day 1 - family medicine congressional conference

8/6/2019 Day 1 - Family Medicine Congressional Conference

1/89

tweetyturtHeidi Meyer

ACA requires ACOs form, but how can we make it more patient

centered and protect docs. COMMENTS PLEASE! #aafpfmcc @aafp

#ACO#fmrevolution3 minutes agoFavoriteUndo RetweetReply


#aafpfmcc#ACO @aafp from the floor: these rules are complex,

even the docs are lost; independent doc is at risk of getting screwed

again5 minutes agoFavoriteRetweetReply

MAFPadvocacyMAFP Advocacy@

@mdstudent31 He's holding up ok. Getting the full frustration of the

audience for sure though. Glad he's here. #aafpfmcc8 minutes agoFavoriteRetweetReplymdstudent31Kevin Bernstein, MMS@

@MAFPadvocacy Agreed. Don't destroy the messenger! We should

appreciate his patience and the information he has provided us.#aafpfmcc4 minutes agoFavoriteReplyDelete
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2/89

mdstudent31Kevin Bernstein, MMS@

MT @tweetyturt @AAFP wants your comments on ACOs ASAP!

Include #ACO in tweet & send to @AAFP#aafpfmcc#hcr#pcmh

#mdchat#FMRevolution5 minutes agoFavoriteReplyDelete

MAFPadvocacyMAFP Advocacy

Give Deputy Administrator at CMS Johnathan Blum credit for coming

to talk about ACOs. Audience treating him like it's his idea...

#aafpfmcc6 minutes agoFavoriteRetweetReply


AAFP wants your comments on ACOs ASAP! Our response letter will

go to st chaps end of May- Include #ACO in tweet & send to @aafp


mdstudent31Kevin Bernstein, MMS
http://twitter.com/#!/mdstudent31http://twitter.com/tweetyturthttp://twitter.com/AAFPhttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/AAFPhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23hcrhttp://twitter.com/#!/search?q=%23pcmhhttp://twitter.com/#!/search?q=%23mdchathttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/mdstudent31/status/67691337419464704http://twitter.com/#!/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/MAFPadvocacy/status/67691075007025152http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/aafphttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67690492967653376http://twitter.com/#!/mdstudent31http://twitter.com/#!/mdstudent31http://twitter.com/tweetyturthttp://twitter.com/AAFPhttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/AAFPhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23hcrhttp://twitter.com/#!/search?q=%23pcmhhttp://twitter.com/#!/search?q=%23mdchathttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/mdstudent31/status/67691337419464704http://twitter.com/#!/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/MAFPadvocacy/status/67691075007025152http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/aafphttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67690492967653376http://twitter.com/#!/mdstudent31


3/89

You need to submit comments IN WRITING to CMS Re: #ACO

implementation by 6 June 2011 http://1.usa.gov/kqzpmY#aafpfmcc

#hcr#pcmh10 minutes agoFavoriteReplyDelete


@aafp#aafpfmcc comments for ACO rules: ensure patient memory

for ACO assignment so that 1 visit/yr counts!11 minutes agoFavoriteRetweetReply


I'm having a feeling that this talk about #ACO is going to lead to a

roast of our speaker... #aafpfmcc13 minutes agoFavoriteReplyDelete


Antitrust concerns re: ACO's? Proposed rules trigger audit once 30%

of market share reached (rural exception). #aafpfmcc#FMrevolution13 minutes ago

FavoriteRetweetReply

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4/89

@AAFP Leaders Respond to Member Concerns, including RUC, At

Town Hall Meeting http://bit.ly/iYmkpV#FMRevolution

@AmerMedicalAssn#aafpfmcc16 minutes agoFavoriteReplyDelete


#aafpfmccACO proposed rules online

http://www.cms.gov/MLNProducts/downloads/ACO_NPRM_Summary

_Factsheet_ICN906224.pdfcomments til 6/6/1120 minutes agoFavoriteRetweetReply

drkkyuKim Yu, MD, FAAFP

(@ Blue Ocean Seafood Restaurant) eating dim sum but still keeping

up with #aafpfmcc thx to tweets from DC26 minutes agoFavoriteRetweetReply


Now listening to Jonathan D. Blum, Deputy Administrator, Center for

Medicare about Implementation of the Affordable Care Act #aafpfmcc#ACA33 minutes agoFavoriteReplyDelete
http://twitter.com/AAFPhttp://bit.ly/iYmkpVhttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/AmerMedicalAssnhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67688436928221184http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://www.cms.gov/MLNProducts/downloads/ACO_NPRM_Summary_Factsheet_ICN906224.pdfhttp://www.cms.gov/MLNProducts/downloads/ACO_NPRM_Summary_Factsheet_ICN906224.pdfhttp://twitter.com/#!/tweetyturt/status/67687585304158208http://twitter.com/#!/drkkyuhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/drkkyu/status/67685920647815168http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23ACAhttp://twitter.com/#!/mdstudent31/status/67684337415495680http://twitter.com/AAFPhttp://bit.ly/iYmkpVhttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/AmerMedicalAssnhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67688436928221184http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://www.cms.gov/MLNProducts/downloads/ACO_NPRM_Summary_Factsheet_ICN906224.pdfhttp://www.cms.gov/MLNProducts/downloads/ACO_NPRM_Summary_Factsheet_ICN906224.pdfhttp://twitter.com/#!/tweetyturt/status/67687585304158208http://twitter.com/#!/drkkyuhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/drkkyu/status/67685920647815168http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23ACAhttp://twitter.com/#!/mdstudent31/status/67684337415495680


