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AAFP Letter Opposing the 2015 Proposed Part C and D Rule

AAFP letter to CMS opposing provisions of 2015 proposed changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PartCD-022614.pdf

AAFP Letter to CMS with Final Comments on the 2019 Proposed Medicare Physician Fee ...

...proposed four major changes to the Medicare Part B Fee-For-Service program that would have an immediate and measurable impact on family medicine. Those items are: 1. simplify payment by adopting a single payment rate for evaluation and management (E/M) codes for new patients...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019ProposedMPFS-090618.pdf

Health Care for All: Moving to a Primary Care-based Health System in the United States

...Background The U.S. health care system is facing a growing number of coverage, quality, and cost challenges. For the first time since the passage of the Patient Protection and Affordable Care Act (ACA) in 2010, the numbers of uninsured in the United States are growing. In the fourth...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/AAFP-Heath-Care-Reform-Primer.pdf

AAFP Response to the 2020 Proposed Medicare Physician Fee Schedule - September 18, 2019

...all beneficiaries-and in improving access to high-quality, comprehensive, and coordinated care, especially your efforts to support family medicine and primary care. We look forward to working with CMS on designing and implementing policies that support these shared goals through...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-2020ProposedMPFSComments-091819.pdf

AAFP Response to CMS on the 2018 Proposed Quality Payment Program Regulation

...Program proposed rule, published by the Centers for Medicare and Medicaid Services (CMS) in the June 30, 2017, Federal Register. Family medicine plays a critical role in delivering care to patients in communities across the country. Family physicians are the most visited...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018ProposedQPP-081817.pdf

Amicus Brief - Department of Homeland Security v. Regents of the University fo ...

...Regional Projections of Supply and Demand for Internal Medicine Subspecialty Practitioners: 2013-2025 (Dec. 2016), https://bhw.hrsa.gov/sites/default/files/ bhw/health-workforce-analysis/ research/ projections/internal- medicine-subspecialty-report.pdf ..................... 18...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-AAMC-DACA.pdf

AAFP Letter to CMS on the 2018 Quality Payment Program Final Rule with Comment Period -...

...final rule with comment period, and looks forward to being a resource and partner to CMS in achieving the goals of MACRA. About Family Medicine Family physicians are dedicated to treating the whole person. These residency-trained, primary care specialists provide a wide variety of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018FinalQPP-121917.pdf

AAFP Comments to CMS on the 2018 Inpatient Proposed Rule

...that meets their needs. It should be noted that this will occur at a point when upgrading to 2015 Edition CEHRT could minimize the number of significant disruptions to patient care. As some members have begun the process of switching EHR systems, reports of information blocking...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-IPPSProposedRule-060817.pdf

AAFP Statement to the Senate HELP Committee on its Healthy Communities Hearing - ...

...accessed in a variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician- patient relationship, and requires communication and coordination with other health...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/ST-SenateHELP-HealthyCommunitiesHearing-111517.pdf

AAFP Statement to the Senate HELP Committee on Health Care Access and Underserved ...

...variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician-patient relationship, and requires communication and coordination with other health professionals...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/ST-SFRHELP-AccessUnderservedHearing-012919.pdf

AAFP Letter to the FCC on Telehealth in Rural America - January 31, 2018

...based on differing definitions of "rural," studies based on the demand to hire physicians by hospitals/physician groups, or based on the number of individuals per physician in a rural area, continue to indicate a need for additional physicians in rural areas. A balanced and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-FCC-RuralTelehealth-013118.pdf

AAFP Letter for the Senate Finance Committee RFI on Maternal Health - April 3, 2020

...Understanding family medicine’s potential role to improve pregnancy related health outcomes, the AAFP established a maternal health taskforce in 2018. The Academy’s programmatic and legislative priorities include retaining obstetric care professionals, supporting maternity care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-SenateFinance-MaternalHealth-040320.pdf

AAFP Backgrounder: AAFP Backgrounder: Graduate Medical Education Legislation in the ...

