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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

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

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

Advocacy

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

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

APC-APM for Delivering Patient-Centered, Longitudinal, and Coordinated Care

Proposal to the Physician-Focused Payment Model Technical Advisory Committee regarding the Advanced Primary Care: A Foundational Alternative Payment Model (APC-APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/PR-PTAC-APC-APM-41417.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 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 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

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

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

Advocacy

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

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 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

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