5/89

familydocwonkJay W Lee MD MPH

Muhahaha...RT @maverickmd2012: @MAFPadvocacy DC is the

perfect place for plotting in dark rooms! Viva la #FMRevolution



@MAFPadvocacy Yep! All of our Pennsylvania students are

FamMedPAC Student Club George w/ 1 at Physician Club George & 1@ Lincoln #aafpfmcc54 minutes agoFavoriteReplyDelete


FamMedPAC - we don't give to D's, we don't give to R's, we give to I's:Incumbents whose votes support Family Medicine - Lets' go!

#aafpfmcc57 minutes agoFavoriteReplyDelete


Proud to say Michigan's student member at #aafpfmcc Leanne

Lawwell of Wayne State University is a FamMed PAC Club George

(student) member58 minutes agoFavoriteRetweetReply
http://twitter.com/#!/familydocwonkhttp://twitter.com/maverickmd2012http://twitter.com/MAFPadvocacyhttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67679685286436864http://twitter.com/#!/mdstudent31http://twitter.com/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67678975819907072http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67678210523017216http://twitter.com/#!/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/MAFPadvocacy/status/67677993975291904http://twitter.com/#!/familydocwonkhttp://twitter.com/maverickmd2012http://twitter.com/MAFPadvocacyhttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67679685286436864http://twitter.com/#!/mdstudent31http://twitter.com/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67678975819907072http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67678210523017216http://twitter.com/#!/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/MAFPadvocacy/status/67677993975291904


6/89


Most residents and students have given to FamMedPAC today at

#aafpfmcc Let's go physicians, step up to the plate!1 hour agoFavoriteReplyDelete


#aafpfmcc Pomeroy: tips to asks: 5 pick battles carefully 6 don't

underestimate partisanship1 hour agoFavoriteReplyDelete


#aafpfmcc Pomeroy: tips to asks: 3 - perfection can be the enemy of

the good. 4- Keep gotta-haves in do-able category1 hour agoFavoriteReplyDelete


#aafpfmcc Pomeroy: tips to asks: 2 - never underestimate

congressional inertia1 hour agoFavoriteReplyDelete
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7/89


#aafpfmcc Pomeroy: tips to asks: 1 keep it simple, really simple,

direct, concise, basic1 hour agoFavoriteReplyDelete


#aafpfmcc Pomeroy: Congress ready to listen to frontline

practitioners... in most cost-effective way - the way family med knows

how to do1 hour agoFavoriteReplyDelete


#aafpfmcc Pomeroy: The republican party, excited about the

government, has done the same thing we did.1 hour agoFavoriteReplyDelete

JudyYChoiJudy Choi

Love the FMCC updates, Kevin! RT @mdstudent31: Socioeconomic

disparities dramatically reduced with proper amount of primary care

#aafpfmcc1 hour agoFavoriteRetweetReply
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8/89

JudyYChoiJudy Choi

RT @mdstudent31: Health outcomes and cost are optimized in

nations & regions where 40-50% of workforce is primary care


JudyYChoiJudy Choi

Agreed. RT @tweetyturt: MedPAC commission chair Glenn

Hackbarth: "the training system is not producing what society needs."



Pomeroy: the role family physicians play has swung front and center,

your profile has never been higher#aafpfmcc1 hour agoFavoriteReplyDelete


Next topic: Meeting the Constituents by Former U.S. Representative

Earl Pomeroy (D-ND) #aafpfmcc
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9/89

1 hour agoFavoriteReplyDelete


MedPAC commission chair Glenn Hackbarth: "the training system is

not producing what society needs." #aafpfmcc1 hour agoFavoriteRetweetReply


Isn't THC concept included in #HCR to modernize primary care

training? Response: we support THC, but not Medicare moderniz. tool

#aafpfmcc1 hour agoFavoriteReplyDelete


These only adjust reg requirements in keeping w/ Congressional intent

established in 1997. #HCR did not modernize #aafpfmcc1 hour agoFavoriteReplyDelete


Pushback: Didn't #hcrtake care of paying for training in community

setting? Response yes, but ... #aafpfmcc
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10/89



Primary care physicians are a critical piece of the physician workforce

- key to caring for Medicare beneficiaries #aafpfmcc1 hour agoFavoriteReplyDelete


Strengthening primary care workforce promotes ambulatory and

preventive care - all assoc w/ decr. hospitalizations & ER use



Why should Medicare pay for this kind of training? Response:

