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team-based care

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AAFP Administrative Simplification Principles Letter to the Senate HELP Committee - ...

...I write to share our support for efforts to identify and address administrative costs associated with health care delivery. The regulatory framework with which primary care physicians must comply is daunting and often demoralizing. Standardization is not required among public or...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-HELP-HC-AdminSpending-073118.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 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 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

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 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 Government Affairs Weekly - 2010

...would be offset by several provisions, including one that would recoup more money from consumers who receive excessive health care subsidies under the health care reform law. The measure also would extend other expiring Medicare programs, like the increase in payments for Medicare...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2010/GR-Weekly-December-10.pdf

AAFP Government Affairs Weekly - 2010

...1. AAFP President-elect Testifies on HIT at Congressional Hearing 2. Senate Appropriations Committee Would Increase Funds for Primary Care Training 3. FMAP Extension Added to Federal Aviation Administration Bill 4. Regulations on High-Risk Insurance Pools and Menu Labeling Published...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2010/GR-Weekly-July-30.pdf

AAFP Government Affairs Weekly - 2011

...1. MedPAC Recommends SGR Repeal and Higher Payment Rate for Primary Care 2. AAFP Teams up with US Rep. Allyson Schwartz on SGR Repeal 3. Patients Received Preventive Care, Discounts from Health Reform 4. IOM Reports on Essential Health Benefits for State Health Exchanges 5. Senate...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2011/GR-Weekly-October-7.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 Letter Opposing KY APRN Scope Expansion - September 28, 2017

...the clinical supervision of a physician alters the standard of care and dismantles the physician-led team-based health care model in Kentucky. The AAFP opposes legislation that undermines the physician-led team-based care models that have proven to be most effective in improving...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-OpposingKYLegislationAPRNScopeExpansion-092817.pdf

AAFP Letter Opposing Massachusetts Legislation on APRN Scope of Practice Expansion

...24, 2017 The Honorable James Welch The Honorable Peter Kocot Senate Chairman House Chairman Joint Committee on Health Care Financing Joint Committee on Health Care Financing Massachusetts State Senate Massachusetts State House 24 Beacon St. 24 Beacon St. Room 413-B Room 236 Boston,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-OpposingMALegislationAPRNScopeExpansion-072417.pdf

AAFP Letter Opposing PA APRN Scope Expansion - October 18, 2017

...of physicians. This legislation would alter the standard of care and dismantle the physician-led team-based health care model in Pennsylvania. The AAFP opposes legislation that undermines the physician-led team-based care models that have proven to be most effective in improving...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-ProfessionalLicensure-OpposingPAAPRNScopeExpansion-101817.pdf

AAFP Letter Responding to CMMI New Direction RFI - November 15, 2017

...the Centers for Medicare and Medicaid Services (CMS). In this request, the Innovation Center seeks new direction to promote patient-centered care, test market-driven reforms that empower beneficiaries as consumers and provide price transparency, increase choices and competition to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMMI-NewDirectionRFI-111517.pdf

AAFP Letter Responding to the 2019 Part C and Part D Proposed Rule - January 16, 2018

...would be an extension of CMS’ DUR policy and OMS. CMS also proposes to exempt beneficiaries who have cancer or are in hospice or long-term care from the drug management program. CMS proposes to limit the availability of the special enrollment period (SEP) for dually- or other...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019MAPDP-011618.pdf

AAFP Letter Responding to the FDA on Prescribing Opioids

...129,000 family physicians and medical students across the country, I write in response to the request for comments titled, Training Health Care Providers on Pain Management and Safe Use of Opioid Analgesics-Exploring the Path Forward as published by the U.S. Food and Drug...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-FDA-OpiodTraining-071017.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 to ASPE’s RFI on Promoting Health Care Choice and Competition - January 25,...

...especially independent physician practices- are the lynch pin of our nation’s health care system. They have repeatedly demonstrated their superior ability to generate positive results in value-based care arrangements, both in improved health outcomes and reduced costs. They are the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-ASPE-RFI-012518.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 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 Letter to CMS on 2017 Medicare Physician Fee Schedule - December 22, 2016

...that CMS has created new primary care codes and initiated payment for other codes previously bundled as a step toward reinforcing primary medical care and Americans’ access to high-quality health care, but more must be done. Without a strong primary care foundation, the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-MPFS-122216.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 Letter to CMS on Evaluation and Management Guidelines - May 20, 2015

AAFP letter to CMS requesting changes to 1995 and 1997 CMS Documentation Guidelines for Evaluation and Management (E/M) Services as well as the Medicare Program Integrity Manual

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-CMS-EMGuidelines-052015.pdf

AAFP Letter to CMS on Proposed ACO Regulation - February 4, 2015

AAFP response to CMS on the proposed rule titled Medicare Shared Savings Program: Accountable Care Organizations

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/acos/LT-CMS-ACO-020415.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 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 Letter to CMS Regarding the 2018 Proposed Medicare Physician Fee Schedule

...CMS recognizes that these guidelines, which were written 20 years ago, do not reflect the current use of electronic health records and team-based care to support clinical decision-making and patient centeredness. • Has begun implementing site-neutral provisions to ‘new’...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018ProposedMPFS-083017.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 with Policy Recommendations for MACRA Implementation - April 11, 2016

AAFP pre-rulemaking letter to CMS with primary care policy recommendations to support successful MACRA implementation

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRA-041116.pdf

AAFP Letter to CMS With Reccommended Improvements to MACRA - April 26, 2017

...question, and better enable independent primary care practices to serve their patients and communities. The AAFP represents 124,900 physicians and medical students nationwide and is the only medical society devoted solely to primary care. Family physicians conduct approximately one...

