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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

AAFP and ACP Letter to HHS on Relief to Primary Care Practices - May 22, 2020

...May 22, 2020 The Honorable Alex M. Azar II Secretary U.S. Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Dear Secretary Azar: On behalf of the American Academy of Family Physicians and the American College of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/LT-HHS-PrimaryCarePracticeRelief-052220.pdf

AAFP and AzAFP Joint Letter Opposing Arizona HB 2419 - February 12, 2020

...February 12, 2020 The Honorable Nancy Barto Chair House Health and Human Services Committee 1700 W. Washington Street Phoenix, AZ 85007 The Honorable Jay Lawrence Vice-Chair House Health and Human Services Committee 1700 W. Washington Street Phoenix, AZ 85007 Dear Members of the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-AZLeg-OpposingHB2419-021220.pdf

AAFP and SDAFP Joint Letter Opposing South Dakota HB 1235 - February 12, 2020

...February 12, 2020 The Honorable Steven Haugaard Speaker of the House South Dakota Legislature 500 East Capitol Avenue Pierre, SD 57501 The Honorable Jamie Smith Minority Leader South Dakota Legislature 500 East Capitol Avenue Pierre, SD 57501 Dear Members of the South Dakota House...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/vaccines/LT-SDLeg-OpposingHB1231-021220.pdf

AAFP and Territory Chapter Letter to EandC Health Subcommittee on U.S. Territory ...

...June 19, 2019 The Honorable Anna Eshoo Chairwoman House Committee on Energy and Commerce Health Subcommittee Washington, DC 20515 The Honorable Michael Burgess, MD Ranking Member House Committee on Energy and Commerce Health Subcommittee Washington, DC 20515 Dear Chairwoman Eshoo...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/LT-ECHealth-MedicaidTerritoryFunding-061919.pdf

AAFP Backgrounder - Drug Pricing and Transparency

...DRUG PRICING AND TRANSPARENCY AAFP Position The American Academy of Family Physicians (AAFP) advocates for legislation ensuring the availability of effective, safe and affordable medications through policies that provide governmental authority to promote competition and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/transparency/BKG-PharmaceuticalPricingTransparency.pdf

AAFP Backgrounder - Maintenance of Certification

...MAINTENANCE OF CERTIFICATION Background Board certification is a voluntary process administered by specialty boards under the American Board of Medical Specialties (ABMS) and acts as an indicator of physician quality and safety in a specialty medical field. Previously, many board...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/BKG-MOC.pdf

AAFP Backgrounder - Scope of Practice: Naturopaths

...SCOPE OF PRACTICE - NATUROPATHIC PROVIDERS AAFP Position The AAFP believes that naturopathic theory and practice are not based upon knowledge widely accepted by the scientific community. Naturopathic education does not prepare practitioners to properly and accurately diagnose or...

Advocacy

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

AAFP Backgrounder - Scope of Practice: Nurse Practitioners

...SCOPE OF PRACTICE - NURSE PRACTITIONERS AAFP Position The American Academy of Family Physicians (AAFP) recognizes the valuable contributions of the nursing profession and believes that nurse practitioners should function as part of an integrated practice arrangement under the...

Advocacy

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

AAFP Backgrounder - Scope of Practice: Pharmacists

...SCOPE OF PRACTICE - PHARMACISTS AAFP Position The American Academy of Family Physicians (AAFP) recognizes the evolving complexity and proliferation of pharmaceutical agents and the important role pharmacists play in the delivery of high- quality health care. The pharmacy professional...

Advocacy

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

AAFP Backgrounder - Scope of Practice: Physician Assistants

...SCOPE OF PRACTICE - PHYSICIAN ASSISTANTS AAFP Position The American Academy of Family Physicians (AAFP) recognizes the valuable contributions of the physician assistant (PA) profession and believes that physician assistants should function in an integrated practice arrangement with...

