Care's role in innovating delivery systems and the AAFP's position to ensure fair payment for physicians under this payment model.
Understand how the repeal of SGR and the introduction of MACRA, as well as other issues being monitored by the AAFP, will continue to affect Medicare reimbursement for family physicians.
MACRA creates a glidepath to move our nation’s delivery and payment models away from the legacy fee-for-service system towards alternative payment models that align payment to quality and outcomes.