Advocacy

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

AAFP Letter to FDA Opioid Policy Steering Committee - January 16, 2018

...in evidence and understanding of its pathophysiology, chronic pain continues to burden patients in a medical system that is not designed to care for them effectively. Opioids have been used in the treatment of pain for centuries, despite limited evidence and knowledge about their...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-FDA-OpioidPolicySteeringCommittee-011618.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 FTC on Examing Health Care Hearings - Marh 18, 2014

AAFP letter to the FTC in advance of the public workshop titled Examining Health Care Competition

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/antitrust/LT-FTC-HealthCareHearings-031814.pdf

AAFP Letter to Governor Jindal Opposing Optometry Scope of Practice Legislation - May ...

AAFP sent a letter urging Louisiana Governor Jindal to veto legislation that would inappropriately expand the scope of practice for optometrists.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-Jindal-OptometryScope-052914.pdf

AAFP Letter to HCP-LAN Draft of "Primary Care Payment Models" White Paper - November ...

...Executive Director, John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital Bill Golden, MD, MACP Arkansas Medicaid Director Professor of Medicine and Public Health, University of Arkansas Primary Care Payment Models (PCPM) Work Group Co-Chairs...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-HCP-LAN-PaymentModels-111516.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 House Ways and Means Committee on Opioid Epidemic Relief - March 14, 2018

...To promote evidence-based care for patients with chronic pain while minimizing the risk of opioid and other substance use disorders (OUD/SUD), we must recognize that both pain management and dependence therapy require patient-centered, compassionate care as the foundation of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-WaysMeansCommittee-OpioidEpidemicRelief-031418.pdf

AAFP Letter to Nebraska DHHS in Opposition of the NAPA Application for Scope of ...

...team-based care models that have proven to be most effective in improving quality and efficiency. The AAFP believes that health professionals should work collaboratively as clinically integrated teams in the best interest of patients. Physician-led, team-based care addresses...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-NebraskaCHHS-NAPAApplication-060519.pdf

AAFP Letter to President Trump on Regulatory Burden for Family Medicine - January 31, 2017

...there is not a single discipline of medicine that faces greater administrative and regulatory burden than family physicians and other primary care physicians. In fact, research referenced in this letter shows that family physicians face a regulatory burden that is unmatched among...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/campaigns/LT-Trump-RegulatoryBurden-013117.pdf

AAFP Letter to PTAC on Project Sonar - January 18, 2017

...better care, smarter spending, and healthier people. The proposed model changes both care delivery and payment, based on clinical care guidelines for chronic gastroenterology related conditions. First, the model proposes to give participating practices a prospective chronic care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-PTAC-Sonar-011817.pdf

AAFP Letter to Senate Finance Committee on Opioid Epidemic Relief - February 14, 2018

...To promote evidence-based care for patients with chronic pain while minimizing the risk of opioid and other substance use disorders (OUD/SUD), we must recognize that both pain management and dependence therapy require patient-centered, compassionate care as the foundation of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-SenateFinance-OpioidEpidemicRelief-02142018.pdf

AAFP Letter to SFC on Chronic Care WG Policy Options - January 27, 2016

The AAFP Response to the initial policy options proposed by the Senate Finance Committee's Isakson-Warner Working Group on Chronic Care

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/acos/LT-SFC-ChronicCare-012715.pdf

AAFP Letter to Sponsors of the Independence at Home Act - September 7, 2016

...care, the AAFP applauds your leadership in developing and introducing this legislation, which would expand a successful Medicare primary-care demonstration program on a nationwide basis. The Independence at Home (IAH) model uses home-based primary-care teams to carry out plans of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/pcmh/LT-SEN-IndependenceHome-090716.pdf

AAFP Letter to the APM Framework and Progress Tracking Group - November 18, 2015

AAFP comments about the Alternative Payment Model (APM) Framework and the associated white paper created by the Alternative Payment Model Framework and Progress Tracking Work Group

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-APM-Framework-111815.pdf

AAFP Letter to the Department of Veterens Affairs CHAMPVA Proposed Rule - March 7, 2018

...allowable amount. The VA defines these accepted assignments as the action of an authorized non-VA provider who accepts responsibility for the care of a CHAMPVA beneficiary and thereby agrees to accept the CHAMPVA determined allowable amount as full payment for services and supplies...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-VA-CivilianHealthMedicalProgram-030718.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 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 Letter to Vetersns Administration on APRN - July 13, 2016

...practice acts. This proposal would alter the consistent standards of care for veterans over non-veterans in the states; further fragment the health care system; and dismantle physician-led team-based health care models. The AAFP strongly opposes this unprecedented proposal to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/LT-VHA-APRN-071316.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 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

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