...mix of trained physicians. However, research has shown the need for a greater investment in primary care physicians. A 2019 JAMA Internal Medicine study found that every 10 additional primary care physicians per 100,000 population was associated with a 51.5-day increase in life...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-GME116thCongress.pdf

AAFP Response to CMS on the 2021 and 2022 Part C and Part D Proposed Rule - April 6, 2020

...medical home model as a way to deliver higher quality, lower costs, and a stronger patient-physician relationship. A study in JAMA Internal Medicine reported that the supply of primary care physicians is associated with lower mortality rates. This suggests that the supply of primary...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2021PartCD-040620.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

AAFP Statement to the EandC Committee’s Hearing on Investing in America’s Health Care -...

...system. It is not limited to a single disease or condition and can be accessed in a variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician- patient...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/ST-EC-InvestingAmericanHealthCare-060419.pdf

AAFP Letter to the Senate HELP Committee for its Pandemic Planning RFI - July 8, 2020

...a primary care-centered strategy would benefit preparedness efforts. Statistics from the Robert Graham Center for Policy Studies in Family Medicine and Primary Care show that, in 2018, a little less than 22 million people - about 7% of the population - received care in a hospital,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/LT-SenateHELP-PandemicPreparedness-070820.pdf

AAFP Response to the Direct Contracting Geographic PBP Request for Information - May ...

...as part of final settlement with the DCE. DCEs would be given access to a notional account to track these expenditures. The AAFP offers a number of recommendations in response to CMS’ questions on how the agency can refine and implement a DC Geographic PBP model. Only questions for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMMI-DirectContracting-052019.pdf

AAFP Response to HHS on the Draft Benefit and Payment Perimeters for 2020 - February ...

...provided and the fact that the number and complexity of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to affordable medications is an integral part of a family physician’s role as an...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-HHS-NoticeBenefitPaymentParameters2020-021919.pdf

AAFP Response to the CLIA Proficiency Testing Proposed Rule - April 2, 2019

...on waived platforms increases. These waived tests require very little oversight and quality assurance, while impacting the care of large numbers of patients. From a PT provider perspective, it is not the accredited laboratory impacting high quality patient care, but CLIA- waived...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-CDC-Labs-040219.pdf

2014 Proposed Medicare Physician Fee Schedule

AAFP Response to the CMS 2014 Proposed Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2104ProposedMPFS-082913.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

AAFP Letter with Comments to HHS on the Draft 2018-2022 Strategic Plan

...2018-2022 as published by the U.S. Department of Health and Human Services (HHS) in the September 27, 2017, Federal Register. About Family Medicine Family physicians are dedicated to treating the whole person. These residency-trained, primary care specialists provide a wide variety...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-HHS-Draft2018-2022Framework-101917.pdf

AAFP Letter to the FDA on the Nicotine Product Standard - May 21, 2018

...States, New England Journal of Medicine, published online March 15, 2018. See also, Tobacco Product Standard for Nicotine Level of Combusted Cigarettes, Advance Notice of Proposed Rulemaking, 83 Fed. Reg. 11818, 11820 (March 16, 2018) (ANPRM). 8 ANPRM, at 11820. 3...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-NicotineProductStandard-052118.pdf

Amicus Brief: Texas v United States - April 1, 2019

In defense of significant coverage gains and key patient protection provisions of the Affordable Care Act (ACA), the American Medical Association (AMA) and other leading physician organizations today filed an amicus brief in the case of Texas v. United States.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-TexasVUS-040119.pdf

AAFP Letter on the Senates HELP Committee’s Lower Health Care Costs Draft Bill - June ...

...the patients’ deductible. The AAFP supports this policy. We urge the inclusion of policies to reduce hospital admissions by increasing the number of primary care visits for patients with high deductible health plan (HDHPs), defined as any plan with a deductible of at least $1,350...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-Senate-HELPLowerHCCostsAct060519.pdf

AAFP Letter to CMS on the GME Cap - January 16, 2019

...(institution) has five years to establish its Medicare GME funding cap on the number of residency positions, thereby establishing a permanent ceiling for Medicare GME funding. The cap is set at the number of residents at the institution five years after the first resident begins to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-CMS-GMECap-011619.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

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

AAP Letter to the House EandC Committee’s Oversight and Investigations Subcommittee ...

