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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 Letter to CMS Requesting Codes to be Added to the "Primary Care Exemption" List - ...

...and Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Re: Expanding the primary care exception code list Dear Administrator Verma: On behalf of the American Academy of Family Physicians (AAFP), which represents 134,600 family...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PrimaryCareExemption-100919.pdf

AAFP Letter to CMS on Section 5 of EO #13890 Regarding Supervision Requirements of ...

...health care professionals on standardized training criteria and demonstrated experience and competence in patient care. Furthermore, we believe that state governments and their medical boards are better positioned to make these determinations and administer oversight of health care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-CMS-SupervisionReqsNonPhysicians-011420.pdf

Joint Letter on Expanding Scope of Practice for Non-professional Health Care Providers ...

...The undersigned medical associations and medical specialty societies are writing to register serious concerns with the Health Care Professional Practice in VA Memorandum (Memorandum) issued by the Office of the Under Secretary of Health on April 21, 2020, and underlying Directive...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VA-ExpandedScopeNonProHealthCareProviders-062420.pdf

AAFP Letter to CMS on the 2018 Quality Payment Program Final Rule with Comment Period -...

...the bipartisan Medicare Access and CHIP Reauthorization Act (MACRA). We offer the following recommendations to continue to strengthen primary care for Medicare beneficiaries, to enable more physicians to participate in Advanced Alternative Payment Models (AAPMs), and to further...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018FinalQPP-121917.pdf

AAFP Letter to FMCSA on Diabetic Commercial Drivers - Oxtober 19, 2016

...applicants to be examined by their primary care physician rather than require examination by an endocrinologist. Accordingly, the AAFP applauds the FMCSA, and we fully support the Medical Review Board’s recommendation to allow primary care physicians to complete forms needed by...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/obesity/LT-FMCSA-DiabeticDrivers-101916.pdf

AAFP Letter to TN House Health Committee on Doctor of Medical Science Legislation - ...

...degree, to practice primary care with limited physician supervision. The AAFP strongly opposes this unprecedented proposal to create a new provider designation, offered by a single academic institution, that would undermine physician-led team-based care models as well as jeopardize...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-TNLeg-DoctorMedScienceDegree-031318.pdf

AAFP Response to CMS on the 2018 Proposed Quality Payment Program Regulation

...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 specialty-especially in underserved areas. Family...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018ProposedQPP-081817.pdf

Joint Letter to HHS on Protecting and Improving Medicare for our Nation’s Seniors ...

...adopted team-based approach to health care. Scope of practice of health care professionals should be based on standardized, adequate training and demonstrated competence in patient care, not politics. While all health care professionals share an important role in providing care to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-HHS-ProtectingImprovingMedicareSeniorsEO-102919.pdf

AAFP Letter to the President on the "Protecting and Improving Medicare for Our Nation's...

...Our Nation’s Seniors - that you issued on October 3, 2019. The AAFP appreciates the Administration’s continued efforts to improve our health care system and we look forward to working with White House staff and the Secretary of Health and Human Services on many of the proposed...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-POTUS-ProtectingImprovingMedicareSeniors-101119.pdf

AAFP Letter to CMS on E/M Documentation Requirements - April 23, 2018

...Services. The AAFP wholeheartedly maintains that the CMS E/M documentation guidelines, established 20 years ago, do little to support patient care or improve quality. They are most commonly used to justify billing levels (e.g. level 3, 4, or 5) rather than help physicians diagnose,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-EMSuggestions-042318.pdf

AAFP Response to CMS on Administrative Burdens - August 7, 2019

...2019, Federal Register. Family physician practices continue to be deeply overburdened by administrative functions at the point of care and after patient care hours. We appreciate the agency’s continued focus on this important issue and for the provisions included in the 2020...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-AdminSimp-080719.pdf

AAFP Backgrounder - Scope of Practice: Nurse Practitioners

...health professionals to work together as clinically integrated teams in the best interest of patients. Patients are best served by a health care team led by a physician. Nurse practitioners should not function as independent health practitioners. Nurse Practitioner Scope State...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/BKG-Scope-NursePractitioners.pdf

AAFP Letter to CMS in Response to MyHealthEData Initiative - March 14, 2018

...that data security is of the utmost importance. To achieve improved, secure patient access, actual interoperability of electronic health care records is first required, something practicing physicians were promised when they purchased and updated their systems to Certified...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-MyHealthEData-031418.pdf

AAFP’s Response to COVID-19 Policy Changes - May 31, 2020

...care accessible during the public health emergency (PHE) period to achieve the many critical aims, we also look forward to working with the agency further to support the appropriate expansion of telehealth and access to care with a patient's family physician and usual source of care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/LT-CMS-IFC1andIFC2-053120.pdf

Joint Letter from Physician Groups Opposing Medicare Mental Health Access Act - ...

