Medicare Part D could be used to limit opioid prescribing formularies | Men get AFib 10 years earlier than women, weight is a risk factor | American Family Physician has compiled a collection of journal articles related to the screening, diagnosis and treatment of atrial fibrillation.
October 17, 2017
Family Medicine SmartBrief
Top Story
Medicare Part D could be used to limit opioid prescribing formularies
Medicare Part D formulary restrictions could be one way to reduce opioid prescribing, researchers reported in the Annals of Internal Medicine. Robert Rich, M.D., the AAFP representative on the AMA Task Force to Reduce Opioid Abuse, said while restrictions could reduce opioid prescriptions, they also could have negative effects on family physicians and pain care for patients.
AAFP News (10/16) 
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The "death" many physicians overlook
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Clinical News
Men get AFib 10 years earlier than women, weight is a risk factor
An American Heart Association report published in the journal Circulation found men were more likely to develop atrial fibrillation after age 50 and women were more likely to see symptoms after age 60, and body mass index was a significant risk factor, especially for men.
Cardiovascular Business online (10/16) 
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Study: 12% of men, 3% of women have oral HPV
A study in the Annals of Internal Medicine showed almost 12% of men and some 3% of women were infected with oral human papillomavirus. Oral HPV has been linked to cancer of the head, neck and throat.
HealthDay News (10/16) 
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Magnesium intake tied to reduced type 2 diabetes risk, study finds
US researchers found a 15% lower risk of type 2 diabetes among those who had the highest magnesium intake, compared with those with the lowest magnesium intake, and the association held true even when the participants ate a poorer quality of carbohydrate foods. The findings in Diabetes Care showed that each additional magnesium intake of 50 mg per day was associated with a 4% lower risk of developing type 2 diabetes. (U.K.) (10/16) 
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Inappropriate prescribing rises after behavioral intervention ceases
Inappropriate prescribing rises after behavioral intervention ceases
(Joe Raedle/Getty Images)
Inappropriate antibiotic prescribing for acute respiratory infections decreased while an 18-month behavioral intervention was ongoing but rose after the intervention ceased, researchers reported in the Journal of the American Medical Association. The results suggest that prescribing interventions should be continued long-term, the researchers wrote.
Physician's Briefing/HealthDay News (10/11) 
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Practice Management
CMS offers online tool to track AAPM status
CMS released an online tool allowing physicians in the Advanced Alternative Payment Model for 2017 to check their status as a qualifying participant. Physicians who meet specific criteria are considered qualifying participants in AAPMs and are excluded from the Merit-based Incentive Payment System.
AAFP News (10/16) 
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Communication technique improves patient satisfaction scores
A study in the journal Family Medicine found the psychosocial BATHE intervention, which stands for background, affect, trouble, handling and empathy, increases hospital inpatient satisfaction scores. The technique lets patients share psychological or life problems with clinicians, and data showed patients who participated gave their physicians an average score of 4.77, compared with a 4.0 score given by patients receiving standard care.
HealthLeaders Media (10/16) 
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Featured Content
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    Health Policy & Legislation
    Senators continue talks on ACA fixes amid market turmoil
    Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., are said to be putting the finishing touches on legislation to overhaul -- but not repeal -- the Affordable Care Act, while Sen. Ron Johnson, R-Wis., also intends to introduce a bill to change the ACA. President Donald Trump issued an executive order last week halting federal cost-sharing reduction payments to insurers, creating further unrest in the individual plan market.
    The Wall Street Journal (tiered subscription model) (10/15) 
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    Professional Issues & Trends
    EHR-related malpractice suits rise, study finds
    Malpractice suits related to EHR use rose from two in 2007 to 2010 to 161 in 2011 to December 2016, according to a study released by The Doctors Company. Researchers found that there were more EHR-related malpractice claim events in patient rooms than in hospital clinics/doctors' offices, emergency rooms, ambulatory/day/surgery centers, or labor and delivery rooms, as well as an 8% increase in system factors and a 6% decrease in user factors that contributed to these claims.
    HIT Consultant (10/17) 
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    CDC funds telehealth program at Fla. hospital
    The CDC is providing $2.2 million to UF Health Jacksonville to set up a telemedicine program for patients with HIV in Jacksonville, Fla. The grant, which will extend over three years, is said to be the first such funding for telehealth in an urban setting.
    mHealth Intelligence (10/13) 
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    Inside the AAFP
    Optimize payment | New HCC coding webinar
    Optimize payment | New HCC coding webinar
    Register now to master hierarchical condition category coding via the AAFP's new HCC Crash Course: Absorbing the Impact webinar on Thursday, Nov. 16, at 12 p.m. CST. Learn what you need to know about HCC coding, how to plot an HCC map, and gain practical application techniques to ensure payments are adjusted to represent the risk of the patients you treat from HCC experts Samuel Church, M.D., M.P.H., C.R.C., and Barbie Hays, C.P.C., C.P.M.A. Watch the webinar with the 2017 Coding Flash Cards handy and make sure you and your practice are compensated fairly for the care you deliver.
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    Learn more about AAFP:
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    AAFP CareerLink - Connecting Family Physicians and Employers
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    Family Medicine - 100% outpatient, Earn $350K+
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    $400K+ potential with $25K Sign On, Direct Primary Care, Ft. Worth, Tx.
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    Excellent Compensation and work/life balance- Family Medicine-Illinois
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    Phenomenal Family Medicine Program Director Opportunity
    Outpatient Primary Care Physician Opportunity Tampa Bay, Florida
    The test of a vocation is the love of the drudgery it involves.
    Logan Pearsall Smith,
    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
    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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