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Medicine by the numbers

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AAFP Grassroots Toolkit

Aug 8, 2016 - Use the AAFP Grassroots Toolkit to decide how you can take the meaningful step of lending your voice in advocating for family medicine.

Advocacy : Get Involved

https://www.aafp.org/advocacy/involved/toolkit.html

Graduate Medical Education

Aug 26, 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

Medicare Physician Fee Schedule -- Physician Payment Advocacy

Sep 19, 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

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

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

Primary Care Caucus

Jul 8, 2019 - The Primary Care Caucus focuses its efforts on an approach to advance primary care that is comprehensive, continuous, and connected.

Advocacy : Track and Discuss the Issues

https://www.aafp.org/advocacy/track/primary-care-caucus.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

Join the Family Physician Action Network

Aug 10, 2016 - key contact form

Advocacy : Get Involved

https://www.aafp.org/advocacy/involved/fman/join.mem.html

Key Programs Authorized by the Affordable Care Act

Joint Letter to the OMB Regarding Key Programs Authorized by the Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Zients-KeyProgramsACA-091610.pdf

Social Media Tips

Apr 19, 2018 - Tips for family physicians to leverage social media when advocating for family medicine policy.

Advocacy : Get Involved

https://www.aafp.org/advocacy/involved/fman/impact/social-tips.mem.html

Letter to CMS on GME provisions in the 2017 proposed inpatient prospective payment ...

Council of Academic Family Medicine letter to CMS regarding the 2017 proposed inpatient prospective payment system regulation's sections on Graduate Medical Education

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-CMS-FY2017-061616.pdf

Outside Witness Testimony to the Senate Appropriations Committee on AAFP FY2015 ...

The AAFP submitted a written statement to the Senate Appropriations Committee urging them to promote the efficient, effective delivery of health care by providing a robust investment in primary care workforce and training programs at the Health Resources and Services Administration and ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/TS-SN-AppropriationsFY2015-042914.pdf

Preparing the Personal Physician for Practice in the PCMH

Testimony Before the HRSA Advisory Committee on Primary Care Medicine and Dentistry on Preparing the Personal Physician for Practice in the PCMH

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/pcmh/TS-HRSAAdvisoryCommittee-PreparingPersonalPhysicianforPractice-090607.pdf

Training in Primary Care Medicine and Dentistry

Joint AAFP and CAFM Comments to HRSA on the Draft Report of the Advisory Committee on Training in Primary Care Medicine and Dentistry

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/LT-HRSA-Training-030209.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

AAFP response to the 2017 proposed Medicare Physician Fee Schedule

AAFP regulatory comment letter sent to CMS in response to the 2017 proposed Medicare Physician Fee Schedule.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-CMS-MPFS2017-081916.pdf

The Affordable Choices Act

Letter to Senators Regarding The Affordable Choices Act (Senate HELP Committee Bill)

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Senator-RegardingAffordableChoicesActToHELPCommittee-062209.pdf

Standards for the Patient-Centered Medical Home

Executive Summary: State Qualification/Certification Standards for the Patient-Centered Medical Home

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/pcmh/ES-QualificationsStandardsforPatientCenteredMedHome-110510.pdf

Joint Letter to the FDA on Tobacco Packaging - September 29, 2015

Joint letter to the FDA on Nicotine Exposure Warnings and Child-Resistant Packaging for Liquid Nicotine, Nicotine-Containing E-Liquid(s), and Other Tobacco Products

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-ANPRM-FDA-Packaging-092915.PDF

Detailed coalition letter to CMS on the second proposed ACO regulation

Detailed coalition letter in 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-Detailed-CMS-ACOS-0206215.pdf

The Patient-Centered Medical Home

The Patient Centered Medical Home: History, Seven Core Features, Evidence and Transformational Change

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/pcmh/Graham-PatientCenteredMedicalHome-Nov07.pdf

State Definitions of the Medical Home

Executive Summary: State Definitions of the Medical Home

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/pcmh/ES-StateDefinitionsofMedicalHome-032912.pdf

