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direct primary care

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Direct Primary Care -- Physician Payment Advocacy

May 20, 2019 - The AAFP supports the physician choice to provide health care in any ethical health care delivery system model, including the DPC practice setting.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/payment/dpc.html

AAFP Letter to Senator Cassidy Applauding Direct Primary Care Legislation - September ...

Letter to Sen. Cassidy in support of his bill to allow family physicians greater access to both Medicare and commercially insured patients in a DPC practice model.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-Cass-DPC-091615.pdf

AAFP Backgrounder: Direct Primary Care - June 7, 2018

...DIRECT PRIMARY CARE RECOMMENDATION American Academy of Family Physicians (AAFP) policy supports physician and patient choice to provide and receive healthcare in any ethical healthcare delivery system model. This includes the Direct Primary Care (DPC) model. DPC is consistent with...

Advocacy

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

Alternative Payment Models -- Physician Payment Advocacy

Jul 31, 2019 - The AAFP refutes the SGR as an accurate indicator of physician cost in providing patient care and recommends study of the PCMH model or other alternative payment models to inform regulatory changes.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/payment/apms.html

Prescription Drug Issues

Aug 19, 2019 - The AAFP recognizes that prescription drug issues are a significant problem in the United States, and supports various federal agencies working to combat this public health concern.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/rxabuse.html

Health Insurance Marketplaces and CO-OPs

Aug 8, 2019 - The AAFP supports the increase to primary care access through health care marketplaces and consumer operated and oriented plans as presented in the Patient Protection and Affordable Care Act.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/coverage/aca/marketplace.html

Women's Health

Aug 8, 2019 - The AAFP advocates for affordable access to important wellness and preventive health care for women, and call upon the insurance industry to support this standard of care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/women.html

Medicare Coverage

Aug 7, 2019 - The AAFP advocates for primary care physicians and their patients by calling for expanded health care coverage, including medicare coverage.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/coverage/medicare.html

Electronic Health Records

Aug 7, 2019 - The AAFP believes that EMRs are vital to the expansion of primary care and the patient centered medical home model of care delivery, and supports meaningful use efforts.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/hit/emr.html

Administrative Simplification -- Legal Issues

Aug 7, 2019 - Reducing the administrative burden on physicians is an important step toward reducing the cost of health care. The AAFP supports simplifying reimbursement processes.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/simplification.html

Medicare Physician Payment -- Physician Payment Advocacy

Aug 7, 2019 - The AAFP refutes the SGR as an accurate indicator of physician cost in providing patient care and recommends study of the PCMH model to inform regulatory changes.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/payment/medicare.html

Medical Home

Aug 5, 2019 - The AAFP believes that the Patient Centered Medical Home (PCMH) provides patients with a holistic and coordinated approach to health care, and supports the advancement of this primary care delivery system.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/delivery/medhome.html

Graduate Medical Education

Aug 5, 2019 - The AAFP believes that investment in the primary care workforce is vital and seeks to preserve funding for residency programs in family medicine.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/workforce/gme.html

Environmental Concerns in Public Health

Aug 2, 2019 - The AAFP advocates for public health and prevention policies that support the work of family physicians and primary care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/environmental.html

Medicare Physician Fee Schedule -- Physician Payment Advocacy

Jul 31, 2019 - The AAFP summarizes details of the Medicare Physician Fee Schedule, including regulatory requirements.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/payment/medicare/internal/medicare-physician-fee-schedule.html

State Legislative Issue Backgrounders

Jul 26, 2019 - State Legislative Issue Backgrounders from the AAFP Center for State Policy

Advocacy : On the State Front

https://www.aafp.org/advocacy/states/backgrounders.html

Medicaid

Jul 15, 2019 - The AAFP advocates for fair and effective regulations impacting family physicians and patients served by this vital program that provides health care for vulnerable populations.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/coverage/medicaid.html

Medical Student Debt

Jul 15, 2019 - The cost of medical education can impact the specialty of family medicine. The AAFP supports alternative funding strategies for family medicine students.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/workforce/debt.html

Antitrust / Collective Negotiation -- Legal Issues

Jun 26, 2019 - The AAFP advocates for the update of antitrust laws impacting family physicians and for the inclusion of health insurance companies within the scope of these regulations.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/antitrust.html

Tobacco Use

Jun 26, 2019 - Primary care physicians play a crucial role in the prevention and treatment of tobacco addiction, as well as influencing legislation that promotes public health.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/tobacco.html

Patient Protection and Affordable Care Act (ACA)

Jun 20, 2019 - The AAFP provides information for family physicians as health care reform established by the Patient Protection and Affordable Care Act (ACA) take effect.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/coverage/aca.html

Children's Health Insurance Program (CHIP)

Jun 20, 2019 - Caring for uninsured children through Medicaid is a vital part of the current primary care system. The AAFP supports the continuing development and improvement of the CHIP initiative.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/coverage/aca/chip.html

Model Legislation

Jan 4, 2019 - Model legislation information for state chapters.