...Dear Committee Leaders: The undersigned medical professional organizations write to you with an urgent request that impacts the quality of care that our nation’s patients receive. H.R. 884 / S. 2772, the Medicare Mental Health Access Act, would change the definition of physician...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-Congress-OpposingMedicareMentalHealthAccessAct-092220.pdf

AAFP Letter for the Senate Finance Committee RFI on Maternal Health - April 3, 2020

...United States Currently, the United States’ maternal mortality rate (MMR) is alarmingly high and reveals existing faults within the health care system. During a time when maternal outcomes were improving for women in most developed countries, the U.S. MMR is worsening. In fact, the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-SenateFinance-MaternalHealth-040320.pdf

AAFP Letter to CMS and ONC with Administrative Simplification Requests - February 7, 2018

...subsequent February 22, 2018, meeting on this important subject. The AAFP maintains that the current regulatory framework with which primary care physicians must comply is daunting and often demoralizing. Standardization is not required among public or private payers, and many...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-ONC-AdminSimplification-020718.pdf

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

...strengthening primary care for beneficiaries and bringing greater value to beneficiaries and the healthcare system. Following passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the AAFP began designing a multi-payer, advanced primary care alternative...

Advocacy

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

AAFP Letter in Response to CMS on Physician Self-Referral Regulations - December 27, 2019

...and efficient care. As we have previously stated, and literature supports, achieving meaningful transformation of our health care system starts with creating such a system based in foundational primary care - and one which supports an increased investment in primary care to sustain...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-PhysicianSelfReferralRegulations-122719.pdf

AAFP Letter to CMS on the RFI Regarding the Physician Self-referral Law - August 22, 2018

...other physicians and health care professionals to provide team-based, patient-centered care that incorporates new technologies and focuses on reducing the total cost of care. Overall, CMS must make available clear safe harbors for advanced primary-care models, covering operational...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-PhysSelfRef-082218.pdf

AAFP Response to OIG on Anti-kickback Request for Information - October 25, 2018

...and medical students across the country, I write in response to the request for information (RFI) titled, Medicare and State Health Care Programs: Fraud and Abuse as published by the Office of Inspector General (OIG) in the August 27, 2018, Federal Register. The AAFP welcomes and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-OIG-Antikickback-102518.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 Response to CMS on the 2021 and 2022 Part C and Part D Proposed Rule - April 6, 2020

...Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elder as published by the Centers for Medicare and Medicaid Services (CMS) in the February 18, 2020 Federal Register. This rule...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2021PartCD-040620.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 Comments to CMS on the 2018 Inpatient Proposed Rule

...solely to primary care. Family physicians conduct approximately one in five office visits. This represents more than 192 million visits annually, which is 48 percent greater than the next most visited medical specialty. Today, family physicians provide more care for America’s...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-IPPSProposedRule-060817.pdf

AAFP Backgrounder - Scope of Practice: Pharmacists

...role pharmacists play in the delivery of high- quality health care. The pharmacy professional and physician should work collaboratively to optimize the therapeutic effect of pharmaceutical agents in patient care through the use of collaborative arrangements between pharmacists and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/BKG-Scope-Pharmacists.pdf

AAFP Backgrounder - Scope of Practice: Physician Assistants

...health professionals to work together as clinically integrated teams in the best interest of patients. Patients are best served by a health care team led by a physician. Education and Training There are significant differences in the educational and training requirements between...

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

...Advanced Primary Care: A Foundational Alternative Payment Model (APM) for Delivering Patient-Centered, Longitudinal, and Coordinated Care MACRAready The Shift to Value-Based Payment January 2017 The U.S. health care system is undergoing an intense period of transformation...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/ES-AdvancedPrimaryCare-121316.pdf

AAFP Response to the 2020 Proposed Medicare Physician Fee Schedule - September 18, 2019

...program for 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...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-2020ProposedMPFSComments-091819.pdf

AAFP letter on the Reauthorizing and Extending America’s Community Health (REACH) Act ...

...physicians and medical students across the country, I write to express our appreciation for action to reauthorize several expiring primary care programs within the Reauthorizing and Extending America’s Community Health (REACH) Act of 2019 (HR 2328). The bill extends the Teaching...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-E&C-PrimaryCareExtensionsREACH-071719.pdf

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...that CMS has shown a strong commitment to supporting primary care in recent years-and we look forward to working with CMS to share our data, member experiences, and analyses to ensure appropriate valuation of primary care services over the next two years. At the same time, we look...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

Joint Letter to Congress on Telehealth Principles - July 1, 2020

...competence regarding emergency readiness and response through the lens of COVID-19, with the aim of building capacity for primary care providers to care for children and their families affected by COVID-19. A recent survey of AAFP members found that 81 percent of family physicians...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-Congress-TelehealthHELP-070120.pdf

AAFP Response to CMS Maternal Health RFI - May 31, 2020

...care in rural communities as released by the Centers for Medicare and Medicaid Services on February 12, 2020. Maternal Health in the United States Currently, the United States’ maternal mortality rate (MMR) is alarmingly high and reveals existing faults within the health care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/women/LT-CMS-RuralMaternalHealth-053120.pdf

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