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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

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

AAFP Comments to DEA on MAT Interim Final Rule - December 23, 2020

AAFP comments on the DEA Medication-Assisted treatment interim final rule.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-DEA-MATFinalRule-122320.pdf

AAFP Executive Summary: 2020 Year End Funding Bill and COVID-19 Emergency Funding Key ...

On Dec. 22, President Trump signed legislation into law which funds the federal government for the remainder of fiscal year 2021 and provides about $900 billion in COVID-19 emergency funding. The bipartisan agreement is the fourth legislative package passed in response to the COVID-19 ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/ES-2020YearEndBillHighlights-122220.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 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 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 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 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

AAFP Testimony to Senate HELP Committee on Health Care Workforce - May 20, 2021

AAFP’s testimony to the HELP Committee provides policy recommendations to ensure that our nation has a robust primary care workforce that is equipped to address our population health needs and facilitate access to health care, improve patient outcomes, and reduce health care costs.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/debt/TS-SenateHELPCmte-HealthCareWorkforce052021.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 Initial Summary of the 2020 Proposed Medicare Physician Fee Schedule - July 30, 2019

...• 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 office-based E/M codes and require performance of history and exam only as...

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

...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 affordable...

Advocacy

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

AAFP Comments to HHS on Proposed Rule to Automate Prior Authorizations - December 23, 2020

The AAFP is in favor of requirements for payers to automate and respond to prior authorization requests in a timely manner, so we are concerned that this proposal will not have a meaningful impact on reducing administrative burden, since it does not include Medicare Advantage plans or ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-HHS-PriorAuthProposedRule-122320.pdf

Joint Letter Opposing Efforts to Repeal the Individual Mandate - November 14, 2017

...that would stabilize the insurance market, has the potential, to raise health insurance premiums by a projected 20 percent and increase the number of uninsured Americans. ### About the American Academy of Family Physicians Founded in 1947, the AAFP represents 129,000...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ST-IndividualMandateRepeal-SenateTaxReform-111417.pdf

AAFP Testimony to Congress on COVID-19 Long-haul Symptoms - April 27, 2021

AAFP submitted testimony to the Energy and Commerce committee on COVID-19 long-haul symptoms. The AAFP calls on Congress to address workforce shortages, primary care payment, high deductible health plans, coverage, ADA and FMLA compliance, and research.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/TS-Congress-COVID19LongHaulSymptoms-042721.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 Comments to DHS on Proposal to Eliminate the H-1B Visa Lottery - December 1, 2020

...Department proposes to grant petitions based on wage level, awarding them first to those with the highest wages. Due to existing caps on the number of H-1B physicians that are accepted, this means that petitioners with lower wage levels will never be selected and it is unlikely that...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-DHS-H1BLotteryProposedRule-120120.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

AAFP Testimony from Dr. Davis to Senate Finance Committee - May 21, 2021

Dr. Kisha Davis’ written testimony to the Senate Finance Committee for a hearing on telehealth and other CMS flexibilities for health care providers made available during the COVID-19 PHE.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/TS-SenateFinanceCmte-DavisTelehealth-051921.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

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

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

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

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

AAFP Letter Responsing to CMS RFI on Direct Provider Contracting - May 25, 2018

...The AAFP offers a number of recommendations in response to CMS’ questions on how the agency can test and implement a Direct Provider Contracting model for primary care that improves quality and outcomes for beneficiaries, that reduces costs for Federal health programs - and reduces...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-DirectProviderContracting-052518.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

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 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

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

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 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

Joint Letter to Congressional Appropriators Requesting Funding for Hospital ...

This letter urges Congressional appropriators to direct $20 million to the CDC Hospitals Promoting Breastfeeding Program.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-Congress-FY22HospitaPromotingBreastfeeding-041921.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 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

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