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Medicine by the numbers

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Joint Letter to CMS on the 2018 MIPS Reporting Period - April 16, 2018

...volume threshold and believe it will assist small practices and physicians who treat a small number of Medicare patients, it may create changes in physicians’ eligibility status. In addition, the recently enacted Bipartisan Budget Act of 2018 modified MACRA to exclude...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018MIPSReportingPeriod-041618.pdf

Joint Letter to CMS on the Part C and D Proposed Rule - January 25, 2019

...as either non-preferred or specialty, and only a small number of beneficiaries - less than one percent - filled scripts for specialty drugs in the protected classes. Additionally, the vast majority of prescriptions filled for protected class medications are for low-cost...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-CMS-ProtectedClassesSignOnLetter-012519.pdf

Joint Letter to CMS Opposing Expansion of Scope of Practice for NPPs in IRF Settings - ...

...require rehabilitation physicians to manage devastating chronic issues resulting from spinal cord injuries, traumatic brain injuries, and a number of other illnesses and disabilities. Such complex patients have multiple co-morbidities that need to be managed concurrently. Most...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-CMS-NPsIRFSetting-061120.pdf

Joint Letter to Congress on AHRQ Primary Care Research Center Request - April 2, 2019

...supports research on single diseases rather than the complex, multifaceted care people need in the real-world. An Institute of Medicine report observed that most [specialty- oriented research] is not relevant to primary care because of its focus on singly developed diseases [and]...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/research/ahrq/LT-Congress-AHRQPrimaryCareResearchCenterRequest-040219.pdf

Joint Letter to Congress on Zika Readiness Funding - April 5, 2016

The AAFP joins 67 organizations in a letter urging emergency Zika virus readiness funding.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/LT-CON-Zika-040516.pdf

Joint Letter to Congress Opposing FDA Cigar Exemption - February 25, 2015

Joint letter to the U.S. House of Representatives expressing strong opposition to H.R. 662, legislation that would exempt many cigars from regulation under the Family Smoking Prevention and Tobacco Control Act (TCA). The letter calls for the FDA to retain oversight authority over all ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-Con-Cigars-022515.pdf

Joint Letter to Congress Supporting the Improving Seniors’ Timely Access to Care Act of...

...need to protect a growing number of Medicare beneficiaries, more than 100 members of Congress called for such reforms in a letter last year to the CMS. Improving Seniors’ Timely Access to Care Act of 2019 September 9, 2019 Page 2 of 10 For our seniors - and as...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-Congress-HR3107SignOn-090919.pdf

Joint Letter to Congressional Leaders on COVID Vaccine Funding - June 1, 2020

...1) if there continues to be an increase in the number of Americans who lose their insurance before a vaccine becomes available 2) if social distancing requirements prevent significant numbers of Americans from safely accessing vaccine at their usual source of care; and 3) the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-Congress-COVIDVaccineInfrastructure-060120.pdf

Joint Letter to House on PCORI Reauthorization - May 13, 2019

...more than $2.4 billion in grants to more than 600 research- related projects in 44 states across the U.S. In 2014, PCORI saw the first large number of research results from its funded studies reported in major medical journals. Several of these projects generated particularly...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/research/pcori/LT-Senate-PCORIReauthorization-051319.pdf

Joint Letter to House on PCORI Reauthorization - May 13, 2019

...more than $2.4 billion in grants to more than 600 research- related projects in 44 states across the U.S. In 2014, PCORI saw the first large number of research results from its funded studies reported in major medical journals. Several of these projects generated particularly...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/research/pcori/LT-House-PCORIReauthorization-051319.pdf

Joint Letter to Military Committees on FY 2020 NDAA - July 19, 2019

...reduce the number of uniformed military health care provider billets threaten access to primary and specialty health care services throughout the MHS for service members and their families. Reductions in GME billets will also reduce the number of military-trained uniformed...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-DoD-SupportingHouseNDAASection716-071919.pdf

Joint Letter to the FDA on a Flavored Tobacco Products Proposed Rule - July 19, 2018

...Journal of Preventive Medicine, published online January 9, 2017. 2 products with kids. The presence of flavors in these other tobacco products is an important reason why, despite the steep decline in youth cigarette smoking, youth usage of tobacco products...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-FlavoredTobaccoProducts-071918.pdf

Joint Letter to the FDA on a Potential Illicit Trade - July 16, 2018

...after Implementation of an FDA Product Standard. The document addresses the potential for development of an illicit market as a result of a number of different potential product standards, including but not limited to, those that would (1) impose a maximum level of nicotine in...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-IllicitTrade-071618.pdf

Joint Letter to the FDA on Compounded Drug Products - August 13, 2019

...on physician practices, threatening patient access to necessary and timely treatments. As you may know, a significant number of physicians across a number of different specialties prepare sterile products in office settings for administration to their patients. In many cases,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-FDA-CompoundedDrugProducts-081319.pdf

Joint Letter to the FDA on Policy for Certain Deemed Products - April 30, 2019

...The Draft Guidance correctly acknowledges the breadth of the current epidemic of e-cigarette use among American teens and attempts to take a number of positive steps to address the crisis. However, the Draft Guidance continues the suspension of statutorily-required premarket public...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-PublicHealthGroupsFDADraftGuidance-043019.pdf

Joint Letter to the FDA on Premium Cigars - July 25, 2018

...Medicine 178(4):469-476, 2018 (finding exclusive cigar smokers had higher all-cause mortality risks than never tobacco users and had an elevated risk of dying from a tobacco-related cancer (including bladder, esophagus, Larynx, lung, oral cavity and pancreas). 5 (some of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-PremiumCigars-072518.pdf

Joint Letter to the White House Requesting Final FDA Deeming Regulations - April 28, 2015

Joint letter to President Obama requesting the final FDA deeming regulation

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-Obama-FDADeeming-042815.pdf

Joint Letter to Vice President Expressing Concern on Recent COVID-19 Testing Guidance ...