Modifications to the HIPAA Rules

Joint letter to HHS regarding the Modifications to the HIPAA Rules under the Health Information Technology for Economic and Clinical Health Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/health/LT-HHS-Modifications-091310.pdf

2012 Budget and the Affordable Care Act

Joint Letter to OMB Regarding 2012 Budget and the Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/pcmh/LT-Zients-2012BudgetandAffordableCareAct-091610.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

Physician Time Use Patterns Under the Medicare Fee Schedule

AAFP Response to HHS Survey of Physician Time Use Patterns Under the Medicare Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-HHS-PhysicianTimeMPFS-071013.pdf

Implementation of the Affordable Care Act

Statement to the Senate Finance Committee Regarding Implementation of the Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/TS-SenateFinanceCommit-RegardingImplementationACA-031611.pdf

Payments for Services by Certain Primary Care Physicians

Response to CMS Regarding Medicaid Payments for Services Furnished by Certain Primary Care Physicians

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ST-CMS-MedicaidPayments-060612.pdf

AAFP Letter Opposing the 2015 Proposed Part C and D Rule

AAFP letter to CMS opposing provisions of 2015 proposed changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PartCD-022614.pdf

ACOs and the Medicare Shared Savings Model

Letter to CMS on Potential Regulations for ACOs and the Medicare Shared Savings Model

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/acos/LT-Berwick-PotentialRegulationsforACOsMedicareSharedSavingsModel-120310.pdf

Topic Nominations for the USPSTF

Response to the AHRQ Request for Topic Nominations for the USPSTF

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/research/ahrq/ST-Washington-AHRQRequestforTopicNominationsforUSPSTF-082610.pdf

Joint Letter to CMS on the Social Security Number Removal Initiative - May 11, 2017

...Re: Social Security Number Removal Initiative Dear Administrator Verma: The undersigned organizations are writing to express concern over the Centers for Medicare and Medicaid Services’ (CMS) planned enactment of the Social Security Number Removal Initiative...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/hipaa/LT-CMS-SSNRI-051117.pdf

Joint Letter to Energy and Commerce on GME Reform - January 15, 2015

This is a letter from AAFP and CAFM responding to 7 questions regarding GME reform provided by leaders of the Energy and Commerce Committee of the U.S. House of Representatives. The response outlines many of the problems with the current GME payment system that does not make the ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-EC-GME-011515.pdf

Disclosures Under the HITECH Act

Letter Regarding HIPAA Privacy Rule Accounting of Disclosures Under the HITECH Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-Verdugo-HIPPAAPrivacyRule-051410.pdf

Joint Letter to CME on GME Provisions - June 26, 2014

Council of Academic Family Medicine letter to CMS on the graduate medical education sections within the 2015 proposed inpatient prospective payment system

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-CMS-GMEProvisions-062614.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

Proposed 2013 IPPS/GME Regulation

Family Medicine Letter to CMS in Response to the Proposed 2013 IPPS/GME Regulation

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/ST-CMS-2013Regulation-062512.pdf

Joint Letter to HHS on the Grandfather Date of the Tobacco Control Act - January 29, 2015

Joint letter to HHS writing to affirm the public health importance of the premarket review process for new tobacco products, which are defined as products introduced after February 15, 2007 and products modified after that date.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-HHS-GrandfatherDate-012915.pdf

2012 Budget and the Affordable Care Act

Joint Letter to OMB Regarding 2012 Budget and the Affordable Care Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/LT-OMB-BudgetAct-021210.pdf

AMA Joint Letter to CMS on ICD-10 Plans - March 4, 2015

AMA joint letter writing CMS with concerns over the implementation plans for moving to ICD-10, that will be required for use by physicians and others starting October 1, 2015.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-ICD10-030415.pdf

Nominations to the HIT Policy Committee

Letter to GAO Regarding Nominations to the HIT Policy Committee

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/LT-Dodaro-NominationsHITCommittee-030509.pdf

Implementation of the HITECH Act

Statement to the House Energy and Commerce Subcommittee on Health Regarding Implementation of the HITECH Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/emr/TS-HouseEnergyCommerceSubcommit-ImplementationHITECHAct-072710.pdf