MedPAC & COGME believe we're not getting product we need (# and

kind) #aafpfmcc1 hour agoFavoriteReplyDelete

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11/89

AAFP ask: a 5 yr pilot of a medicare $ GME carve out, budget neutral,

dedicated to training primary care residents #aafpfmcc1 hour agoFavoriteRetweetReply


Pilot - budget neutral, 5 yrs, 4 organizational modes tested (2 each),

robust payment amounts #aafpfmcc1 hour agoFavoriteReplyDelete


New model needs to have Primary Care specific GME funding that

goes directly to primary care residency #aafpfmcc1 hour agoFavoriteReplyDelete


Currently, GME out of Medicare Part A Trust Fund goes to hospital,

then they send or don't send $ to training and varies #aafpfmcc1 hour agoFavoriteReplyDelete

STFM_FMSTFM_FM
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12/89

Currently more than 7 million people rely on NHSC clinicians for care

every year yet 9,000 family medicine slots remain unfilled. #aafpfmcc1 hour agoFavoriteRetweetReply


Costs and needs of training need to be identified at paid for by

Medicare GME #aafpfmcc1 hour agoFavoriteReplyDelete


Education has to be modernized. PC training in nonhospital settings,

funding delinked from inpatient hospital services #aafpfmcc1 hour agoFavoriteReplyDelete


Why? Hospital-based, outmoded, primary care physicians need to

train in the COMMUNITY. #aafpfmcc1 hour agoFavoriteReplyDelete

STFM_FMSTFM_FM
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13/89

Currently more than 7 million people rely on NHSC clinicians for care

every year yet 9,000 family medicine slot remain unfilled. #aafpfmcc1 hour agoFavoriteRetweetReply


Ask3: Modernizing GME for PC Training - intro legislation to establish

pilot to test new models of GME financing for PC production



Reponse: Today over 9000 vacancies at NHSC approved sites,

funding inadequate to fill slots. 7 million people rely on NHSC docs



How Canada fixed its PCP shortage: http://www.bcmj.org/mds-

be/solving-primary-care-crisis-proposed-strategy-physician-allocation #aafpfmcc1 hour agoFavoriteRetweetReply
http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/STFM_FM/status/67663252800278528http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67663181417431040http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67662967340146689http://twitter.com/#!/tweetyturthttp://www.bcmj.org/mds-be/solving-primary-care-crisishttp://www.bcmj.org/mds-be/solving-primary-care-crisishttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67662867821899776http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/STFM_FM/status/67663252800278528http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67663181417431040http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67662967340146689http://twitter.com/#!/tweetyturthttp://www.bcmj.org/mds-be/solving-primary-care-crisishttp://www.bcmj.org/mds-be/solving-primary-care-crisishttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67662867821899776


14/89


Ask $418.5 million for @NHSCorps . Pushback: Generally supported

program, but "too costly" #aafpfmcc


STFM_FMSTFM_FM

If we don't increase primary care production now, we won't be able to

address increased health care costs & poorer health outcomes



Pushback: These Programs are Ineffective Response: IOM pointed to

drastic decline Title VII funding-these progs "undervalued asset#aafpfmcc1 hour agoFavoriteReplyDelete


Invest in PC now for future budget gains and better health outcomes

#aafpfmcc2 hours agoFavoriteReplyDelete
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15/89


Pushback: Too Costly. Response: If we don't increase PC production

now, we won't be able to address increased health care costs



Enhanced funding is needed to help address increased primary care

needs. Program has kept up w/ times addressing workforce needs



Asks: Appropriate $140 mill for Health Professions Program - Primary

care training and enhancement #aafpfmcc2 hours agoFavoriteReplyDelete


Kruse - when Canada recognized problems w/ primary care - payment

and medical school reform occurred real quick... and it worked

#aafpfmcc
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16/89

2 hours agoFavoriteReplyDelete


You need to go to your medical school leaders and tell them you're

interested in helping lead changes for primary care #aafpfmcc2 hours agoFavoriteReplyDelete

widfmWI Family Medicine

RT @mdstudent31: Health outcomes and cost are optimized in

nations & regions where 40-50% of workforce is primary care

#aafpfmcc#fammed2 hours agoFavoriteRetweetReply


Kristin Welch, Senate Finance cmte, Lobbying 101: data, data, data

#aafpfmcc Prove your ask is valid. #FM revolution2 hours agoFavoriteRetweetReply

widfmWI Family Medicine

Following the discussion at #aafpfmcc2 hours agoFavoriteRetweetReply
http://twitter.com/#!/mdstudent31/status/67660556588425216http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67660036758974464http://twitter.com/#!/widfmhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23fammedhttp://twitter.com/#!/widfm/status/67659046240518144http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMhttp://twitter.com/#!/tweetyturt/status/67658590940446720http://twitter.com/#!/widfmhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/widfm/status/67658506274226176http://twitter.com/#!/mdstudent31/status/67660556588425216http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67660036758974464http://twitter.com/#!/widfmhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23fammedhttp://twitter.com/#!/widfm/status/67659046240518144http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMhttp://twitter.com/#!/tweetyturt/status/67658590940446720http://twitter.com/#!/widfmhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/widfm/status/67658506274226176


17/89


From the floor - Will Public Service Loan Forgiveness Program be

around in 10 yrs to truly make a difference? Promotion for PC?



