"Family medicine educators and family physicians today hailed the introduction of the “Primary Care Workforce Access Improvement Act of 2011” as an important step toward ensuring that Americans have access to needed health care in the future."
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Primary Care Legislation
"On October 24, 2011, the Centers for Medicare and Medicaid Services announced that 500 Federally Qualified Health Centers (FQHC) have been selected for the FQHC Advanced Primary Care Practice (APCP) demonstration project from over 800 applicants. The initiative is designed to evaluate the impact of the advanced primary care practice model, also known as the patient-centered medical home, on improving health, improving quality of care, and lowering the cost of care provided to Medicare beneficiaries served by FQHCs."
"ACOs are voluntary groups of physicians, hospitals, and other health care providers that are willing to assume responsibility for the care of a clearly defined population of Medicare beneficiaries attributed to them on the basis of patients' use of primary care services. If an ACO succeeds in both delivering high-quality care or improving care and reducing the cost of that care below what would otherwise have been expected, it will share in the savings it achieves for Medicare."
"Medicare will partner with private insurers to offer physicians patient management fees and the opportunity to share savings under a primary care payment initiative led by the Centers for Medicare & Medicaid Services. The Comprehensive Primary Care Initiative is a new collaboration between public and private payers to strengthen primary care, CMS officials said during a Sept. 28 news conference. The Center for Medicare & Medicaid Innovation is inviting insurers to join government health plans in trying a new approach to paying for primary care starting in 2012."
"Georgia has a medical export problem. Three of every four graduates of Georgia medical schools this year went to do their residency training in other states. That’s important because the bulk of physicians end up practicing within 60 miles of where they did their training. And Georgia is also mired in a doctor shortage that shows no sign of easing."
"HHS Secretary Kathleen Sebelius has announced $19.3 million in funding to support programs to educate and train the primary care physician and physician assistant workforce."
"The Comprehensive Primary Care (CPC) initiative is a new CMS-led, multi-payer initiative fostering collaboration between public and private health care payers to strengthen primary care for all Americans. Primary care is critical to promoting health, improving care, and reducing overall system costs, but it has been historically under-funded and under-valued in the United States. "
"The U.S. Department of Health and Human Services (HHS) today launched a new initiative made possible by the Affordable Care Act to help primary care practices deliver higher quality, more coordinated and patient-centered care. Under the new initiative, Medicare will work with commercial and state health insurance plans to offer additional support to primary care doctors who better coordinate care for their patients. This collaboration, known as the Comprehensive Primary Care initiative, is modeled after innovative practices developed by large employers and leading private health insurers in the private sector."
"The panel that gives advice to lawmakers on Medicare pay rates has proposed significant reductions in some physician payments as one way to avoid deep across-the-board cuts required by law."
"Today, the Department of Health and Human Services (HHS) announced the Federally Qualified Health Center Advanced Primary Care Practice (FQHC APCP) demonstration project, a new Affordable Care Act initiative that will pay an estimated $42 million over three years to up to 500 FQHCs to coordinate care for Medicare patients."
"HHS has managed to increase funding for the education and training of family physicians under the current continuing resolution passed earlier this spring, even though most HHS programs were forced to cut funding."
"The Family Practice Residency Advisory Committee to the Texas Higher Education Coordinating Board met Wed., June 1, to determine its recommendations for dividing state support for training family physicians among Texas’ 29 family medicine residency programs. The meeting occurred just days after the Legislature passed a budget that stripped almost 74 percent of the programs’ state funding from 2010-2011 levels."
"A strategic plan would be developed by the Oregon Health Authority, in collaboration with multiple organizations, to deal with the shortage of primary care physicians under House Bill 2366. On its way to the Senate floor, the bill directs the Oregon Health Authority to work with “interested parties,” such as Travel Oregon, the State Workforce Investment Board, medical schools, physician groups and other organizations."
"Today, Congressman Dennis Cardoza (D-CA) fought against legislation that would threaten existing funding to train new physicians in the Central Valley and other medically underserved communities. H.R. 1216 would directly impact the Valley Consortium for Medical Education in Modesto, which was designated a 2011 Teaching Health Center by the federal government and has already received $625,000 to begin training primary care medical and dental residents."
"There has been much concern over the past decade about crowded and overloaded hospital emergency departments (EDs). Contributing to the problem of ED crowding is a substantial increase in emergency department utilization among the U.S. population—often attributed to growing use for nonurgent health problems. As a result, many policy makers and health care providers believe it is essential to shift some of this use to community-based primary care providers to relieve crowded EDs, lower the costs of care to both the health system and patients, and improve the quality of care."
“As Americans sort through the many budget proposals coming from Capitol Hill and the White House this week, we must remember that how we spend our money for health care is equally as — if not more — important than focusing only on what is spent. "
"Experts have reached consensus that the United States will face a shortfall in its physician supply over the next twenty years. While academic and policy experts debate the best approaches to sustain the physician workforce in the long term, the AOA recognizes that we must begin to educate and train a larger cadre of physicians now. While increasing the overall supply of physicians is important, it is imperative that policymakers facilitate a rapid growth in the number of physicians in underrepresented specialties such as family physicians, general internists, pediatricians, and general surgery."
“The fiscal year 2012 budget proposed by President Barack Obama sets the stage for both stabilizing the Medicare physician payment system and building up the primary care physician workforce. At a time when we all see the need for austerity in federal spending, we welcome the administration’s recognition that ensuring access to family physicians is integral to better health for Americans and controlled health care spending nationwide."
"The President released his 2012 budget proposal to Congress this week, which totals $3.73 trillion but is projected to save $1.1 trillion over the next ten years. In the report, Obama highlights the need to strengthen the health care workforce, especially practitioners who work in primary care. 'Increasing access to primary care health providers can help prevent disease and illness, ensure all Americans have access to high quality care, and reduce costs by decreasing the need for more invasive treatment that could have been prevented through early care.'"
"The American College of Physicians (ACP) today told leaders of the House of Representatives that ACP understands the serious financial constraints on the federal budget at this time and supports bipartisan efforts to reduce funding for discretionary programs that do not achieve sufficient value, but firmly believes that Congress must continue on a path towards reversing an unprecedented shortage of primary care physicians in this country."