Testimony to House Appropriations on AAFP FY2016 Spending Priorities - April 27, 2015

On April 27, the AAFP submitted a written statement to the House Appropriations Committee urging them to invest in our nation’s primary care physician workforce in the fiscal year 2016 appropriations bill to promote the efficient, effective delivery of patient-centered care by providing...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/TS-House-Appropriations-042715.pdf

Federal Investment in the Primary Care Workforce

Oral Testimony to House Appropriations in Support of Federal Investment in the Primary Care Workforce

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/TS-EducationAppropriationsSubcommit-HouseAppropsOralTestimony-051210.pdf

AAFP Testimony to Senate Appropriations for FY2016 -April 3, 2015

On April 3, the AAFP submitted a written statement to the Senate Appropriations Committee urging them to invest in our nation’s primary care physician workforce in the fiscal year 2016 appropriations bill to promote the efficient, effective delivery of patient-centered care by providing...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/TS-Senate-FY2016--040315.pdf

Summary coalition letter to CMS on the second proposed ACO regulation

Summary coalition 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-Summary-CMS-ACO-020615.pdf

Policies that Affect the Medicare Physician Fee Schedule

Letter to the Senate Finance Committee on Policies that Affect the Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-BaucusHatch-Feeschedule-053013.pdf

FY2011 Continuing Resolution

Family Medicine Letter to the Senate Regarding FY 2011 Continuing Resolution

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/LT-Senate-2011CR-030811.pdf

AAFP FY2017 House LHHSE Appropriations Testimony - April 15, 2016

On April 15, the AAFP submitted a written statement to the House Appropriations Committee urging them to invest in our nation’s primary care physician workforce in the fiscal year 2017 appropriations bill to promote the efficient, effective delivery of patient-centered care by providing...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/TS-FY2017-House-041516.pdf

AAFP FY2017 Senate LHHSE Appropriations Testimony - April 15, 2016

On April 15, the AAFP submitted a written statement to the Senate Appropriations Committee urging them to invest in our nation’s primary care physician workforce in the fiscal year 2017 appropriations bill to promote the efficient, effective delivery of patient-centered care by ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/TS-FY2017-Senate-041516.pdf

AAFP Letter to CMS with Final Comments on the 2019 Proposed Medicare Physician Fee ...

...proposed four major changes to the Medicare Part B Fee-For-Service program that would have an immediate and measurable impact on family medicine. Those items are: 1. simplify payment by adopting a single payment rate for evaluation and management (E/M) codes for new patients...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019ProposedMPFS-090618.pdf

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

...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 through...

Advocacy

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

AAFP Letter to CMS Regarding the 2018 Proposed Medicare Physician Fee Schedule

...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 physicians conduct approximately one in five of all office visits in the United States....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2018ProposedMPFS-083017.pdf

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

...Program proposed rule, published by the 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...

Advocacy

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

Joint Letter to the FDA on a Flavored Tobacco Products Proposed Rule - July 19, 2018

...Journal of Preventive Medicine, published online January 9, 2017. 2 products with kids. The presence of flavors in these other tobacco products is an important reason why, despite the steep decline in youth cigarette smoking, youth usage of tobacco products...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-FlavoredTobaccoProducts-071918.pdf

Joint Letter to the FDA on a Potential Illicit Trade - July 16, 2018

...after Implementation of an FDA Product Standard. The document addresses the potential for development of an illicit market as a result of a number of different potential product standards, including but not limited to, those that would (1) impose a maximum level of nicotine in...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-IllicitTrade-071618.pdf

Joint Letter to the FDA on a Nicotine Standard Proposed Rule - July 16, 2018

...the standard. Making cigarettes minimally or non-addictive will prevent most kids from ever becoming regular smokers and will increase the number of smokers who make a quit attempt and successfully quit. The FDA estimates that this proposal would prevent more than 33 million youth...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-NicotineStandardProposedRule-071618.pdf

Retail Sales of E-cigarettes, Electronic Nicotine Delivery Systems (ENDS), ENDS ...