Advocacy : On the State Front

https://www.aafp.org/advocacy/states/model-legislation.workforce.0.html

Transparency -- Legal Issues

Jun 6, 2019 - The AAFP affirms the need for effective transparency laws, but advocates for a simplified process that avoids expensive and complicated administration for physicians.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/transparency.html

Vaccines/Immunizations

Jun 6, 2019 - Affordable access to preventive care, including vaccinations and immunizations, is a central primary care health concern which deserves federal support.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/immunization.html

National Prevention Strategy

Jun 6, 2019 - The AAFP supports the efforts of the NPS to promote wellness and preventive public health care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/prevstrategy.html

Agency for Healthcare Research and Quality (AHRQ)

May 24, 2019 - The AAFP supports the AHRQ and its vital function in the development of quality patient care and healthcare system insight.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/research/ahrq.html

Safety and Violence

May 13, 2019 - Primary care providers play a crucial role in responding to safety and violence concerns. The AAFP shares policies relevant to the care of these situations.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/safety.html

Scope of Practice

May 6, 2019 - The AAFP believes that the family physician is uniquely qualified to lead coordinated care teams of allied health professionals in providing primary care for patients.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/workforce/scope.html

Title VII of the Public Health Service Act

Apr 15, 2019 - The AAFP calls on Congress to increase funding for this vital GME program and protect it as a fiscal commitment in the years to come.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/workforce/title-vii.html

Obesity Treatment

Mar 5, 2019 - The AAFP advocates for health care policies that address the significant health impact of obesity.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/pubhealth/obesity.html

Interoperability

Feb 12, 2019 - The AAFP seeks to keep physicians concerns central as information technologies are integrated into an effective, patient centered health care system.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/hit/emr/interoperability.html

Patient Privacy -- Legal Issues

Feb 12, 2019 - The AAFP provides family physicians with information regarding HIPAA regulations and monitors its impact on primary care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/hipaa.html

Accountable Care Organizations (ACOs)

Jan 24, 2019 - The AAFP supports the development of this primary care model, and promotes benchmarks, information systems, and payment regulations that protect both patients and family physicians.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/delivery/acos.html

Model Legislation

Jan 4, 2019 - Model legislation information for state chapters.

Advocacy : On the State Front

https://www.aafp.org/advocacy/states/model-legislation.html

Telehealth

Dec 20, 2018 - Follow developing payment policies supporting the exchange of medical information from one site to another through electronic communications.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/hit/telehealth.html

Medical Liability -- Legal Issues

Dec 19, 2018 - The AAFP supports the reform of medical liability and litigation regulations that continue to have a negative impact on the cost of health care for patients and physicians.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/liability.html

Open Payments / Physician Sunshine Act -- Legal Issues

Dec 4, 2018 - The AAFP affirms the need for effective transparency laws like open payments and the Sunshine Act, but advocates for a simplified process that avoids expensive and complicated administration for physicians.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/transparency/sunshine.html

End-of-Life Care

Mar 20, 2018 - Learn how the AAFP is supporting federal efforts to cover voluntary discussions between physicians and patients about advance care plans.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/delivery/end-of-life.html

Direct Primary Care Act

...AN ACT TO CREATE THE MISSISSIPPI DIRECT PRIMARY CARE ACT; TO 1 PROVIDE DEFINITIONS; TO PROVIDE THAT A DIRECT PRIMARY CARE 2 AGREEMENT SHALL NOT BE CONSIDERED TO BE AN INSURANCE PRODUCT NOR 3 SHALL THE PRIMARY CARE PROVIDER BE CONSIDERED TO BE ENGAGING IN 4 THE BUSINESS OF INSURANCE;...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/workforce/Direct%20Primary%20Care%20Act.pdf

