American Academy of Family Physicians Announces ‘Health Care for Everyone’ Plan

Wednesday, October 03, 2007


CHICAGO -- Americans could find a family physician they like, name that doctor’s office as their medical home and assure themselves of comprehensive care under a plan announced today by the American Academy of Family Physicians.

The plan was approved here today by the AAFP Congress of Delegates during its annual meeting.

Dubbed “Health Care for Everyone,” the plan would move patients out of a fragmented, duplicative and unnecessarily expensive system into one that provides comprehensive preventive care, coordinates subspecialty services and razes financial barriers to patient access to both.

“The AAFP plan centers on one principle – that everyone in the United States should have a patient-centered medical home from a well-trained personal physician, preferably a family physician,” said AAFP President Rick Kellerman, M.D. “America’s health care system must have primary care as its foundation, with the patient-centered medical home as its basic building block.”

Under the AAFP plan, primary care physician practices would be designated as a medical home under criteria decided upon by the AAFP, the American Academy of Pediatrics, the American College of Physicians and the American Osteopathic Association and established by an independent, external entity.

The plan will improve care, rein in costs and enhance patient outcomes. Numerous studies have demonstrated that primary care-based health systems result in improved outcomes at less cost.

In addition to ensuring that patients have access to a medical home, the AAFP plan would reduce financial barriers to care. Patients would pay no copayments or deductibles for services provided by their medical homes: primary care, prenatal care, well-child care, immunizations, preventive services and hospice care. Patients would share financial responsibility for diagnostic tests and procedures not performed in the patient’s medical home, medications, hospitalization, durable medical equipment, emergency department visits, referrals and long-term care.

When personal out-of-pocket spending for these health care services exceeds a certain threshold (for example, $5,000 per family per calendar year), catastrophic financial protection will be provided.

“Ultimately, the goal is to ensure the good health of all Americans. Simply having an insurance card does not guarantee that,” said Kellerman. “That card must be accompanied by a health care system that offers a medical home, where people can develop a relationship with their doctors, work to prevent illness, and get high quality care when they become sick or injured. Insurance without access to a physician is not the solution. This plan ensures that health care is there when Americans need it.”

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Founded in 1947, the AAFP represents 136,700 physicians and medical students nationwide. It is the largest medical society devoted solely to primary care. Family physicians conduct approximately one in five office visits -- that’s 192 million visits annually or 48 percent more than the next most visited medical specialty. Today, family physicians provide more care for America’s underserved and rural populations than any other medical specialty. Family medicine’s cornerstone is an ongoing, personal patient-physician relationship focused on integrated care.  To learn more about the specialty of family medicine, the AAFP's positions on issues and clinical care, and for downloadable multi-media highlighting family medicine, visit For information about health care, health conditions and wellness, please visit the AAFP’s award-winning consumer website,