...the scientific discoveries that are making a difference for millions of individuals, families, and communities. From vaccines to precision medicine, new discoveries have the potential to change lives. Nothing highlights the impact of innovation on patient’s health and lives better...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-HouseECOversight-InsulinPrices040919.pdf

AAFP Initial Summary of the 2020 Proposed Medicare Physician Fee Schedule - July 30, 2019

...office/outpatient E/M visits beginning in 2021. Thus, CMS proposes to: • Retain 5 levels of coding for established patients; • Reduce the number of levels to 4 for office/outpatient E/M visits for new patients; • Revise the times and medical decision-making process for all...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/ES-2020MPFS-073019.pdf

AAFP response to the VA proposed rule on the Veterans Community Care Program - March ...

...challenges. Many veterans receive care from family physicians and other primary care physicians outside the VA system because of the limited number of VA health care professionals in their areas. Like the VA system, the private-sector primary care system that these veterans turn to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-VA-ProposedRuleVCCP-032219.pdf

AAFP Letter to the CDC on Tobacco - February 6, 2019

...populations, prevent long-term addiction to tobacco products, curb spending due to tobacco-related illnesses and reduce the overall number of long- term tobacco users. Approximately 40,000 deaths annually due to lung cancer and heart disease can be attributed to secondhand smoke....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-CDC-Tobacco-020619.pdf

Joint Letter to CMS on E/M Policies in the 2019 Proposed Medicare Physician Fee ...

...patients down to two each, the undersigned organizations believe there are a number of unanswered questions and potential unintended consequences that would result from the coding policies in the proposed rule. We oppose the implementation of this proposal because it could hurt...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-EMSignOn-082718.pdf

AAFP Initial Summary of the 2020 Final Medicare Physician Fee Schedule - November 1, 2019

...be $36.0896. Based on CMS’ final rule, there would be no change in total Medicare allowed charges for family medicine in 2020, but total allowed charges for family medicine would increase 12% in 2021. Evaluation and Management In 2019 rulemaking, CMS finalized changes to simplify...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/ES-2020FinalMPFS-110219.pdf

AAFP Response to the HHS Draft Report on Pain Management - April 1, 2019

...While our currently fragmented health care system is not well-prepared to address these interrelated issues, the specialty of family medicine is suited for this task. The AAFP is actively engaged in the national discussion on pain management and opioid misuse. Committed to ensuring...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-HHS-PainManagement-040119.pdf

Joint Letter Supporting Preserving Funding for the Military Medical Workforce in the ...

...DoD’s civilian health care assessments did not consistently account for provider quality or account for access to an accurate and adequate number of providers near MTFs. The GAO found that cost-effectiveness assessments were based on a single set of assumptions, where DoD concluded...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-Congress-FY21NDAAProvisions-081420.pdf

AAFP Letter to the FDA on Establishing a Nicotine Standard - June 20, 2018

...Every day, family physicians see the devastating impact that smoking has on our patients. We welcome the FDA’s commitment to reducing the number of Americans who smoke, thereby improving their health. Although most tobacco-related diseases are not caused by nicotine, the addictive...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-NicotineStandards-062018.pdf

AAPF Letter to Ways and Means on Stark Law and MACRA

AAFP response to a request for information from the Senate Finance and House Ways and Means Committees, on the topic of what modifications to the Stark Law are needed for MACRA implementation.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-WaysandMeans-StarkLaw-020516.pdf

AAFP Letter to the FDA on Nicotine Flavors - June 20, 2018

...addiction to tobacco products, curb spending due to tobacco-related illnesses, and reduce the overall number of long-term tobacco users. Regulating flavors could also decrease the number of individuals living with chronic illness due to tobacco use and ultimately reduce the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-NicotineProductFlavors-062018.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