CO Model for Direct Primary Care

...(b) Direct primary care providers use a model of health care delivery based on a periodic fee for a specified period of time, rather than a fee-for-service arrangement financed through health insurance; and (c) Direct primary care services represent an option that can improve...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/workforce/CODPC.pdf

Direct Primary Care Provider Plans

...A BILL FOR AN ACT ENTITLED: "AN ACT AUTHORIZING DIRECT PRIMARY CARE PROVIDER PLANS;4 ESTABLISHING REQUIREMENTS FOR DIRECT PRIMARY CARE PROVIDER PLANS; ESTABLISHING THAT5 DIRECT PRIMARY CARE PROVIDER PLANS ARE NOT HEALTH INSURANCE; MAKING DIRECT PRIMARY6 CARE PROVIDER PLANS...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/workforce/Direct%20Primary%20Care%20Provider%20Plans.pdf

Direct Primary Care Agreements

...Direct Primary Care Coalition Model State Legislation Model State Legislation: Direct Primary Care Agreements The people of the state of _______ enact: (1) Definitions: As used in this section: (a) "Primary care provider" means an individual or other...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/workforce/Direct%20Primary%20Care%20Agreements.pdf

State Legislative Tracker

Dec 15, 2016 - AAFP State Legislative Tracker

Advocacy : Track and Discuss the Issues

https://www.aafp.org/advocacy/track/state-tracker.mem.html

Protecting Physician Payment

Jan 11, 2013 - The AAFP advocates for fair compensation regulation for primary care physicians who serve patients through Medicare and Medicaid without excessive administrative burden.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/payment.html

Electronic Prescribing

Jan 22, 2013 - The AAFP supports Electronic Prescribing Incentive Program for Medicare-enrolled physicians as an important initiative toward accurate, timely patient care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/hit/emr/eprescribe.html

Recovery Audit Contractors -- Legal Issues

Jan 22, 2013 - The AAFP agrees that CMS fraud must be stopped, but seeks audit and appeals processes that minimize negative impact on physicians' time and resources for patient care.

Advocacy : Stay Informed

https://www.aafp.org/advocacy/informed/legal/simplification/audit.html

Missouri%20Chapter%20DPC%20Model%20Legislation.pdf

Model Direct Primary Care legislation that was ultimately passed in 2015

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/workforce/Missouri%20Chapter%20DPC%20Model%20Legislation.pdf

AAFP Letter in Support of the Primary Care Enhancement Act - January 13, 2016

...a Direct Primary Care (DPC) model. As such, the AAFP appreciates your leadership on this important issue and I am pleased to inform you that the AAFP supports the bill. Under existing interpretation of the Internal Revenue Code, patients with HSAs are prohibited from engaging in DPC...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/dpc/LT-PC_Enhancements_011617.pdf

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

...Care (CPC) classic, CPC+, Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) as well as those participating in direct primary care to implement the APC-APM and its features. Family physicians conduct approximately one in five of the total medical office...

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,...

...choose to practice in a delivery and payment model in which they contract directly with patients, typically referred to as Direct Primary Care (DPC). Under the DPC model, the patient pays a monthly or annual fee directly to the practice for a defined set of primary care services....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-ASPE-RFI-012518.pdf

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

...choose to practice in a delivery and payment model in which they contract directly with patients, typically referred to as Direct Primary Care (DPC). Under the DPC model, the patient pays a monthly or annual fee directly to the practice for a defined set of primary care services....

Advocacy

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

Letter to Senate HELP Committee on Innovation - November 28, 2018

...to highlight primary care innovations including Advanced Primary Care, broader systems to address Social Determinants of Health, Direct Primary Care, and Independence at Home. The benefits of primary care access are well-understood. U.S. states with higher ratios of primary care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/delivery/acos/LT-SenateHELP-HealthCareInnovationHearing-112818.pdf

AAFP Letter to the Ways and Means Committee on HDHP and HSA Bills - July 11, 2017

...to, respectively, provide and receive health care in any ethical health care delivery system model, including the DPC practice setting. The direct primary care (DPC) model gives family physicians a meaningful alternative to fee-for- service insurance billing, typically by charging...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/insurance/LT-WaysMeansCommittee-HDHP-HSABills-071118.pdf

AAFP Testimony to House Ways and Means Committee on President's FY 2018 Budget Request

...Efforts to Expand Direct Primary Care in Medicaid. The Administration proposes to expand Medicaid Direct Primary Care (DPC), which provides an enhanced focus on direct physician patient relationships through enrolling Medicaid patients in DPC practices. These practices...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/TS-HouseWaysMeans-PresidentFY2018BudgetRequest-060817.pdf

