The AAFP has been working with states to address the issue of insurance companies narrowing physician networks in order to achieve "network optimization." The AAFP and FAFP are very interested to hear from members who may have been negatively impacted by narrowing networks and the disruption it has created for both physicians' offices and their patients alike. A good example of this was UnitedHealthcare's network optimization in 2013 for their Medicare Advantage plan. Please contact Jay Millson at jmillson@fafp.org if you have experienced any such difficulties in your practice.