Advocacy

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

AAFP Backgrounder - Strengthen Primary Care

...Strengthen Primary Care: Ensure Appropriate Payment In January 2021, the Centers for Medicare and Medicaid Services (CMS) is scheduled to increase payments for Evaluation and Management (E/M) services. E/M codes are a category of Current Procedural Terminology (CPT) codes that...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/action_week/BKG-StrengthenPrimaryCare.pdf

AAFP Backgrounder - Tobacco

...TOBACCO AAFP Position Despite significant research outlining the dangers of tobacco and a significant decrease in the number of United States adults who smoke, tobacco, and in particular cigarettes, remains the leading cause of death and preventable disease in the U.S. The AAFP...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/BKG-Tobacco.pdf

AAFP Backgrounder: Children's Health Insurance Program (CHIP)

Background information from the AAFP on CHIP.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/chip/BKG-CHIP.pdf

AAFP Backgrounder: Direct Primary Care

...DIRECT PRIMARY CARE AAFP Position American Academy of Family Physicians (AAFP) policy supports physician and patient choice to provide and receive health care in any ethical health care delivery system model, including the Direct Primary Care (DPC) model. The DPC model is consistent...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/dpc/BKG-DPC.pdf

AAFP Backgrounder: Education and Training - Family Physicians vs Nurse Practitioners

...Education and Training: Family Physicians versus Nurse Practitioners Most Nurse Practitioners (NP)-also known as Advanced Practice Nurses (APN) and Advanced Registered Nurse Practitioners (ARNP)-receive their education typically through a one-and-an-half to three-year degree program...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/FPvsNP.pdf

AAFP Backgrounder: Environmental Health and Climate Change

...ENVIRONMENTAL HEALTH AND CLIMATE CHANGE AAFP Position In recognition of the serious adverse health consequences resulting from pollution, greenhouse gas (GHG) emissions, and ozone layer depletion, the American Academy of Family Physicians (AAFP) recommends strong action on all...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/environmental/BKG-EnvironmentalHealthClimateChange.pdf

AAFP Backgrounder: Gun Violence Prevention Research

...Gun Violence Prevention Research Background According to the U.S. Centers for Disease Control and Prevention (CDC) more people died from firearm injuries in the United States in 2017 than in any other year since at least 1968. Nearly two-thirds were suicides. The AAFP sees gun...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/safety/BKG-GunViolencePreventionResearch.pdf

AAFP Backgrounder: Health Insurance Marketplaces

...HEALTH INSURANCE MARKETPLACES The Affordable Care Act (ACA) introduced a number of reforms to ensure greater access to health insurance for all Americans. The ACA’s Health Insurance Marketplaces provide a comprehensive one- stop resource for consumers to research insurance plans,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/insurance/BKG-Exchanges.pdf

AAFP Backgrounder: Lesbian, Gay, Bisexual, and Transgender Health

...Lesbian, Gay, Bisexual, and Transgender (LGBT) Health AAFP Position The AAFP supports full legal equality for same-gender families, including individuals that identify as lesbian, gay, bisexual, and/or transgender (LGBT), and access to health care that addresses health disparities...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/BKG-LGBTHealth.pdf

AAFP Backgrounder: Marijuana

...MARIJUANA The AAFP is dedicated to helping physicians provide quality and individualized care through a variety of treatments that satisfy the needs of their patients. Despite the limited body of research supporting the medical properties of marijuana, a growing number of patients...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/misc/BKG-Marijuana.pdf

AAFP Backgrounder: Medicaid Block Grant Financing and Per Capita Caps

...MEDICAID BLOCK GRANT FINANCING AND PER CAPITA CAPS AAFP Position The American Academy of Family Physicians (AAFP) recognizes that health is a basic right for every person and that the right to health includes access to timely, affordable, and quality health care, including for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicaid/BKG-BlockGrants.pdf

AAFP Backgrounder: Medicaid Primary Care Payment Parity

...MEDICAID PRIMARY CARE PAYMENT RECOMMENDATION American Academy of Family Physicians (AAFP) policy supports Medicaid payment for primary care services at least equal to Medicare’s payment rate for those services when provided by a primary care physician. Background Low Medicaid...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/parity/BKG-MedicaidPrimaryCarePaymentParity.pdf

AAFP Backgrounder: Medicaid Work Requirements

...MEDICAID WORK REQUIREMENTS AAFP Position The American Academy of Family Physicians (AAFP) has long advocated for preserving and strengthening Medicaid, a program upon which many vulnerable Americans rely. Recent efforts to impose work requirements on Medicaid beneficiaries conflict...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/BKG-MedicaidWorkRequirements.pdf