...a pipe, a hookah pipe, a cigar, or a cigarette of any kind. 3.30 United States Pharmacopeia (USP) Standards means the written standards for medicines, food ingredients, dietary supplement products and ingredients. These standards are used by regulatory agencies and manufacturers to...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/model_legislation/public_health/Retail%20Sales%20of%20E-cigarettes,%20Electronic%20Nicotine%20Delivery%20Systems%20(ENDS),%20ENDS%20Paraphernalia%20and%20E-liquid,%20and%20the%20Manufacturing%20of%20E-Liquid%20Regulation.pdf

AAFP Letter to the CDC on Opioid Gudeline - January 13, 2016

AAFP letter to the CDC regarding Proposed 2016 Guideline for Prescribing Opioids for Chronic Pain

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-CDC-OpioidGuideline011516.pdf

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

...final rule with comment period, and looks forward to being a resource and partner to CMS in achieving the goals of MACRA. About Family Medicine Family physicians are dedicated to treating the whole person. These residency-trained, primary care specialists provide a wide variety of...

Advocacy

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

AAFP Comments to CMS on the 2018 Inpatient Proposed Rule

...that meets their needs. It should be noted that this will occur at a point when upgrading to 2015 Edition CEHRT could minimize the number of significant disruptions to patient care. As some members have begun the process of switching EHR systems, reports of information blocking...

Advocacy

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

Letter to the House on HHS Appropriations for FY2016 - June 17, 2015

On June 17, the AAFP sent a letter to the House Appropriations Subcommittee on Labor, HHS and Education to express our serious concerns about the level of investment in our nation’s primary care physician workforce, the National Health Service Corps and the Centers for Medicare and ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/LT-House-LaborApprop-061715.pdf

Joint Letter to the Senate Committee on Armed Services Regarding Tobacco Use in the ...

Joint letter on the National Defense Authorization Act for 2015 and concern over policy that would prohibit the military from limiting, restricting, or banning the sale of any legal consumer product currently sold at commissaries or exchanges.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-SEN-MilitaryTobacco-10-24-14.pdf

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

...the patient’s initial consideration. Therefore, the AAFP believes that patients should be passively enrolled in plans with the same number of stars as their previous plan or more. In terms of measures, the AAFP believes only measures developed by the multi-stakeholder Core Quality...

Advocacy

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

Letter to Biden re: recommendations on how to rebalance our health care system to ...

...the American Academy of Family Physicians, representing 100,300 family physicians, residents, and medical students nationwide, has a number of recommendations on how to rebalance our health care system to restrain costs that are adding to the federal deficit. The AAFP recognizes the...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/title-vii/LT-BidenDeficitReductionPanel-062011.pdf

AAFP Statement to the Senate HELP Committee on its Healthy Communities Hearing - ...

...accessed in a variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician- patient relationship, and requires communication and coordination with other health...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/ST-SenateHELP-HealthyCommunitiesHearing-111517.pdf

AAFP Summary of the 2017 Medicare Physician Fee Schedule - 110916

...medicine and primary care, public and private payers cannot simply rely on fee-for-service (FFS) delivery system reforms. The AAFP called on CMS to fix problems with FFS and to make new investments in primary care to truly capture and realize the value proposition of family medicine...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-ES-PhysicianFee2017-111016.pdf

Primary Care for the 21st Century White Paper

...Family Medicine Patient-Centered Medical Home ii Table of Contents Our Primary Care System is Changing . . . . . . . . . . . . . . . . . . . 1 About the PCMH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Meeting the Country’s Need . . . . ....

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/scope/Restricted/AAFP-PCMHWhitePaper.pdf

AAFP Letter to CMS Responding to the 2016 Part C and D Plan - March 5, 2015

AAFP response to the Advance Notice of Methodological Changes for Calendar Year 2016 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-MedicareCD-030515.pdf

Statement for the Record to the House Committee on Appropriations Concerning the Bill ...