From the floor: Medicare - is it an entitlement if you've paid into it?

Contrast vs Medicaid #aafpfmcc2 hours agoFavoriteReplyDelete


Jerry Kreuse, MD. Data shows strong Pri Care workforce may save as

much as $2000 per medicare beneficiary #aafpfmcc2 hours agoFavoriteRetweetReply

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18/89

MT @blackweldermd "As human beings, greatness lies not so much

in being able to remake world as in being able to remake ourselves"


lori_heimLori Heim

Bipartisan support for GME but might be collateral damage if x board

cuts #aafpfmcc2 hours agoFavoriteRetweetReply


Dramatic change in TItle VII funding from 1960's and 70's vs 80's til

now. VERY dramatic #aafpfmcc2 hours agoFavoriteReplyDelete


Title VII - achieving its legislative intent #aafpfmcc2 hours agoFavoriteReplyDelete

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19/89

Title VII Facts - Physicians who train w/ Title VII funds more likely to

practice CHC's and NHSC service sites #aafpfmcc2 hours agoFavoriteReplyDelete

drmikesevillaMike Sevilla, MD

RT @lori_heim Including PC, OB residents over estimates workforce

available. Truth in #'s needed. Jerry Kruse #aafpfmcc2 hours agoFavoriteRetweetReply


A small increase in primary care from 2007-2009 resulted in a small

increase in primary care choice (more matched into fam med)



Income ratio - 0.7 to 0.8 ratio will result in primary care choice of about

35% of medical students #aafpfmcc2 hours ago

FavoriteReplyDelete

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20/89

Med students planning primary care specialties (AAMC) 2000-2003

50% decrease. 2010 - only 15% planning career in primary care


STFM_FMSTFM_FM

STFM President Elect Jerry Kruse, MD, talks about the 20th COGME

report. #aafpfmcc2 hours agoFavoriteRetweetReply


Socioeconomic disparities dramatically reduced with proper amount of

primary care #aafpfmcc2 hours agoFavoriteReplyDelete


Health outcomes and cost are optimized in nations & regions where

40-50% of workforce is primary care #aafpfmcc2 hours ago

FavoriteReplyDelete

http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67653780912607232http://twitter.com/#!/STFM_FMhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/STFM_FM/status/67653567179276288http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67653017326985216http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67652894446469120http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67653780912607232http://twitter.com/#!/STFM_FMhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/STFM_FM/status/67653567179276288http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67653017326985216http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67652894446469120http://twitter.com/#!/mdstudent31


21/89

Now listening to COGME's 20th Report's 5 Recommendations - Music

to my ears. http://bit.ly/fZq2CQ#aafpfmcc2 hours agoFavoriteReplyDelete

rliumdRobyn Liu

And we're tired of them punting. RT @mdstudent31 House, Sen,

Repub, Dem - tired of hearing about health care. That's a shame!

#aafpfmcc2 hours agoFavoriteRetweetReply


Now listening to Jerry Kruse, MD - Chair of SIU Dept of Family Med,

Served on Council of COGME/author 20th report, STFM Prez-Elect



SGR - the one thing that has to happen first before looking at anything

else. #aafpfmcc2 hours agoFavoriteReplyDelete

lori_heimLori Heim
http://bit.ly/fZq2CQhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67652728599494656http://twitter.com/#!/rliumdhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/rliumd/status/67652523535761408http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67652408163049472http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651909015715840http://twitter.com/#!/lori_heimhttp://bit.ly/fZq2CQhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67652728599494656http://twitter.com/#!/rliumdhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/rliumd/status/67652523535761408http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67652408163049472http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651909015715840http://twitter.com/#!/lori_heim


22/89

Care will chg, delivery, finance & pay. KristenWelsh - Sen Hatch on

GME & training. Debate if there is enough money in system now

#aafpfmcc

2 hours agoFavoriteRetweetReply


The main issue that needs to be addressed/at forefront for legislators

is "doc fix" - SGR #aafpfmcc2 hours agoFavoriteReplyDelete


House, Senate, Republicans, Democrats - people are tired of hearing

about health care. That's a shame! #aafpfmcc2 hours agoFavoriteReplyDelete


If we're going to change it and it will cost money, we need to find it and

have a good reason to take from somewhere else #aafpfmcc2 hours agoFavoriteReplyDelete

http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/lori_heim/status/67651784570707968http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651746012463104http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651598557523968http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651336010870784http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/lori_heim/status/67651784570707968http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651746012463104http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651598557523968http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67651336010870784http://twitter.com/#!/mdstudent31


