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Medicine by the numbers

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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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