The American Academy of Pediatrics (AAP) has a process to track payer trends and reported member-payer problems that supports the AAP private payer advocacy efforts to enhance coverage and payment for pediatric services. The Hassle Factor Form is a data collection tool used by AAP members to report payer issues. The information is used by the national AAP and chapter pediatric councils to identify and prioritize payer issues.

Currently, several chapter pediatric councils use data from the Hassle Factor Form to set agendas for meetings with carriers. For example, the Ohio Chapter pediatric council reported to the AAP that health plan medical directors requested that data from the Hassle Factor Form reports be shared with individual carriers to identify and resolve problems. Also, data from reported hassles are shared with pediatricians on the various carrier physician advisory committees created from the managed care settlements.

The Hassle Factor Form is also...

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