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

AAFP Comments on 2021 Medicare Physician Fee Schedule - September 28, 2020

...family medicine and primary care. We look forward to working with CMS on designing and implementing policies that support these shared goals through both the Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). Our members are on the frontlines of medicine,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-Response2021MPFSProposedRule-092820.pdf

Joint Letter on PMTA Proposed Rule - December 16, 2019

...an understanding. The most significant shortcoming of the proposed rule stems from FDA’s failure to take account of the fact that a large number of the products that will be the subject of early PMTAs have actually been on the market for years and that considerable evidence...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-CoalitionCommentsPMTAProposedRule-121619.pdf

AAFP Comments to CMS on MSSP/ACO Proposed Rule - October 15, 2018

...is related to at least two factors-being physician-led and having a strong primary care foundation. A September 2018 New England Journal of Medicine article found that physician-led ACOs generated savings that increased over a three-year study period compared to hospital-led ACOs.2...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-ACO-MSSP-101518.pdf

AAFP Letter to HHS Requesting Information on Drug Prices - July 16, 2018

...in the drug pricing debate, in part because of the complexity of care provided and the fact that the number and complexity of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to medications...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-HHS-DrugPrices-071618.pdf

AAFP Letter to ONC on Information Blocking - June 3, 2019

...Michael L. Munger, MD, FAAFP Board Chair About Family Medicine Family physicians conduct approximately one in five of the total medical office visits in the United States per year-more than any other specialty. Family physicians provide comprehensive, evidence-based, and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-ONC-InfoBlocking060319.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

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...actuarially based upon the framework of FFS payment. Thus, if current FFS payments are not improved, the current undervaluation of family medicine and primary care payment will result in a similar undervaluation of primary care in evolving primary care APMs. In the long run,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

Amicus Brief: State of California v. Azar - July 8, 2019

...SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE, AND SOCIETY FOR MATERNAL-FETAL MEDICINE IN SUPPORT OF PLAINTIFFS-APPELLEES AND AFFIRMANCE Thomas N. Bulleit Douglas Hallward-Driemeier ROPES and GRAY LLP 2099 Pennsylvania Avenue, NW Washington, DC 20006 (202) 508-4600...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-CaliforniaVAzar-070819.pdf

AAFP Backgrounder: Graduate Medical Education

...AAFP Position To increase the number of family medicine graduates in the United States, the American Academy of Family Physicians (AAFP) is committed to removing significant barriers stifling the growth in family medicine specialty choice among U.S. medical graduates. AAFP policy...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-GME.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

AB-OregonVAzar-062519.pdf

...SOCIETY FOR ADOLESCENT HEALTH AND MEDICINE, AND SOCIETY FOR MATERNAL-FETAL MEDICINE IN SUPPORT OF PLAINTIFFS-APPELLEES’ EMERGENCY MOTION FOR RECONSIDERATION EN BANC 1. Pursuant to Rule 29 of the Federal Rules of Appellate Procedure, the American College of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/amicus_brief/AB-OregonVAzar-062519.pdf

AAFP Letter Responding to House Ways and Means Committee Rural and Underserved ...

...Higher premiums threaten the viability of some rural hospitals and make it difficult for rural areas to recruit or retain an adequate number and mix of physicians. Through the Federal Tort Claims Act (FTCA), the federal government offers a way for certain rural health centers to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-HouseWM-TaskforceRFIResponse-112619.pdf

AAFP Fact Sheet on the Teaching Health Centers Graduate Medical Education Program

...Increases the number of physicians who serve underserved populations 2 3 Reauthorize the Teaching Health Center Graduate Medical Education (THCGME) Program THCGME residents train in the primary care specialties of family medicine, internal medicine, pediatrics,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/FS-THCGME.pdf

AAFP Letter to CMS on Opioid Action Plan - October 10, 2019

...public health emergency that negatively impacts population health, community well-being, economic readiness, and social welfare. The rising number of opioid overdose deaths is both a symptom of our nation’s health care challenges and a separate problem that requires urgent action....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-CMS-OpioidRFI-101019.pdf

AAFP Statement to House Small Business Committee on Student Debt and Practice - June ...

