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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

AAFP Letter to ACIP Outlining Concerns and Principles for a Future COVID-19 Vaccine - ...

...National Center for Immunization and Respiratory Diseases 1600 Clifton Road NE MS-H24-8 Atlanta, GA 30329 Re: October Meeting, Docket Number CDC-2020-0100 Dear Members of the Advisory Committee, On behalf of the American Academy of Family Physicians (AAFP), which represents more...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-ACIP-COVID19Vaccine-103020.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 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

AAFP Response to Ways and Means Committee RFI on Misuse of Race in Clinical Care - ...

...The AAFP opposed racism and discrimination in all forms and has recently issued a policy outlining race-based medicine, that states, Race is a social construct that is used to group people based on physical characteristics, behavioral patterns, and geographic location. Racial...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/LT-WaysMeans-RFIMisuseRaceClinicalCare-101620.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

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 Letter to Senate Supporting the GET CARE Act - November 18, 2020

...populations for development and outreach. As of August, Medicaid beneficiaries lag behind commercial or Medicare beneficiaries in the number of all healthcare visits, showing a concerning trend in low-income populations not seeking care. vii Additionally, we continue to see...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/LT-Senate-GETCAREAct-111820.pdf

AAFP Letter to the FDA on Nicotine Levels - May 8, 2019

...AAFP’s position on nicotine level standards in tobacco products. First, the AAFP continues to welcome the FDA’s commitment to reducing the number of Americans who smoke and use tobacco products. Tobacco use is the leading cause of preventable death in the United States, including...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-CODResolutionNicotineStandards-05819.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 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

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