AAFP joins effort to continue ACA cost-sharing assistance | Study: Aspirin use may not improve outcomes for peripheral vascular disease | CDC reports flu season is nearing end in US
April 17, 2017
Family Medicine SmartBrief
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AAFP joins effort to continue ACA cost-sharing assistance
The AAFP and seven other groups sent letters urging President Donald Trump and House and Senate leaders to find a way to continue cost-sharing assistance, which is provided to health insurers to help people afford coverage under the Affordable Care Act. A lawsuit filed by House Republican lawmakers challenges the government's legal ability to provide the funding, but the letters state that failing to continue it could increase the number of uninsured and cause insurers to leave the marketplace.
AAFP News (4/14) 
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PPI Safety: Separating the Science from Media Myths
Proton Pump Inhibitors (PPIs) have been in the media spotlight, raising questions about safety and efficacy from patients and doctors alike. We'll go beyond the headlines in this webinar to provide context around these observational study results so you can best consider the benefits and risks of PPIs for patient use. Register now.
Made possible by an unrestricted grant from Procter & Gamble
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Study: Aspirin use may not improve outcomes for peripheral vascular disease
Researchers reviewed 11 trials on aspirin therapy involving over 6,500 patients with peripheral vascular disease and found that use of the drug had no significant effect on death rates and major cardiac events, including stroke and heart attack. The findings were published in the journal PLOS ONE.
CardiovascularBusiness.com (4/14) 
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CDC reports flu season is nearing end in US
CDC researchers said that this year's flu season may be ending in the coming weeks and that middle-aged adults were harder hit than children this year. The CDC said 72 pediatric deaths from flu-related complications have been reported so far this season.
HealthDay News (4/14) 
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Study: Renal disease a major factor in heart-related deaths
One of the major causes of heart-related mortality worldwide is kidney disease, according to a report published in the Journal of the American Society of Nephrology. Researchers estimated that 2.2 million deaths worldwide in 2013 were linked to reduced kidney function, with 1.2 million being heart-related.
HealthDay News (4/13) 
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Study examines efficacy of fast-acting insulin aspart in type 1 diabetes
A study in Diabetes Care revealed that patients with type 1 diabetes who received fast-acting insulin aspart at mealtime had a statistically significant reduction in HbA1C levels. UK researchers used a cohort of 1,143 patients and also found that fast-acting insulin aspart was noninferior to conventional insulin aspart.
Physician's Briefing/HealthDay News (4/14) 
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Practice Management
CMS plans webinars on additions to Physician Compare
The CMS plans to add the Achievable Benchmark of Care and a five-star rating system to its Physician Compare website. The agency will hold free webinars on the changes on April 25 and 27, and the Physician Compare support team will take questions from participants.
AAFP News (4/14) 
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Report offers ways to create breast-feeding friendly practices
An American Academy of Pediatrics clinical report in Pediatrics recommended that pediatricians develop a written breast-feeding friendly office policy for their employees; provide necessary staff training; bolster awareness on breast-feeding contraindications; and collaborate with local hospitals or birthing centers on implementing breast-feeding friendly care. Pediatricians should also inform mothers of Affordable Care Act provisions that cover breast-feeding support services and offer anticipatory guidance on returning to work, the report said.
MedPage Today (free registration) (4/17) 
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Health Policy & Legislation
CMS proposes new hospital payment rates, CQM requirements
The CMS released proposed payment policies for fiscal 2018 that aim to "reduce burdens for hospitals so they can focus on providing high quality care for patients," CMS Administrator Seema Verma said. The proposed rule would result in 2.9% higher inpatient operating prospective payments, reduce payments to long-term hospitals by nearly 3.75% and relax clinical quality measure reporting standards for hospitals with an EHR system.
Healthcare Finance News (4/14) 
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House bill aims to limit product liability, medical malpractice lawsuits
House Republicans have drafted a bill that would set limits, including a $250,000 cap on non-economic damages, in product liability and medical malpractice lawsuits. Included would be care covered by Medicare, Medicaid or private health insurance subsidized by the Affordable Care Act.
The New York Times (free-article access for SmartBrief readers) (4/15) 
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Professional Issues & Trends
More US hospitals asking patients for upfront payment
More US hospitals asking patients for upfront payment
(Adam Berry/Getty Images)
Some US hospitals are exploring pre-payment strategies for patients to help counter rising levels of patient debt and uncompensated care as patients adjust to greater cost-sharing. Iowa-based Henry County Health Center has started providing patients with cost estimates and medical advice ahead of surgery, while other hospitals are expanding charity eligibility, requiring advance payment and partnering with companies that provide zero-interest patient loans.
Reuters (4/13) 
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Inside the AAFP
Overactive bladder learning activity | Start today
AAFP CME webcast
Participate in the AAFP learning activity, Overactive Bladder: Patient-Centric Management, to better assess and care for your patients who struggle with OAB. Earn 1 AAFP Prescribed credit and up to 2 additional AAFP Prescribed credits when you complete the Translation to Practice (t2p) process. This CME activity is supported by an educational grant to the AAFP from Astellas.
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Learn more about AAFP:
Home Page | AAFP News | AAFP CareerLink
AAFP CME Center | Connect to the AAFP
AAFP CareerLink - Connecting Family Physicians and Employers
Physician
TAMID MEDICAL GROUP - Chicago, Illinois
Lead Physician
ULTRAMED URGENT CARE - Skokie, Illinois
Family Medicine in Coastal NC (Outpatient)
WILMINGTON HEALTH - 
Internal Medicine Clinician Educator
ST VINCENT HEALTH - Indianapolis, Indiana
200K Loan Repayment - OP
ADENA HEALTH SYSTEM - Ohio
Outpatient Primary Care - Enjoy Beautiful Tennessee near Nashville
CEJKA SEARCH - Nashville, Tennessee
Family Medicine Physician
PROVIDENCE COMMUNITY HEALTH CENTERS - Providence, Rhode Island
Family Medicine
ARKANSAS CENTRAL PRIMARY CARE DBA JACKSONVILLE MEDICAL CARE - Jacksonville, Arkansas
Primary Care Positions Multiple Locations
UCLA HEALTH AND DAVID GEFFEN SCHOOL OF MEDICINE - Los Angeles, California
Board certified/Board eligible General Surgeon
MILE BLUFF MEDICAL CENTER - Mauston, Wisconsin
Emergency Department Medical Director
MILE BLUFF MEDICAL CENTER - Mauston, Wisconsin
Clinical Director for Primary Care
BRONSON HEALTHCARE GROUP - Kalamazoo, 
Family Practice Physician
JORDAN VALLEY COMMUNITY HEALTH CENTER - Springfield, Missouri
  
  
There are no limitations to what you can do, have, or be except the limitations you place on yourself by your own thinking.
Brian Tracy,
writer and motivational speaker
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to http://aafp.org.
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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