2012: Year in Review
2012 was a tumultuous year for health care and family physicians. The beginning of the year saw several legal assaults on the Patient Protection and Affordable Care Act, which eventually ended with a Supreme Court decision that the majority of the act passed constitutional muster. But movement forward on the ACA bogged down as the presidential election drew near. The re-election of President Obama seemed to settle the question somewhat, and CMS actively moved forward with setting deadlines.
This also was the year that the patient-centered medical home (PCMH) seemed to come into its own as it was incorporated into a number of government-funded projects that set higher payment rates for PCMH practices participating in pilot projects. But the lack of medical students going into primary care was cause for concern as pundits looked down the road at the number of uninsured soon to join the ranks of the insured. In response, medical education experts offered suggestions on ways to make primary care more attractive to medical students.
Finally, 2012 also saw a re-emergence of diseases that had all but disappeared thanks to anti-vaccine sentiments that threatened the nation's herd immunity. Consumers also had to be on the lookout for safety problems with drugs, perhaps most notably when contamination in a compounded drug led to 39 deaths.
This also was the year that the patient-centered medical home (PCMH) seemed to come into its own as it was incorporated into a number of government-funded projects that set higher payment rates for PCMH practices participating in pilot projects. But the lack of medical students going into primary care was cause for concern as pundits looked down the road at the number of uninsured soon to join the ranks of the insured. In response, medical education experts offered suggestions on ways to make primary care more attractive to medical students.
Finally, 2012 also saw a re-emergence of diseases that had all but disappeared thanks to anti-vaccine sentiments that threatened the nation's herd immunity. Consumers also had to be on the lookout for safety problems with drugs, perhaps most notably when contamination in a compounded drug led to 39 deaths.
(Then) AAFP President Glen Stream, M.D., M.B.I., makes a point about the importance of primary care and the patient-centered medical home for improving quality and controlling costs during a roundtable discussion on Medicare physician payment held by the Senate Finance Committee in July 2012.
2012: Year in Review
AAFP Rallies Support for Family Medicine on Capitol Hill, Works to Protect, Promote FP Issues
(1/3/2013, 2:50 p.m.)
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In 2012, the AAFP continued to push for the elimination of the sustainable growth rate (SGR) formula and for fundamental payment reform that would better recognize and reward the provision of primary care and family physician services. At the same time, the AAFP strove to protect and preserve programs that are vital to primary care and family medicine and the nation's health care system as a whole. In late Dec. 2011, Congress passed a two-month extension of the Medicare physician payment rate that postponed a 27.4 percent reduction in Medicare physician payment until March 1. As a result, physicians again were facing a steep reduction in the Medicare physician payment rate called for by the SGR as 2012 began.
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2012: The Year in Review
Need for More FPs, Changing Demographics, Threatened GME Funding Key Education Issues
(1/3/2013, 5:20 p.m.)
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Passage of the Patient Protection and Affordable Care Act in 2010 created a number of challenges for primary care, not the least of which was providing enough primary care physicians to care for the millions more patients that would be insured according to provisions in the ACA. All bets on the future of the ACA, however, were suspended when it faced legal challenges that ended up in the Supreme Court in 2012 and when it faced the possibility of full repeal depending on the outcome of the national election.
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2012: The Year in Review
Prevention, Aiding Veterans, Opioid Abuse Take Center Stage for FPs
(1/2/2013, 5:20 p.m.)
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The AAFP played a key role in new recommendations for immunizations and clinical preventive services that came down the pike in 2012. Meanwhile, the Academy wholeheartedly threw its support behind helping veterans struggling with post-traumatic stress disorder and related ailments and ramped up its efforts to combat the rise of opioid abuse. Family physicians and other health care professionals also found themselves in a reactive mode last year, as different disease outbreaks and other public health threats swept across portions of the country.
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Tracy Hofeditz, M.D., left, takes all the time he needs to answer questions posed by his patient, Manuel Salazar, during a recent office visit to Belmar Family Medicine.
2012: The Year in Review
Family Physicians Raced to Keep Pace With Practice Changes, Regulations
(1/2/2013, 4:55 p.m.)
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Family physicians saw some doors swing open in 2012 as major players in America's health care system set to work planning for implementation of the 2010 Patient Protection and Affordable Care Act. A variety of new payment models -- primarily designed to benefit primary care physicians -- went into testing mode, and phrases such as accountable care organization and Comprehensive Primary Care initiative became mainstream in health care circles.
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