AAFP Backgrounder: Medical Liability

...MEDICAL LIABILITY REFORM Recommendation The American Academy of Family Physicians (AAFP) recognizes the trust that patients invest into their relationships with their family physicians. Medical liability laws exist to allow patients to seek recompense when physicians or other...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/liability/BKG-MedicalLiability.pdf

AAFP Backgrounder: Obesity and Overweight

...OBESITY AND OVERWEIGHT AAFP Position To combat the health risks associated with obesity and being overweight, the American Academy of Family Physicians (AAFP) encourages family physicians to participate in local, state, and national efforts to improve nutrition and encourage physical...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/obesity/BKG-Obesity.pdf

AAFP Backgrounder: Pharmacy Gag Clauses

...PHARMACY GAG CLAUSES AAFP Position The American Academy of Family Physicians (AAFP) supports a variety of measures to increase transparency and promote affordability of critical medications. The AAFP recognizes the potential of affordable generic medications as a cost-effective...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/health/BKG-PharmacyGagClauses.pdf

AAFP Backgrounder: Physician Preceptor Tax Credits

...PHYSICIAN PRECEPTOR TAX CREDITS AAFP Position The American Academy of Family Physicians (AAFP) supports training for students that emphasizes high-quality, continuous, compassionate, and coordinated care through robust family medicine preceptorship programs. Evidence shows that...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-PreceptorTaxCredit.pdf

AAFP Backgrounder: Prescription Drug Monitoring Programs (PDMPs)

...PRESCRIPTION DRUG MONITORING PROGRAMS AAFP Position The American Academy of Family Physicians (AAFP) supports the implementation and use of prescription drug monitoring programs (PDMPs) and greater physician input into pain management regulation and legislation. The AAFP will work...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/BKG-PDMPs.pdf

AAFP Backgrounder: Primary Care Spend

...PRIMARY CARE SPEND What is Primary Care? Primary care is the essential foundation of a successful, sustainable health care system and is provided by physicians specifically trained for and skilled in comprehensive first contact and continuing care for persons with any undiagnosed...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/BKG-PrimaryCareSpend.pdf

AAFP Backgrounder: Prior Authorization

...PRIOR AUTHORIZATION AND STEP THERAPY AAFP Recommendation The American Academy of Family Physicians (AAFP) calls on prior authorizations to be standardized and universally electronic to promote efficiency and reduce physician administrative complexity. The manual, time-consuming...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/BKG-PriorAuthorization.pdf

AAFP Backgrounder: Section 1115 Demonstration Waivers

...SECTION 1115 DEMONSTRATION WAIVERS What is a Section 1115 Waiver? Section 1115 of the Social Security Act provides the U.S. Secretary of Health and Human Services with authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/BKG-Section1115Waivers.pdf

AAFP Backgrounder: Section 1135 Waivers

...SECTION 1135 WAIVERS What is a Section 1135 Waiver? Section 1135 of the Social Security Act allows the U.S. Secretary of Health and Human Services (HHS) to temporarily waive or modify certain Medicare, Medicaid, Children’s Health Insurance Program (CHIP) or Health Insurance...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/BKG-Section1135Waivers.pdf

AAFP Backgrounder: Section 1332 State Innovation Waivers

...SECTION 1332 WAIVERS What is a Section 1332 Waiver? Section 1332 of the Affordable Care Act (ACA) allows states to submit State Innovation Waivers for federal approval to waive certain parts of the law to improve access to high quality, affordable health insurance. Under the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/BKG-Section1332StateInnovationWaivers.pdf

AAFP Backgrounder: Sex for Money and Goods

...EXCHANGE OF SEX FOR MONEY OR GOODS The Issue The World Health Organization (WHO) defines commercial sex, otherwise known as sex work or prostitution, as the exchange of money or goods for sexual services. Sex work may involve consensual and non-consensual sexual encounters. Buyers...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/misc/BKG-SexWork.pdf

AAFP Backgrounder: Stealthing

...STEALTHING AAFP Position The AAFP believes that sexual assault is a serious public health issue. The AAFP supports the rights of survivors of sexual assault, including the right to protection from their offender and from re-victimization in the legal and criminal justice systems....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/safety/BKG-Stealthing.pdf

