"Do not despair of our present difficulties but believe always in the promise and greatness of America, because nothing is inevitable here. Americans never quit. We never surrender. We never hide from history. We make history."
-- Sen. John McCain, R-Ariz.
On Sept. 5, the AAFP gave CMS the Academy's official comments regarding the 2019 Medicare physician fee schedule and Quality Payment Program proposed rule. Our letter is comprehensive -- 92 pages -- but it is summarized in this paragraph on the second page:
"Feedback we have received is that most family physicians, especially those in independent practices, believe these proposed changes would have a net-negative impact on their practices. While many have expressed appreciation for the concepts of reforms proposed, they are concerned about the policies as drafted. While comfort with an existing system may play a role, the feedback we have received from family physicians, based on analysis of their practice trends, suggest that the policies would not achieve their stated objectives and would place economic strains on their practices."
I encourage you to read the first five pages, which outline the Academy's thoughts and concerns regarding four themes:
Although much of the letter focuses on responding to the policies proposed by CMS, the AAFP did provide CMS with alternatives and solutions. The Academy made five major recommendations that would strengthen the proposal and advance high-value family medicine.
Those recommendations are:
CMS will review and analyze submitted comments, and the AAFP will continue to give input and expertise on the proposed rule to the agency's staff. Thank you to those who provided feedback and perspective on the proposal. Your comments helped make our final letter stronger.
By law, CMS must publish the final rule 60 days prior to the Jan. 1, 2019, implementation date, so mark Nov. 2 on your calendar.
Seventeen years ago today, America was forever changed. Like most of you, I will never forget that day, and I will never forget the thousands of people who lost their lives or the families who lost their loved ones. We also should never forget the hundreds of first responders who rushed to the World Trade Center that day. Many of them died from exposure to toxins, and many more are living with lifelong illnesses that resulted from their selfless acts on that day and the days following.
On Sept. 2, the nation paid its final respects to Sen. John McCain, whose influence on foreign policy is well-documented and well-understood. What is less known is his quiet and persistent work on health care.
One of the first bills I worked on when I arrived in Washington, D.C., in the late 1990s was the Patients' Bill of Rights, which was authored by McCain and Sen. Edward Kennedy. McCain was also an early and forceful advocate of lowering pharmaceutical prices, and he often forced uncomfortable debates on what is known as "re-importation" of prescription drugs. He also was a forceful champion throughout his career for health care programs that serve military members, veterans and Native Americans.
As I was writing this blog, I couldn't help but draw comparisons between Kennedy and McCain -- two American legends who in their final days as senators played critical roles in the passage (Kennedy) and preservation (McCain) of the Patient Protection and Affordable Care Act.
On Sept. 5, Arizona Gov. Doug Ducey announced that former Sen. Jon Kyl would fill McCain's Senate seat until the 2020 election. Kyl also has played an important role in health care. He was one of the major proponents of repealing the flawed Medicare sustainable growth rate (SGR) and drafted many bills to prevent the implementation of SGR-related cuts.
Stephanie Quinn, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy. Read author bio »