23/89

3 Financing - not the first hurdle - must deal with 1 and 2. That way we

know if there is already enough, not enough, or too much #aafpfmcc2 hours agoFavoriteReplyDelete


2 Are the slots appropriate? Are they in the right places? #aafpfmcc2 hours agoFavoriteReplyDelete


1 How is the structure currently in place, does it need to change?

Obviously a huge push for primary care - that is appropriate



Learning more about HOW physicians are trained. Are we trained the

right way? Looking at continuum of care, technology, etc #aafpfmcc2 hours agoFavoriteReplyDelete

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24/89

IME over-funded, covering more than actual cost of care. IME shift

towards GME? Probably not the answer. #aafpfmcc2 hours agoFavoriteReplyDelete


Care - delivery, funding/financing is going to be changed. #aafpfmcc2 hours agoFavoriteReplyDelete


We're not going to balance the budget by cutting GME funding. That's

not an issue. Care must be provided in a different way #aafpfmcc2 hours agoFavoriteReplyDelete


Now listening to Kristin Welsh - Health Policy Advisor for Senate

Finance Committee Ranking Member Orrin Hatch #aafpfmcc2 hours agoFavoriteReplyDelete


If we need to cut $30 billion - it's difficult to take from primary care

before looking at other specialties #aafpfmcc
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25/89



Next FY-House: adoption of budget resolution to set framework on tax

legislation, appropriations, target for $30 billion reduction #aafpfmcc2 hours agoFavoriteReplyDelete

MaverickMD2012Andrew Lutzkanin

@MAFPadvocacy DC is the perfect place for plotting in dark rooms!

Viva la #FMRevolution @familydocwonk#aafpfmcc2 hours agoFavoriteRetweetReply


Half of this went to programs to educate health professionals in these

areas #aafpfmcc2 hours agoFavoriteReplyDelete


Prevention Public Health Fund $500 million last yr, $750 mill this year,

$1 bill next yr to improve prevention and public health #aafpfmcc2 hours agoFavoriteReplyDelete
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26/89


Listening to David Reich, Minority Staff, House Labor/HHS

Appropriations Subcommittee at #aafpfmcc3 hours agoFavoriteReplyDelete


#aafpfmcc

http://www.bipartisanpolicy.org/news/articles/2011/05/medicaid-facts3 hours agoFavoriteRetweetReply


Family Medicine: The Rx for a Healthy Democracy #FMRevolution

#aafpfmcchttp://twitpic.com/4vjrdx3 hours agoFavoriteRetweetReply

INFamDocsIAFP

*Shocker* RT: @mdstudent31: #aafpfmcc Graham Center - MOC

studies at 10 yrs show 17% gen internal med residents actually

entering workforce3 hours agoFavoriteRetweetReply
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27/89


@aafp Bring back Julie Barnes to EVERY #aafpfmcc3 hours agoFavoriteRetweetReply


Julie Barnes, now wrapping up her stand-up routine at #aafpfmcc. A

lawyer who can joke about health reform. Priceless.3 hours agoFavoriteRetweetReply


#aafpfmcc Julie Barnes, dir of health policy of bipartisan policy ctr,

great stuff. http://www.bipartisanpolicy.org/projects/health-project3 hours agoFavoriteRetweetReply


Another way to track the #aafpfmcc tweets. See the #FMRevolution

starting right before your eyes http://tweetchat.com/room/aafpfmcc3 hours agoFavoriteRetweetReply
http://twitter.com/#!/tweetyturthttp://twitter.com/aafphttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67640106739183617http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67639321762607104http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://www.bipartisanpolicy.org/projects/health-projecthttp://twitter.com/#!/tweetyturt/status/67638484843765760http://twitter.com/#!/drmikesevillahttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://tweetchat.com/room/aafpfmcchttp://twitter.com/#!/drmikesevilla/status/67638404610932736http://twitter.com/#!/tweetyturthttp://twitter.com/aafphttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67640106739183617http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/tweetyturt/status/67639321762607104http://twitter.com/#!/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://www.bipartisanpolicy.org/projects/health-projecthttp://twitter.com/#!/tweetyturt/status/67638484843765760http://twitter.com/#!/drmikesevillahttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://tweetchat.com/room/aafpfmcchttp://twitter.com/#!/drmikesevilla/status/67638404610932736


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INFamDocsIAFP

Second! RT: @drmikesevilla: Encouraging other#aafpfmcc

participants to tweet it up! What's your opinion? Let your voice be

heard :)3 hours agoFavoriteRetweetReply

RussellKohlRussell Kohl

#aafpfmcc My rural practice didn't get the incentives- because too

high of procedures. Business logic- refer more. FM logic- continuity3 hours agoFavoriteRetweetReply


RT @MAFPadvocacy Made it to #aafpfmcc Beautiful day in DC.... to

be in a dark hotel conference room plotting the #FMRevolution3 hours agoFavoriteRetweetReply