...to testing shortages is not to limit the number of people who are tested but to expand the availability of tests. The foundation of public confidence in the national response to COVID-19 must include the protection of the CDC’s widely recognized and respected independence...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/LT-WhiteHouse-COVID19TestingGuidelinesConcerns-090320.pdf

Joint Principles from the Group of 6 on Addressing the Opioid Epidemic - June 11, 2018

...memberships of the above organizations, we have adopted the following principles to address the opioid crisis impacting a significant number of individuals, families, and communities across the country. The crisis has left few untouched, with an average of 115 Americans dying every...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/ST-Group6-AddressingOpioidEpidemic-061118.pdf

Joint Principles from the Group of 6 on rX Pricing - February 6, 2019

...according to a published report on the new study a surprisingly large number of people with diabetes are using less insulin than prescribed because of the rising cost of the drug, putting themselves in danger of serious complications. Those are the findings of a small new...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/ST-Group6-RXPricing-020619.pdf

Joint Principles from the Group of 6 Protecting the Patient-Physician Relationship - ...

...Medicine. Our organizations, which represent more than 400,000 physicians and medical students, call on policymakers to join us in preserving the patient-physician relationship by ensuring that the practice of medicine is not unduly impeded by government interference. A growing...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/ST-Group6-LegislativeInterference-052318.pdf

Joint Principles from the Group of Six on Maternal Mortality - September 16, 2019

...Mental health conditions, including suicide and overdose, are the leading cause of maternal mortality in the postpartum period in a growing number of states.vi,vii Maternal depression, affecting 15-20 percent of new mothers, can also affect infant health.viii As organizations...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/ST-G6-MaternalMortality-091619.pdf

Joint Principles: Addressing the Opioid Epidemic - June 11, 2018

...memberships of the above organizations, we have adopted the following principles to address the opioid crisis impacting a significant number of individuals, families, and communities across the country. The crisis has left few untouched, with an average of 115 Americans dying every...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/ST-AddressingOpioidEpidemic-061118.pdf

Joint Statement from the Group of 6 Supporting the Vaccines Act - May 22, 2019

...are safe, effective, and save lives. Yet, measles outbreaks continue to spread across the country, with 880 cases in 24 states, the greatest number of cases reported in the U.S. since 1994 and since the measles was declared eliminated in 2000. Parents want to do what is best for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/ST-G6-VaccinesAct-052219.pdf

Letter to Congress Regarding Medicaid Payment Increase

The AAFP signed a joint letter expressing strong support for extending the Medicaid primary care payment increase.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/parity/LT-Congress-Medicaid-Payment-Increase-Extenders-120513.pdf

Letter to EandC Full Committee Chairs on Health Care Access Bills - April 3, 2019

...debate, in part, because of the complexity of care family physicians provide and the fact that the number and intricacy of conditions, complaints, and diseases treated in family medicine is far greater than those seen in any other physician specialty. The AAFP supports proposals to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-ECComm-HealthCareAccessBills-040319.pdf

Letter to Senate HELP Committee on Innovation - November 28, 2018

...of producing important savings, earned higher quality scores, and showed positive patient outcomes. On average, the programs with the higher number of PCMH primary care practices produced savings at 1.2 percent as compared to .6 percent for those with no advanced primary care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/acos/LT-SenateHELP-HealthCareInnovationHearing-112818.pdf

Organizational Letter to Congress Recommending Policies to Increase Immunizations - ...

...outbreaks. The 2017-2018 influenza season resulted in over 79,000 deaths,1 including 185 children, most of whom were unvaccinated.2 This number represents more deaths from the flu than any single season since the 1970s. As of April 4, 465 cases of measles have been confirmed in 19...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-Congress-ImmunizationCommunitPolicyRecs-042119.pdf

Prepared Comments from AAFP President for the CMS Administrator Roundtable on ...

...• Finally, the most alarming statistic may be from a 2016 study published in the Annals of Internal Medicine which found that during a typical day, primary care physicians spend 27 percent of their time on clinical activities and 49 percent on administrative activities. The authors...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/TP-CMSAdminRoundTable-AdminReform-102317.pdf

State SpeakOut Template

...of importance to family medicine. If interested in creating a legislative scorecard, please send the following information to Eric Waskowicz (ewaskowicz@aafp.org). Overall summary of scorecard: For every bill to be included on the scorecard: Bill number Bill action to be...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/grassroots/State-SO-Template.pdf

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