AAFP Testimony to Senate Finance Committee on President's FY 2018 Budget Request

...Efforts to Expand Direct Primary Care in Medicaid. The Administration proposes to expand Medicaid Direct Primary Care (DPC), which provides an enhanced focus on direct physician patient relationships through enrolling Medicaid patients in DPC practices. These practices...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/TS-SenateFinance-PresidentFY2018BudgetRequest-060817.pdf

Washington Update - January 23, 2015

AAFP Government Relations Weekly Report - January 23

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2015/GR-Weekly-Jan-23.pdf

Health Care Empowerment Act

...of insurance; requiring certain disclosure; defining term; providing that direct primary care membership agreement not considered insurance and not subject to certain provisions; providing that direct primary care provider or agent not required to obtain certain credentials;...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/workforce/Health%20Care%20Empowerment%20Act.pdf

Washington Update - September 18, 2015

...Amend ACA 3. House Acts to Curb Frivolous Lawsuits 4. HHS to Revise Rule on Medication-Assisted Addiction Treatment 5. AAFP Supports Direct Primary Care Legislation 6. Senate HELP Chair Recommends Meaningful Use Stage 3 Delay 7. Child Nutrition Reauthorization Debate to Heat Up as...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2015/gr-weekly-sep-18.pdf

Washington Update - June 16, 2017

...to Promote Direct Primary Care On Wednesday, June 14, Sen. Bill Cassidy (R-LA) and Sen. Maria Cantwell (D-WA) jointly introduced a bill to promote the uptake of direct primary care (DPC). The bill, known as the Primary Care Enhancement Act of 2017 (S 1358), would allow DPC practices...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-june-16.pdf

Washington Update - January 6, 2017

...can be found in the AAFP’s In the Trenches blog. 2. AAFP Co-Hosts Capitol Hill Briefing on Direct Primary Care On Wednesday, January 4, the AAFP, along with the Direct Primary Care (DPC) Coalition, hosted a Capitol Hill briefing on the reintroduction of the Primary Care Enhancement...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-jan-6.pdf

The New Administration, Congress, and Family Medicine

...Direct Primary Care (DPC) DPC is a primary care billing and payment arrangement in which physicians generally do not take insurance, but instead charge patients a monthly, a quarterly, or an annual fee that covers all or most primary care services Allow patients to pay for DPC...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/grassroots/Webinar-115thCongress.pdf

Washington Update - May 20, 2016

...Bill Supports FDA Regulation of Cigars and E-Cigarettes 3. Congress Agrees on How to Reform Toxic Substance Regulatory Structure 4. Direct Primary Care Provision May Be Added to Tax Measure 5. CMS Reform of Part B Drug Payments Called into Question 6. FamMedPAC Makes Promotional...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-may-20.pdf

Health Insurance Exchanges and Qualified Health Plans

Executive Summary: Proposed Establishment of Health Insurance Exchanges and Qualified Health Plans

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/insurance/ES-HealthInsuranceExchangesandQualifiedHealthPlans-071511.pdf

AAFP Government Affairs Weekly Report - June 20, 2014

AAFP Government Relations Weekly Report - June 20, 2014

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2014/GR-Weekly-June-20.pdf

Washington Update - December 9, 2016

...• Direct Primary Care (DPC) - Montana LC 87 authorizes DPC provider plans and establishes requirements for DPC provider plans. The bill clarifies DPC provider plans are not health insurance, and therefore not subject to insurance regulations, while ensuring DPC provider plans are...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-dec-9.pdf

page2.pdf

...A final measure could land the bill on the president's desk before the Memorial Day recess. 4. HOUSE PANEL EXAMINES PLAN TO SUPPORT DIRECT PRIMARY CARE On Tuesday, May 17, the House Ways and Means Subcommittee on Health held a discussion of various proposals to use federal taxes to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-may-20.pdf/subassets/page2.pdf

Washington Update - September 16, 2016

...CONGRESS 1. HOUSE BILL TO EXPAND ACCESS TO DIRECT PRIMARY CARE INTRODUCED On Tuesday, September 13, Reps. Erik Paulsen (R-MN) and Earl Blumenauer (D-OR) introduced the Primary Care Enhancement Act of 2016 (HR 6015). The bill would correct the Internal Revenue Service’s current...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-sep-16.pdf