Made it to #aafpfmcc. Beautiful day in the nation's capitol... to be in a

dark hotel conference room plotting the #FMRevolution.4 hours agoFavoriteRetweetReply
http://twitter.com/#!/INFamDocshttp://twitter.com/drmikesevillahttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/INFamDocs/status/67637224845484032http://twitter.com/#!/RussellKohlhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/RussellKohl/status/67636620622438400http://twitter.com/#!/drmikesevillahttp://twitter.com/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/drmikesevilla/status/67633164608217088http://twitter.com/#!/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/MAFPadvocacy/status/67631899799068672http://twitter.com/#!/INFamDocshttp://twitter.com/drmikesevillahttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/INFamDocs/status/67637224845484032http://twitter.com/#!/RussellKohlhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/RussellKohl/status/67636620622438400http://twitter.com/#!/drmikesevillahttp://twitter.com/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/drmikesevilla/status/67633164608217088http://twitter.com/#!/MAFPadvocacyhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/MAFPadvocacy/status/67631899799068672


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RT @andybaldwin Family Med peeps! Follow #aafpfmcc today &

tomorrow for live updates from Family Medicine Congressional

Congress in DC @AAFP4 hours agoFavoriteRetweetReply


Family Medicine: The Rx for a Healthy Democracy

http://twitpic.com/4vjrdx#FMRevolution#aafpfmcc4 hours agoFavoriteRetweetReply

RichmondDocMark Ryan@

@mdstudent31 Thanks for the info stream coming from #aafpfmcc.

Critically important information.4 hours agoFavoriteRetweetReply


@andybaldwin Thanks for the shout out! We'll keep you all up to

speed on all of this great info! #aafpfmcc4 hours agoFavoriteReplyDelete
http://twitter.com/#!/drmikesevillahttp://twitter.com/andybaldwinhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/AAFPhttp://twitter.com/#!/drmikesevilla/status/67623999202537472http://twitter.com/#!/familydocwonkhttp://twitpic.com/4vjrdxhttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67622548636057601http://twitter.com/#!/RichmondDochttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/RichmondDoc/status/67619804403605504http://twitter.com/#!/mdstudent31http://twitter.com/andybaldwinhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67618678048423936http://twitter.com/#!/drmikesevillahttp://twitter.com/andybaldwinhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/AAFPhttp://twitter.com/#!/drmikesevilla/status/67623999202537472http://twitter.com/#!/familydocwonkhttp://twitpic.com/4vjrdxhttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67622548636057601http://twitter.com/#!/RichmondDochttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/RichmondDoc/status/67619804403605504http://twitter.com/#!/mdstudent31http://twitter.com/andybaldwinhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67618678048423936


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Fix RUC MT @amednews High debt, low compensation drive young

doctors from general internal med http://bit.ly/luiOzS#aafpfmcc

#FMRevolution4 hours agoFavoriteReplyDelete

serendipidocRachel Friedman, MD

Thanks @medstudent31, enjoying the #aafpfmcc vicariously via ur

posts!4 hours agoFavoriteRetweetReply

andybaldwinDr. Andy Baldwin

Family Med peeps! Follow #aafpfmcc today & tomorrow for live

updates from Family Medicine Congressional Congress in Wash D.C.

@AAFP4 hours agoFavoriteRetweetReply


@serendipidoc Shout out to #nhconf2011 from the #aafpfmcc in DC!4 hours agoFavoriteReplyDelete
http://twitter.com/#!/mdstudent31http://twitter.com/amednewshttp://bit.ly/luiOzShttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/mdstudent31/status/67618346102816768http://twitter.com/#!/serendipidochttp://twitter.com/medstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/serendipidoc/status/67618283880325120http://twitter.com/#!/andybaldwinhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/AAFPhttp://twitter.com/#!/andybaldwin/status/67618097850368000http://twitter.com/#!/mdstudent31http://twitter.com/serendipidochttp://twitter.com/#!/search?q=%23nhconf2011http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67618016455688194http://twitter.com/#!/mdstudent31http://twitter.com/amednewshttp://bit.ly/luiOzShttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23FMRevolutionhttp://twitter.com/#!/mdstudent31/status/67618346102816768http://twitter.com/#!/serendipidochttp://twitter.com/medstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/serendipidoc/status/67618283880325120http://twitter.com/#!/andybaldwinhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/AAFPhttp://twitter.com/#!/andybaldwin/status/67618097850368000http://twitter.com/#!/mdstudent31http://twitter.com/serendipidochttp://twitter.com/#!/search?q=%23nhconf2011http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67618016455688194


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GREAT presentation (as always) by Robert Phillips, MD MSPH,

Director of the Robert Graham Center!! #aafpfmcc4 hours agoFavoriteReplyDelete


Less: Cost, variation in access/quality, production of a workforce we

don't need, sketchy evidence for pushback #aafpfmcc Graham

Center5 hours agoFavoriteReplyDelete


More: incentive, payment scope, distribution, accountability, Graham

Center research and tool building #aafpfmcc Graham Center -5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center -2009, nearly 10% growth above GME,