...medical student debt on small medical practices and the choice of family medicine as a specialty. Family physicians conduct approximately one in five of the total medical office visits in the United States per year-more than any other specialty. They deliver care in...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/debt/TS-HouseSmBusinessComm-StudentDebtPractice-061219.pdf

AAFP Testimony to Senate Appropriations on FY 2021 - May 20, 2020

...practices. The AAFP recommends that HHS prioritize financial support to primary care physicians - defined as family medicine, pediatrics, general internal medicine and geriatrics - by distributing provider relief funds using the foundation of the previously used model as follows:...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/TS-SenateAppropriations-FY2021-052020.pdf

AAFP Backgrounder: Teaching Health Centers

...Background The THCGME program, administered by the Health Resources and Services Administration (HRSA), provides funding to increase the number of primary care medical and dental residents training in community-based settings across the country. Since most health care in the U.S....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-TeachingHealthCenters.pdf

AAFP Letter Proposing Establishing a Standard Primary Care Benefit - April 26, 2017

...practicing under one or more of the following Physician Specialty Codes: 01 General Practice; 08 Family Medicine; 11 Internal Medicine; 37 Pediatric Medicine; and 38 Geriatric Medicine. o Patients would designate their primary care physician and that physician would be the site...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ES-StandardPrimaryCareBenefit-042617.pdf

AAFP’s Response to COVID-19 Policy Changes - May 31, 2020

...billed under the physician’s provider number as incident to services. For instance, could a physician delegate a virtual check-in to a nurse care manager within the practice and report the service as G2012 under the physician’s provider number if all the necessary incident to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/LT-CMS-IFC1andIFC2-053120.pdf

AAFP Response to CMS Maternal Health RFI - May 31, 2020

...in small hospitals. Twenty eight percent of rural family physicians continue to provide obstetrical services.iii Understanding family medicine’s potential role to improve pregnancy related health outcomes, the AAFP established a maternal health taskforce in 2018. The group...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-CMS-RuralMaternalHealth-053120.pdf

AAFP Backgrounder - Scope of Practice: Physician Assistants

...determination of scope of practice, adaptability of supervision requirements, determination of co-signature requirements, and maximum number of PAs a physician can supervise at one time. All states have passed legislation regarding the use of the term licensure to describe the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/BKG-Scope-PhysicianAssistants.pdf

AAFP Executive Summary of Alternative Payment Models - March 14, 2017

...view of the patient, who is much more than a set of organ systems and disease conditions. The goal of primary care is to ensure that medicine does not lose sight of the whole patient and the patient’s context, which affects a wide range of health outcomes. There is an emerging...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/ES-AdvancedPrimaryCare-121316.pdf

AAFP Letter to HRSA on Rural Health Care Access - October 9, 2019

...the number of residency positions and support for residency programs; and • Create policy, collaboration and resources to help family physicians improve rural health disparities. The underlying reasons for rural health care crisis are multifactorial but include lower payments...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-HRSA-RuralHealthCare-100919.pdf

AAFP Letter to CMS on E/M Documentation Requirements - April 23, 2018

...history and physical exam, or should these requirements be reduced (if reduced, how)? In general, the guidelines are a burden on family medicine that lacks an offsetting benefit to clinical care. The AAFP calls on CMS to address redundancies in documentation requirements to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-EMSuggestions-042318.pdf

AAFP Statement on Regulatory and Adminstraive Reforms - January 30, 2017

...Primary care - and particularly family medicine - is foundational to continued progress in reforming our nation’s health care system. Family medicine and primary care are delivered by dedicated individual family physicians and their health care teams in urban and rural communities....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/ST-Reg-Admin-Reform-013117.pdf

Joint Letter Supporting the Helping MOMS Act (HR 4996) for the COVID-19 Package- July ...