...schools and residency programs have for decades helped to increase the number of physicians who select primary care specialties and work in underserved areas. A study published in the Annals of Family Medicine on the impact of Title VII training programs on community health center...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/TS-HouseAppropriations-2012Priorities-041511.pdf

AAFP Letter to CMS on the Advance Call Letter for Part C and D Plans - March 3, 2017

...time-consuming pre-authorization requirements impede the practice of medicine. The AAFP suggests that CMS require Part D and Part C plans to pay physicians for prior authorizations that exceed a specified number or that are not resolved within a set period of time; prohibit repeated...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PartCD-03032017.pdf

AAFP Letter to Congress on Site-Neutral Payment - February 11, 2016

AAFP response to Energy and Commerce Committee leaders who asked for feedback on the recently passed law requiring Medicare to pay physicians in outpatient departments newly acquired by hospitals at the same rate as physicians outside of the hospital.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-Con-SiteNeutral-021116.pdf

Joint Letter to the FDA on Premium Cigars - July 25, 2018

...Medicine 178(4):469-476, 2018 (finding exclusive cigar smokers had higher all-cause mortality risks than never tobacco users and had an elevated risk of dying from a tobacco-related cancer (including bladder, esophagus, Larynx, lung, oral cavity and pancreas). 5 (some of...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-PremiumCigars-072518.pdf

Support of the PACT Act

Letter to Senator Kohl Regarding Support of the PACT Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-Kohl-RegardingSupportofPACTAct-030510.pdf

AAFP Statement to the Senate HELP Committee on Health Care Access and Underserved ...

...variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician-patient relationship, and requires communication and coordination with other health professionals...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/ST-SFRHELP-AccessUnderservedHearing-012919.pdf

AAFP Letter to the FCC on Telehealth in Rural America - January 31, 2018

...based on differing definitions of "rural," studies based on the demand to hire physicians by hospitals/physician groups, or based on the number of individuals per physician in a rural area, continue to indicate a need for additional physicians in rural areas. A balanced and...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/health_it/telehealth/LT-FCC-RuralTelehealth-013118.pdf

AAFP Backgrounder: AAFP Backgrounder: Graduate Medical Education Legislation in the ...

...mix of trained physicians. However, research has shown the need for a greater investment in primary care physicians. A 2019 JAMA Internal Medicine study found that every 10 additional primary care physicians per 100,000 population was associated with a 51.5-day increase in life...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/BKG-GME116thCongress.pdf

Letter to President re: prevention of mandatory reductions to Medicare payment rates ...

...The White House 1600 Pennsylvania Ave, NW Washington, DC 20500 Dear Mr. President: On behalf of the five organizations representing family medicine, we are writing to express our appreciation for your fiscal year 2012 budget request. We are grateful for your recognition of the need...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-President-Budget-030711.pdf

Joint Letter to the FDA on Policy for Certain Deemed Products - April 30, 2019

...The Draft Guidance correctly acknowledges the breadth of the current epidemic of e-cigarette use among American teens and attempts to take a number of positive steps to address the crisis. However, the Draft Guidance continues the suspension of statutorily-required premarket public...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-FDA-PublicHealthGroupsFDADraftGuidance-043019.pdf

AAFP Statement to the EandC Committee’s Hearing on Investing in America’s Health Care -...

...system. It is not limited to a single disease or condition and can be accessed in a variety of settings. Primary care (family medicine, general internal medicine and general pediatrics) is provided and managed by a personal physician, based on a strong physician- patient...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/strategy/ST-EC-InvestingAmericanHealthCare-060419.pdf

AAFP Letter to CMS in Response to Part II of the 2019 Part C/D Call Letter - February ...

...steps among payers that contract with Medicare (e.g. MA and Part D plans) to improve the burdensome PA process: • Limiting and reducing the number of products and services requiring PA • Adopting a standardized form and process for PA among all payers • Requiring payers and pharmacy...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-PartII2019MA-PDP-022718.pdf

AAFP Letter to Energy and Commerce on Opiod Bill - April 22, 2016

On April 22, 2016, the AAFP wrote a letter to the House Energy and Commerce Committee leadership to comment on several bills approved by the Subcommittee on Health on April 20 to help address the opioid and drug abuse crisis facing our nation.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/risk/LT-EC-Opioid-042216.pdf

AAFP Letter to HCP LAN on Patient Attribution White Paper - March 2, 2016

This letter was sent by AAFP to HCP LAN supporting primary care patient attribution and most of the concepts in the draft white paper.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-PatientAttribution-030316.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 Response to the Direct Contracting Geographic PBP Request for Information - May ...