AAFP Washington Update for June 9, 2017

...to incentivize the use of Direct Primary Care (DPC) in Medicaid. He asked Secretary Price to elaborate on the specifics of HHS’s plan to accelerate the growth of the model. Secretary Price did not answer the question directly but did refer to DPC as an incredible program that gets...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-june-9.pdf

Washington Update - March 17, 2017

...bills that may be of interest: • Direct Primary Care - Direct primary care legislation is moving forward. Kentucky, Montana, Virginia, and West Virginia have passed DPC legislation. All of the measures await their respective Governor’s signature. DPC legislation in Alabama,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-mar-17.pdf

Establishment of Exchanges and Qualified Health Plans: CMS

Letter to CMS on Establishment of Exchanges and Qualified Health Plans

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/insurance/LT-Berwick-EstablishmentofExchangesandQualifiedHealthPlans-092811.pdf

AAFP Washington Update - March 2, 2018

...• Direct Primary Care (DPC) - FL, GA, HI, IA , MD, PA, SC, and WI have introduced DPC legislation. Idaho, Missouri, and Nebraska have introduced legislation that would establish direct primary care pilot programs in Medicaid, public health districts, and state insurance programs....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2018/gr-weekly-mar-2.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 Letter to Senators Graham, Cassidy, Heller, and Johnson on the GCHJ Proposal - ...

...in primary care. Provisions in your bill would support the expansion of a delivery model commonly known as direct primary care (DPC). The AAFP strongly supports DPC, but we do not see this delivery model as an alternative to comprehensive health care coverage. The elimination of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-SenatorsGrahamCassidyHellerJohnson-GCHJProposal-092017.pdf

Testimony to the Senate Finance Committee on Graham Cassidy - September 25, 2017

...innovation in primary care. The proposal would support the expansion of a delivery model commonly known as direct primary care (DPC). The AAFP strongly supports DPC, but we do not see this delivery model as an alternative to comprehensive health care coverage. There are bipartisan...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/TS-SenateFinanceCommittee-GrahamCassidy-092517.pdf

AAFP Statement to the Ways and Means Committee on the MACRA Implementation Hearing - ...

...care spend for the attributed population-particularly those with a primary-care base.2 The AAFP also continues to support the direct primary care model (DPC). DPC, like other advanced primary care models, liberates primary care from fee-for-service and reduces the administrative...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ST-WaysMeansCommittee-MACRAImplementationHearing-032118.pdf

page3.pdf

... Direct Primary Care-Last week, Virginia Governor Terry McAuliffe (D) vetoed HB 685, which would have excluded direct primary care agreements from health insurance laws and regulations. The Governor suggested that this concept needs further study stating that, a direct primary care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-may-27.pdf/subassets/page3.pdf

Washington Update - May 27, 2016

... Direct Primary Care-Last week, Virginia Governor Terry McAuliffe (D) vetoed HB 685, which would have excluded direct primary care agreements from health insurance laws and regulations. The Governor suggested that this concept needs further study stating that, a direct primary care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-may-27.pdf

Washington Update - January 27, 2017

...that may be of interest:  Direct Primary Care - 8 states (Colorado, Florida, Georgia, Indiana, Kentucky, Montana, South Carolina, and Virginia ) have now introduced Direct Primary Care legislation. There are 16 states to date that have enacted DPC laws.  Medicaid Waiver -...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-jan-27.pdf

Washington Update - May 26, 2017

...HHS will explore opportunities for States and providers to further expand Direct Primary Care, which will support improved health outcomes for Medicaid populations. In announcing the Medicaid Direct Primary Care Initiative, the Administration stated: Working with States and primary...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-may-26.pdf

AAFP Washington Update - April 13, 2018

...• Direct Primary Care - Governors in Iowa and Florida recently signed bills into law expanding direct primary care (DPC) in their states, joining 23 other states that allow this innovative practice model. 2. Chapter Advocacy Webinar - Prescription Drug Pricing Registration is...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2018/gr-weekly-apr-13.pdf

AAFP Washington Update - January 26, 2018

...deductibles in insurance markets. AAFP supported family physicians choosing to practice in Direct Primary Care (DPC) models, urging HHS to remove barriers to using HSA funds to pay for DPC. 2. DEA final rule published on opioid use disorder prescribing requirements On January 23,...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2018/gr-weekly-jan-26.pdf

AAFP Letter to Senators Graham, Cassidy, Heller, and Johnson on the GCHJ Proposal - ...