...43-365 days postpartum.iv As these statistics do not include deaths attributable to suicide or drug overdose, both of which occur in greater numbers in the later postpartum period, this is likely an underestimate. Closing the postpartum coverage gap will ensure that the 43 percent...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-Congress-HelpingMOMSAct-072320.pdf

Joint Letter to Congressional Leadership on Potential Phase 4 Coronavrius Relief Bill -...

...requirements. CMS should also expand the cap at institutions where residents must extend their training to support an increased number of residents as new trainees begin while existing trainees remain to complete their programs. Emergency Medical Treatment and Labor Act (EMTALA)...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/LT-Congress-FinalCOVID4-041520.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

AAFP Letter to ABMS Vision Committee on Continuing Board Certification - January 14, 2019

...c. As new advances in medicine and patient care emerge in clinical practice, the ABMS Boards should be encouraged to consider what core knowledge, judgment and skills are needed to be a diplomate in their core specialty or subspecialty and create assessments that are preferentially...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-ABMSVisionComm-ContBoardCert-011419.pdf

AAFP Testimony to Senate Appropriations Labor HHS on FY 2020 Priorities - April 12, 2019

...this country. An abundance of research has clearly shown that foundational family medicine and primary care is essential to improving the health of our nation. For example, a recent JAMA Internal Medicine study published February 18, 2019 found that every 10 additional primary care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/TS-SenateAppLaborHHS-FY2020Priorities-041219.pdf

AAFP Letter to CMS on Medicaid Access to Covered Medicaid Services - May 16, 2018

...low, especially for primary care, and the Medicaid bureaucracy impedes timely, adequate payment. In anticipation of an increase in the number of individuals enrolled under Medicaid expansion, the Affordable Care Act introduced a two-year Medicaid fee increase to boost Medicaid...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MethodsAssuringAccessCoveredMedicaidServices-051618.pdf

AAFP Testimony to House Appropriations Labor HHS on FY 2020 Priorities - March 28, 2019

...that foundational family medicine and primary care is essential to improving the health of our nation. For example, a recent JAMA Internal Medicine study published February 18, 2019 found that every 10 additional primary care physicians per 100,000 population was associated...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/TS-HouseAppLabor-FY2020Priorities-032819.pdf

AAFP Letter to CMS and ONC with Administrative Simplification Requests - February 7, 2018

...allocation of physician time in ambulatory practice across four medical specialties in four states found, physicians from family medicine, internal medicine, cardiology, and orthopedics spent nearly 2 hours in the EHR and on other desk work for every 1 hour of direct patient care....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-ONC-AdminSimplification-020718.pdf

AAFP Letter to EandC Health Subcommittee on Drug Pricing Bills - March 13, 2019

...drug pricing debate, in part, because of the complexity of care they provide and the fact that the number and intricacy of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to medications is...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-ECHealthSub-DrugPricing-031319.pdf

AAFP Backgrounder: Education and Training - Family Physicians vs Nurse Practitioners

...and the clerkships grants students the Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree, which entitles them to start full clinical training in a residency program. Most family medicine residency programs, which are accredited by the Accreditation Council for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/FPvsNP.pdf

AAFP letter on the Reauthorizing and Extending America’s Community Health (REACH) Act ...

...framework as proposed in the Training the Next Generation of Primary Care Doctors Act of 2019 (HR 2915), which would allow expansion in the number of residents trained from 728 to 900. The benefits of primary care access are well-understood. For example, states with higher ratios...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-E&C-PrimaryCareExtensionsREACH-071719.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

AAFP Comments on IRS Proposed Rule on Direct Primary Care Arrangements - August 10, 2020

...access to primary care for all Americans. DPC and other direct care models are increasing in popularity among our members and a growing number of family physicians are expressing an interest in the DPC model. However, there are identified barriers that may prevent some patients from...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/dpc/LT-IRS-ProposedDPCRule-081020.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 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 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

AAFP Letter on the THCGME, CHC, NHSC, PCORI, and Medicaid Extensions Markup - July 11, ...

