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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 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 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 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 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 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

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

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

AAFP Letter to Congress on the American Rescue Plan - February 10, 2021

Letter to Senate Finance and HELP Committees and House Ways and Means and Energy and Commerce Committees reacting to the American Rescue Plan and outlining the AAFP’s priorities for COVID relief legislation.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/LT-Congress-AmericanRescuePlan-021021.pdf

AAFP Letter to DHS on Review of H-1B Visa Lottery Rule - March 3, 2021

As finalized, the final rule eliminating the H-1B lottery would exacerbate physician shortages and negatively impact to care, particularly for under resourced populations. We urge DHS to reverse the final rule.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-DHS-H1BLotteryFinalRuleDelayNotice-030321.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 Letter to HHS on Proposed Medicaid and CHIP Managed Care Rule - July 15, 2015

AAFP response to CMS on the Medicaid Managed Care and Children’s Health Insurance Program Programs proposed rule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/chip/LT-CMS-MedicaidCHIP-071515.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 House in Response to Cures 2.0 Discussion Draft - July 14, 2021

More than four years after the 21st Century Cures Act was signed into law, Reps. DeGette and Upton released a discussion draft of their proposed Cures 2.0 legislation, setting the stage for negotiations on the legislative package. A number of AAFP priorities are mentioned in the draft ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-House-Cures2.0DiscussionDraft-071421.pdf

AAFP Letter to House Ways and Means Committee on Racial Equity in Infrastructure ...

The AAFP submitted a letter to members of the Ways and Means committee and co-chairs of the racial equity initiative. The letter details AAFP priorities for expanding broadband access, health insurance coverage, lowering cost of care (like HDHP), bolstering the physician workforce, and ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/LT-WaysMeansCmte-RacialEquityInfrastructureLegislation-072821.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 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 ICE on COVID Vaccine Rates - August 24, 2021

The AAFP urges the U.S. Immigration and Customs Enforcement (ICE) to create and implement a comprehensive plan for equitable distribution of COVID-19 vaccines for people in ICE detention centers.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-ICE-COVIDVaccineRates-082421.pdf

AAFP Letter to OMB on Equity RFI - June 23, 2021

The AAFP submitted comments in response to OMB’s request for information on improving equity across the federal government. Comments span topics such as payment models and demonstrations, tobacco regulation, data collection, AI and machine learning, cost barriers, broadband access, ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/LT-OMB-EquityRFI-062321.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

AAFP Letter to President-elect Biden - November 20, 2020

AAFP letter to President-elect Biden outlining priorities important to the future of family medicine.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-PresidentElectBiden-AAFPPriorities-112020.pdf

AAFP Letter to Senator Gardner on Rural Physician Workforce Production Act - February ...

...the communities they serve need. These financial incentives would extend to urban hospitals as well, for the specific purpose of growing the number of residents they train in rural training tracks. The Rural Physician Workforce Production Act represents a promising way to make...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-SenatorGardner-RuralPhysicianWorkforceProductionAct-%20020419.pdf

AAFP Letter to Senator Hyde-Smith on Rural Physician Workforce Production Act - ...

...the communities they serve need. These financial incentives would extend to urban hospitals as well, for the specific purpose of growing the number of residents they train in rural training tracks. The Rural Physician Workforce Production Act represents a promising way to make...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-SenatorHyde-Smith-RuralPhysicianWorkforceProductionAct-%20020419.pdf

AAFP Letter to Senator Tester on Rural Physician Workforce Production Act - February 4,...

...the communities they serve need. These financial incentives would extend to urban hospitals as well, for the specific purpose of growing the number of residents they train in rural training tracks. The Rural Physician Workforce Production Act represents a promising way to make...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-Senator-RuralPhysicianWorkforceProductionAct-%20020419.pdf

AAFP Letter to the 116th Congress: House Representatives Introducing the AAFP - January...

...legacy fee-for-service system. Furthermore, family physicians believe that the regulatory and administrative oversight of the practice of medicine has devolved from a well-intentioned focus on quality and performance improvement to a practice-level paperwork morass that drives...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/LT-House-116Congress-AAFPIntro-012319.pdf

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