AAFP Backgrounder: Sustain Primary Care

...Sustaining a Viable Primary Care System The COVID-19 pandemic underscores the fact that the fee-for-service (FFS) payment environment has left primary care system ill-equipped to fulfill its role maintaining the health and well-being of patients. As the public health emergency began,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/action_week/BKG-SustainPrimaryCare.pdf

AAFP Backgrounder: Teaching Health Centers

...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...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-TeachingHealthCenters.pdf

AAFP Chapter Letter in Support of THCGME Reauthorization - February 11, 2020

...February 11, 2020 The Honorable Nancy Pelosi The Honorable Mitch McConnell Speaker Majority Leader U.S. House of Representatives U.S. Senate Washington, DC 20515 Washington, DC 20510 The Honorable Kevin McCarthy The Honorable Charles Schumer Minority Leader Minority Leader U.S. House of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-HouseSenLeaderships-ChapterSupportLetterTHCGME-021120.pdf

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

...December 28, 2018 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1693-IFC P.O. Box 8010 Baltimore, MD 21244-8016 Dear Administrator Verma: On behalf of the American Academy of Family Physicians (AAFP), which...

Advocacy

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

AAFP Comments on IRS Proposed Rule on Direct Primary Care Arrangements - August 10, 2020

...August 10, 2020 The Honorable Charles P. Rettig Commissioner Internal Revenue Service 1111 Constitution Avenue NW Washington, DC 20224 RE: REG-109755-19 (RIN: 1545-BP31) Dear Commissioner Rettig: On behalf of the American Academy of Family Physicians (AAFP), which represents 136,700...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/dpc/LT-IRS-ProposedDPCRule-081020.pdf

AAFP Comments to CMS on MSSP/ACO Proposed Rule - October 15, 2018

...October 15, 2018 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1701-P P.O. Box 8016 Baltimore, MD 21244-8016 Dear Administrator Verma: On behalf of the American Academy of Family Physicians (AAFP), which...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMS-ACO-MSSP-101518.pdf

AAFP Comments to CMS on the 2018 Inpatient Proposed Rule

...June 8, 2017 Seema Verma, Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue SW., Washington, DC 20201 Dear Administrator Verma: On behalf of the American Academy of Family...

Advocacy

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

AAFP Congressional Primary Care Caucus

...Congressional Primary Care Caucus Background The AAFP believes that this bipartisan caucus will make great strides in educating legislators, staff, and the public on primary care issues, experiences, and concerns such as: • Information Congress needs to know about what...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/BKG-CongressionalPrimaryCareCaucus.pdf

AAFP COVID-19 Advocacy Toolkit

...COVID-19 Toolkit Congress approved an emergency coronavirus (COVID-19) spending bill and is both working on another proposal to address additional health and economic issues and planning a third package. The AAFP supported the supplemental funding bill and issued recommendations for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/misc/COVID19-AdvocacyToolkit.pdf

AAFP COVID-19 Related Loss Calculator

...Instructions Projected Revenue Inputs Projected Revenue Inputs Step 1: Enter the top 3 payers into "Payer Mix" table (includes commercial and Medicare Advantage) - light blue cells Step 2: Enter the percentage of patients covered by each payer listed in the "Payer...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/AAFP-COVID-19-Related-LossCalculator.xlsx

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 Executive Summary of the 2019 Medicare Physician Fee Schedule - July 18, 2018

...Initial Summary of the 2019 Proposed Medicare Physician Fee Schedule On July 12, 2018, the Centers for Medicare and Medicaid Services (CMS) put on display the 2019 Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Medicare Part B. In conjunction...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ES-2019ProposedMPFS-071818.pdf

AAFP Executive Summary of the CMS Final Rule: QPP Year 2 - November 8, 2017

...Executive Summary of the CMS Final Rule- Quality Payment Program Year 2 On November 2, 2017, the Centers for Medicare and Medicaid Services (CMS) released an interim final rule with comment period regarding the 2018 Quality Payment Program (QPP). Further comments on certain sections...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ES-2018FinalQPP-11817.pdf

AAFP Executive Summary: The Coronavirus Aid, Relief and Economic Security (CARES) Act -...

...The Coronavirus Aid, Relief and Economic Security (CARES) Act -Key Provisions Affecting Family Physicians On March 27, President Trump signed the Coronavirus Aid, Relief and Economic Security Act into law. The bipartisan CARES Act is the third legislative package passed in...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/ES-CARESAct-033020.pdf

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