...all contribute to a more accessible and robust primary care delivery system. Combined, they stand to significantly increase the number of primary care physicians trained and practicing in areas that need them the most. The committee’s program extensions will provide critical program...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-ECHealthSub-CHIME-071119.pdf

AAFP Letter to HRSA on HHS Proposal to Increase Eligibility for Rural Health Grants - ...

...additional federal support in order to improve access to care and build care capacity. While the AAFP supports HRSA’s goal of increasing the number of counties that are eligible for funding, we are concerned that this will increase the competition for limited funds and result in...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/LT-HRSA-RFIRuralDefinition-102120.pdf

AAFP Letter to CMS on Section 5 of EO #13890 Regarding Supervision Requirements of ...

...the President’s Executive Order (EO) #13890 on Protecting and Improving Medicare for Our Nation’s Seniors. The EO directs HHS to propose a number of reforms to the Medicare program, including ones that eliminate supervision and licensure requirements of the Medicare program that are...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-CMS-SupervisionReqsNonPhysicians-011420.pdf

AAFP Testimony to House Small Business Committee on Prior Authorization- September 11, ...

...medicine’s cornerstone is an ongoing and personal patient-physician relationship where the family physician serves as the hub of each patient’s integrated care team. More Americans depend on family physicians than on any other medical specialty. Most family physicians...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/TS-HouseSmallBusinessCommittee-PriorAuth-091119.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

AAFP Letter to HHS on Health System Resilience - July 8, 2020

...of Health and Human Services 200 Independence Avenue S.W. Washington, D.C. 20201 Captain Paul Reed Deputy Assistant Secretary for Health, Medicine and Science Office of the Assistant Secretary for Health U.S. Department of Health and Human Services 200 Independence Avenue S.W....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/LT-HHS-HealthSystemResiliance-070820.pdf

AAFP Backgrounder: Medicaid Expansion

...12.7 million individuals newly eligible for Medicaid under the law’s Medicaid expansion provisions.3,4 The greatest declines in the number of uninsured post-ACA have been in the 36 states and DC that expanded Medicaid eligibility to include largely working adults without children...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/BKG-MedicaidExpansion.pdf

Joint Letter from Physician Groups Opposing Medicare Mental Health Access Act - ...

...to provide and bill for the services they are trained to perform and thus, will not actually increase the net number of mental health care providers in the community or the number of services that can be competently performed for patients. Enacting this legislation would decrease...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-Congress-OpposingMedicareMentalHealthAccessAct-092220.pdf

AAFP Backgrounder: Medicaid Work Requirements

...Justice Department has appealed the decisions and the cases are pending. Research Surrounding Work Requirements The New England Journal of Medicine concluded that despite many individuals losing Medicaid coverage following the introduction of work requirements on beneficiaries, that...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/BKG-MedicaidWorkRequirements.pdf

Joint Letter Calling for Permanent Telehealth Changes - June 29, 2020

...3 https://www.himss.org/resources/providing-telehealth-visits-underserved-communities-case-study 4 https://www.fairhealth.org/states-by-the-numbers/telehealth 5 https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-Congress-PostCOVIDTelehealthPriorities-062920.pdf

AAFP Backgrounder: Primary Care Spend

...and efforts to increase the level of investment. Transparency in Primary Care Spending Despite an increase in the number of medical students choosing family medicine and other primary care specialties for residency, resources and investment within the United States remain skewed...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/BKG-PrimaryCareSpend.pdf

AAFP Backgrounder: Sustain Primary Care

...of their patients, COVID-19 and non-COVID-related. The FFS payment model, by design, reimburses based on the number of services delivered. At the core of family medicine is a focus on health, wellness and prevention. These goals are not appropriately supported by our current payment...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/action_week/BKG-SustainPrimaryCare.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

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

AAFP Letter to Congresional Leadership on THCGME Reauthorization and Recruitment - ...

...their 2020 matriculating classes. At the same time, applicants are evaluating programs to determine where they will complete their family medicine residency training. Although the recruitment process ends in March of 2020, actions taken by Congress in the next few weeks could...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-Congress-THCGMEReauthRecruit-101719.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

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