...in primary care. Provisions in your bill would support the expansion of a delivery model commonly known as direct primary care (DPC). The AAFP strongly supports DPC, but we do not see this delivery model as an alternative to comprehensive health care coverage. The elimination of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-SenatorsGrahamCassidyHeller%20ohnson-GCHJProposal-092017.pdf

AAFP Letter to the 116th Congress: House Representatives Introducing the AAFP - January...

...ability of patients and physicians to voluntarily enter into direct contracts for a defined or negotiated set of services (e.g., direct primary care [DPC]) will be preserved. Additionally, individuals will always be allowed to purchase additional or supplemental private health...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/LT-House-116Congress-AAFPIntro-012319.pdf

AAFP Letter to the 116th Congress: Senate Introducing the AAFP - January 23, 2019

...ability of patients and physicians to voluntarily enter into direct contracts for a defined or negotiated set of services (e.g., direct primary care [DPC]) will be preserved. Additionally, individuals will always be allowed to purchase additional or supplemental private health...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/misc/LT-Senate-116Congress-AAFPIntro-012319.pdf

page81.pdf

...strong influence on the identification of Advanced APMs, including models that are primary care focused and those that incorporate direct primary care (DPC). We encourage CMS to engage and closely consider the recommendations from the PTAC to ensure there are more primary care...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRAComments-062416.pdf/subassets/page81.pdf

Washington Update - February 12, 2016

AAFP Washington Update - February 12, 2012

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-feb-12.pdf

Washington Update - January 15, 2016

AAFP Washington Update - January 15, 2016

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-jan-15.pdf

Washington Update - March 25, 2016

Washington Update - March 25, 2016

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-mar-25.pdf

page3.pdf

... Direct Primary Care-Nebraska, Tennessee, and Wyoming enacted direct primary care legislation this year.  Medicaid Waiver-New York Governor Andrew Cuomo (D) plans to seek federal approval to provide Medicaid coverage to incarcerated individuals with serious behavioral and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2016/gr-weekly-may-13.pdf/subassets/page3.pdf

Washington Update - May 5, 2017

...3. Bills of Interest:  Direct Primary Care - Four states (Colorado, Indiana, Kentucky, and Virginia) have signed direct primary care legislation into law. Montana passed legislation but it was vetoed by Gov. Steve Bullock (D).  Prescription Drug Abuse - In early April, New...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/washington_update/2017/gr-weekly-may-5.pdf

Medicaid Expansion and Healthcare Exchanges

Executive Summary: The Affordable Care Act: Medicaid Expansion and Healthcare Exchanges

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ES-MedicaidExpansion.pdf

Full AAFP Response to the CMS MACRA Request for Information

AAFP response to the CMS request for information regarding implementation of the Merit-Based Incentive Payment System (MIPS), promotion of Alternative Payment Models (APM), and incentive payments for participation in eligible APMs

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MACRA-RFI-110915.pdf

Medical Loss Ratio Calculation

Joint Letter to National Association of Insurance Commissioners on Medical Loss Ratio Calculation

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-McCarty-MedicalLossRatioCalculation-062811.pdf

Health Reform Legislation

AAFP and CAFM Joint Letter to Senate Leadership Regarding Health Reform Legislation

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Reid-LeadershipRegardingHealthReformLegis-011210.pdf

Amendment to the Patient Protection and Affordable Care Act

Letter to Senate Majority Leader Regarding the Senate Manager's Amendment to the Patient Protection and Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Reid-ManagersAmendmentPPACA-122209.pdf

Rate Increase Disclosure and Review

Joint Letter to HHS on Rate Increase Disclosure and Review

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Sebelius-JointHHSRateIncrease-022211.pdf

Consumer Operated and Oriented Plans

Executive Summary: Proposed Establishment of Consumer Operated and Oriented Plans (CO-OPs)

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/insurance/ES-ProposedEstablishmentofConsumerOperatedOrientedPlans-081211.pdf

Establishment of Exchanges and Qualified Health Plans: HHS

Joint Letter to HHS on Establishment of Exchanges and Qualified Health Plans; Proposed Rule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/insurance/LT-Sebelius-JointLetterEstablishmentofExchangesandQualifiedHealthPlans-103111.pdf

Deficit Reduction Act

Medicaid Deficit Reduction Act of 2006

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicaid/ES-MedicaidDeficitReductionActof2006-051106.pdf

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