85-90% were subspecialty. 2-4 yrs later, only 25.8% still primary

care/gen surg5 hours agoFavoriteReplyDelete
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#aafpfmcc Graham Center - Resident Physician Shortage Reduction

Act of 2009. Criteria - hospital 10 or more positions above GME cap

(wow)5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Plug for Med School Mapper

http://www.medschoolmapper.org/ How does your school REALLY

produce primary care docs?5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - MedPac says GME "unaccountable",

ACA assigned education/GME accountability measure to COGME5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - In Australia, you can make up to 50%

more if you go to a shortage area
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#aafpfmcc Graham Center - Need more visible, tangible bonus or

loan repayment to get physicians where they are needed (and

quickly!)5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Needs to focus goal of improving phys

distribution and Medicare access, NOT accounting/regional practice

cost diff5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Geographic Practice Cost Index (GPCI)

could reduce Medicare payment as much as 10% (negating HPSA

bonus) thanks!5 hours ago

FavoriteReplyDelete

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#aafpfmcc Graham Center - MORE funding for#PrimaryCare means

LESS overall cost. Period.5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Evidence building that return on

investment is high.5 hours agoFavoriteReplyDelete


ACOs and #hcrwill only work if there is shared responsibility for cost

and quality by ALL physicians #aafpfmcc5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - Large enough: moving Primary care fro

4-6% to 10-12% of total health care spending5 hours agoFavoriteReplyDelete

http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23PrimaryCarehttp://twitter.com/#!/mdstudent31/status/67611355351494656http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67611260715405312http://twitter.com/#!/MaverickMD2012http://twitter.com/#!/search?q=%23hcrhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/MaverickMD2012/status/67611233662144512http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67611128225734656http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23PrimaryCarehttp://twitter.com/#!/mdstudent31/status/67611355351494656http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67611260715405312http://twitter.com/#!/MaverickMD2012http://twitter.com/#!/search?q=%23hcrhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/MaverickMD2012/status/67611233662144512http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67611128225734656http://twitter.com/#!/mdstudent31


35/89

#aafpfmcc Graham Center - Need to make sure incentive is large

enough to change behavior and practice5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - INcentives MUST support BROAD-

SCOPE family medicine5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Now working with @AAFP Govt

Relations to make case for increasing the size of incentive5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - CMS changed the rule, making 25,000

more FPs eligible ($50-100 million more)5 hours agoFavoriteReplyDelete

http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67611048542351360http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67610994918162433http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/AAFPhttp://twitter.com/#!/mdstudent31/status/67610947958738945http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67610874373877760http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67611048542351360http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67610994918162433http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/AAFPhttp://twitter.com/#!/mdstudent31/status/67610947958738945http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67610874373877760http://twitter.com/#!/mdstudent31


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#aafpfmcc Graham Center - Able to demonstrate that broader scope

of practice associated w/ Lower Medicare costs5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Showed that definition for "primary care"

too narrow - most rural family physicians were not eligible5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Distribution - change the purpose of the

Geographic Practice Cost Index (Part of SGR), increase HPSA bonus5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - COGME to come up with accountability

measures5 hours agoFavoriteReplyDelete

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#aafpfmcc Graham Center - HRSA investing $250 million in PC

expansion, THCs, COGME/MedPAC weigh in on payment and funding

reform5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - #ACA help? Payment - incentive

payment, medicare/aid parity, expanded NHSC, CNHCs, revised

shortage designation5 hours agoFavoriteReplyDelete


And if you put together a care plan with patient, you get extra $200 for

the first visit and $100/visit after that #aafpfmcc5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - Growing evidence of primary care

importance to cost and quality, especially family medicine5 hours agoFavoriteReplyDelete

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38/89

#aafpfmcc Graham Center - If you're going to build an #ACO,

WellMed is a great example5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - WellMed is in Texas by the way (San

Antonio) and almost no turnover... good luck finding a job there5 hours agoFavoriteReplyDelete

natefaviniNate Favini

RT @mdstudent31#aafpfmcc Graham Center - Now discussing

http://bo.st/k0X23M Family physicians tied to lower readmissions5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - WellMed - improving preventive care w/

IT systems (made their own) that monitor & manage pt population5 hours agoFavoriteReplyDelete

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New model from Maryland blues: take top 10% patients based on

costs and pay family docs 12% more to take care of them #aafpfmcc5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - WellMed Up to 140% income bonus