...as part of final settlement with the DCE. DCEs would be given access to a notional account to track these expenditures. The AAFP offers a number of recommendations in response to CMS’ questions on how the agency can refine and implement a DC Geographic PBP model. Only questions for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/apms/LT-CMMI-DirectContracting-052019.pdf

AAFP Response to HHS on the Draft Benefit and Payment Perimeters for 2020 - February ...

...provided and the fact that the number and complexity of conditions, complaints, and diseases seen in family medicine is far greater than those seen by any other physician specialty. Ensuring access to affordable medications is an integral part of a family physician’s role as an...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-HHS-NoticeBenefitPaymentParameters2020-021919.pdf

Establishment of Separate Primary Care Codes

Letter to CMS Regarding the Establishment of Separate Primary Care Codes

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PrimaryCareCodes-032713.pdf

Coalition letter supporting FDA jurisdiction over nicotine delivery devices.

A detailed coalition letter of 24 health groups expressing support for the FDA to have full jurisdiction over all nicotine delivery devices.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/tobacco/LT-JT-FDA-ECigs-080814.pdf

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

...prevention of disease are critical and foundational components of primary care and family medicine. The AAFP encourages all its members to practice evidence-based, cost-effective preventive medicine in the delivery of health care. In support of its members, the AAFP advocates for...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/legal/administrative/LT-VA-CivilianHealthMedicalProgram-030718.pdf

Summary of 2014 final Medicare Physician Fee Schedule

This summary of the final 2014 MPFS contains info on policy changes in 2014 including the creation of a chronic care management code and changes to the value-based payment modifier and PQRS.

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ES-SummaryMedicareFeeSchedule-120513.pdf

AAFP Comments on 2015 Proposed Medicare Physician Fee Schedule

The AAFP comment letter to CMS on the 2015 proposed Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/feesched/LT-ProposedMPFS2015-082614.pdf

AAFP Letter to CMS on the MSSP Extreme and Uncontrollable Circumstances Proposed Rule -...

...likely to cause an impact on quality scores. The effects of a disaster also affect healthcare providers billing under the tax identification number (TIN) of the ACO, thereby disrupting routine operations related to participation in SSP and achievement of program goals. The AAFP...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-SSPExtremeUncontrollableCircumstance-021418.pdf

AAFP Response to the CLIA Proficiency Testing Proposed Rule - April 2, 2019

...on waived platforms increases. These waived tests require very little oversight and quality assurance, while impacting the care of large numbers of patients. From a PT provider perspective, it is not the accredited laboratory impacting high quality patient care, but CLIA- waived...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-CDC-Labs-040219.pdf

Proposed 2012 Medicare Physician Fee Schedule

Letter to CMS on the Proposed 2012 Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2012Schedule-082911.pdf

Letter to Energy and Commerce on Teaching Helath Centers - February 19, 2015

In February, 2015 AAFP wrote Congressional leaders, urging them to continue funding the Teaching Health Center Graduate Medical Education program. This program, funded in 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-ENC-THC-021915.pdf

Letter to HELP Committee on Teaching Health Centers - February 19, 2015

In February, 2015 AAFP wrote Congressional leaders, urging them to continue funding the Teaching Health Center Graduate Medical Education program. This program, funded in 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care ...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-HELP-THC-021915.pdf

Affordable Health Choices Act Response Letter

Letter in Response to Senate HELP Committee Regarding the Affordable Health Choices Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/LT-Senator-ResponseToHELPCommitteeHealthChoicesAct-062209.pdf

Affordable Health Choices Act

Letter in Response to Senate HELP Committee Regarding the Affordable Health Choices Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/workforce/gme/LT-Senate-ChoicesAct-062209.pdf

America's Healthy Future Act Legislative Summary

Legislative Summary of the Senate Finance Committee's Bill, America's Healthy Future Act

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/aca/ES-LegislativeSummaryHealthyFutureAct-092209.pdf

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