2010= $260k-$550 for a PRIMARY CARE PHYSICIAN5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - WellMed avg physician panel size < 500,

backed by robust teams and disease management5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Is WellMed the future? Primary Care-

based #ACO (no hospital).Reduced bed days by 60%! Mortality rate

decreased 50%5 hours ago

FavoriteReplyDelete

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#aafpfmcc Graham Center - #Primarycare 4-6% of total cost, more

robust primary care in ACO= +7%, cost investment and more is

covered!5 hours agoFavoriteReplyDelete


RT @aafp: Follow #aafpfmcc today & tomorrow for live updates from

the Family Medicine Congressional Congress in Washington, DC.5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - Geisinger able to convert 2 hospitals into

outpatient outreach centers due to cost savings from #PCMH and

#ACO5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - 7-10% reduction in total costs, reduction

in hospital admissions, 30-40% reduction in ED5 hours agoFavoriteReplyDelete

http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23Primarycarehttp://twitter.com/#!/mdstudent31/status/67609159406845952http://twitter.com/#!/familydocwonkhttp://twitter.com/aafphttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67609019090604032http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23PCMHhttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/#!/mdstudent31/status/67609008286072832http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608935040942080http://twitter.com/#!/familydocwonkhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23Primarycarehttp://twitter.com/#!/mdstudent31/status/67609159406845952http://twitter.com/#!/familydocwonkhttp://twitter.com/aafphttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67609019090604032http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/search?q=%23PCMHhttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/#!/mdstudent31/status/67609008286072832http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608935040942080http://twitter.com/#!/familydocwonk


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RT @mdstudent31: SGR formula created by Congress.... only

Congress can fix it (duh). It has to take path to long term resolution

#aafpfmcc

5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - plug for @PCPCC and UCSF for

evidence of#PCMH and #ACO demos5 hours agoFavoriteReplyDelete


RT @mdstudent31: Goertz: Unless the silos are broken down w

payment, you can't get to savings and will not get to the next phase



#aafpfmcc Graham Center - Avoidable hospitalizations does not

bottom out as # family docs in area increases. Continues to decrease5 hours agoFavoriteReplyDelete
http://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608915436781568http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/PCPCChttp://twitter.com/#!/search?q=%23PCMHhttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/#!/mdstudent31/status/67608808234565632http://twitter.com/#!/familydocwonkhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608658527268865http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608611089682432http://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608915436781568http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/PCPCChttp://twitter.com/#!/search?q=%23PCMHhttp://twitter.com/#!/search?q=%23ACOhttp://twitter.com/#!/mdstudent31/status/67608808234565632http://twitter.com/#!/familydocwonkhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608658527268865http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608611089682432


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RT @mdstudent31: Sounds like C Brown & @AmerMedicalAssn get

that RUC got primary care wrong - what are we waiting for to right it?



#aafpfmcc Graham Center - 80 to 100,000 is about magic number for

best $ beneficiary for Medicare cost5 hours agoFavoriteReplyDelete


RT @mdstudent31: Cindy Brown asks for time to get RVUs right. 20+

years & still wrong. More time? Med students aren't waiting#aafpfmcc5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - Medicare costs decrease as number of

family physicians in an area increases5 hours agoFavoriteReplyDelete
http://twitter.com/#!/familydocwonkhttp://twitter.com/mdstudent31http://twitter.com/AmerMedicalAssnhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608542663806976http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608504294313984http://twitter.com/#!/familydocwonkhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608112869277696http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608109350273024http://twitter.com/#!/familydocwonkhttp://twitter.com/mdstudent31http://twitter.com/AmerMedicalAssnhttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608542663806976http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608504294313984http://twitter.com/#!/familydocwonkhttp://twitter.com/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67608112869277696http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67608109350273024


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#aafpfmcc Graham Center - Guess what? Family physicians reduce

readmissions for pneumonia, heart attack and CHF.5 hours agoFavoriteReplyDelete


RT @tweetyturt: #aafpfmcc 10 year SGR freeze has pricetag of

$300B. Doc payment costs $40B/yr. Changing payment not enough to

fix SGR.5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - Now discussing http://bo.st/k0X23M

Family physicians tied to lower readmissions5 hours agoFavoriteReplyDelete


#aafpfmcc Graham Center - Need to fix physician income gap and

lack of investment in physician practice redesign5 hours agoFavoriteReplyDelete
http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67607986473926656http://twitter.com/#!/familydocwonkhttp://twitter.com/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67607954282647552http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://bo.st/k0X23Mhttp://twitter.com/#!/mdstudent31/status/67607821394513920http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67607585582358528http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67607986473926656http://twitter.com/#!/familydocwonkhttp://twitter.com/tweetyturthttp://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/familydocwonk/status/67607954282647552http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://bo.st/k0X23Mhttp://twitter.com/#!/mdstudent31/status/67607821394513920http://twitter.com/#!/mdstudent31http://twitter.com/#!/search?q=%23aafpfmcchttp://twitter.com/#!/mdstudent31/status/67607585582358528


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RT @drmikesevilla: Here's diff way to monitor#aafpfmcc. What

onscreen twitter stream would look like at mtgs http://ow.ly/4QmOW5 hours agoFavoriteRetweetReply


#aafpfmcc Graham Center - Physician distribution problem about to

be compounded by newly insured. Distribution incentives too weak to

help5 hours agoFavoriteReplyDelete


Lesson from new payment models: FFS has a place but must be

balanced with P4P and care coordination fees #aafpfmcc5 hours agoFavoriteRetweetReply

mdstudent31Kevin Bernstein,

day 1 - family medicine congressional conference

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