Subject: CAFP August E-news: New Book Authored by CO Family Physician

What's Happening at the CAFP
2018 Membership Survey 
Be sure to check your email and respond to the 2018 CAFP Membership Survey if you have not already. This is an excellent opportunity to share your feedback on advocacy, education and overall membership. We take feedback directly from this survey to make changes every year. Recently the information has influenced our choices to move the Annual Summit location, focus more on public health projects, and set advocacy priorities, to name just a few. 

New Book Available by Colorado Family Physician
Retired family physician Dr. Marc Ringel has authored a new book Digital Healing: People, Information and Healthcare. Learn more about Dr. Ringel and find the book here

Summer Magazine is Hitting Mailboxes 
We have a great summer issue that includes our 2017 Annual Report and a feature story on Dr. John Bender of Fort Collins who is running for AAFP President-elect.  

Residents, Where are You Going After Residency?
CAFP resident members are invited to join Foothills Medical Society, CAFP and the Colorado Medical Society for:

Where am I Going After Residency?
Thursday, August 23
6 p.m. - 9 p.m.
Molly Brown Summer House

Learn about options after residency, take part in a Q & A with current physicians, enjoy dinner and lawn games and more.

2 New Colorado ECHO Series Available for Family Physicians 

Prenatal Substance Exposure:
Perinatal Care for Women and Newborns

Colorado perinatal providers and support personnel working in the medical setting (MDs/DOs, PAs, NPs, RNs, Social Workers, Care Coordinators)

Eight weekly ECHO sessions held virtually
Tuesdays 12:15pm - 1:15pm MST
September 25, 2018 - November 13, 2018

Learn more and register here.

Mood and Anxiety Disorders for SIM Practices: Screening, Diagnosis, and Treatment designed for Primary Care Providers & Behavioral Health Providers

This series is open to primary care providers (DO, MD, NP, PA) and behavioral health providers working in or with a Colorado State Innovation Model (SIM) practice.

Six weekly ECHO sessions held virtually
Wednesdays 12:00 pm - 1:00 pm MST
September 5, 2018 - October 10, 2018

Proposed CMS Changes to Medicare Fee Schedule, E/M Documentation
CMS released the 2019 Draft Physician Fee Schedule and the AAFP has prepared an initial summary of the regulation. AAFP and CAFP are reviewing the proposals, and welcome your comments. Please send them to

Of note on E/M payment, CMS proposes to collapse payment for office and outpatient visits so that payment for new patient office visits levels 2 through 5 (99202-99205) would be blended into a single $135 payment. Payment for established patient office visits level 2 through 5 (99212-99215) would be blended into a single $93 payment. New codes would also be created to provide add-on payments to office visits for specific specialties ($9) and primary care physicians ($5). When physicians report an E/M service and a procedure on the same date, CMS proposes to implement a 50% multiple procedure payment reduction to the lower paid of the two services.

On a positive note for documentation, CMS proposes to update the 1995 and 1997 documentation requirements related to E/M visits. To replace existing documentation guidelines, CMS proposes to allow use of: 1995 or 1997 documentation guidelines, Medical decision-making, or Time (visit length). CMS projects a savings of 51 hours per physician per year in decreased administrative burden from reduced documentation requirements.

Medicare would pay physicians for their time when they reach out to beneficiaries via telephone or other telecommunications to decide whether an office visit or other service is needed. CMS also proposes to pay for the time it takes physicians to review a video or image sent by a patient seeking care or diagnosis for an ailment.

Purchasing an AAFP Self Study Package?
You can support the CAFP when you do. Enter code 4MYCHAPTER when you are checking out and a portion of the cost of the package goes to the CAFP. 

Direct Primary Care in Colorado: New Research by the Colorado Health Institute (CHI)
Would you subscribe to your doctor the way you subscribe to a phone plan or gym? That's (roughly) the idea behind Direct Primary Care: Pay a flat fee and get access to basic health services from a primary care doctor.
The model is taking off in Colorado. The state is home to roughly 10 percent of the nation's Direct Primary Care clinics.
So is Direct Primary Care a solution for some of the challenges facing health care? What questions should providers and policymakers be asking? CHI's Ian Pelto examines these questions in a new paper. CHI also visited a Direct Primary Care clinic in Golden and learned why one doctor is so enthusiastic about the model.

Health is Primary

In August, Health is Primary is focused on immunizations. Learn more at
Primary Care News to Know 
Events, News & Announcements from the Colorado (and National) Healthcare Landscape »

  • Join the Promoting Interoperability (PI) Workshop, hosted by TMF Health Quality Institute, to prepare step-by-step for reporting your measures in the PI category of the Merit-based Incentive Payment System (MIPS). This 90-day workshop begins Aug. 7 and will include an implementation guide and action items, live workshop sessions and individual support as needed. For more information about this free workshop, view the PI Workshop information sheetSign up here »
  • The American Board of Family Medicine (ABFM) and the ABFM Foundation are pleased to announce the establishment of the Center for Professionalism and Value in Health Care based in Washington, D.C. The Center will be led by Robert Phillips, MD MSPH, who has been named as its founding Executive Director. Learn more »
  • Many Coloradans believe lead poisoning is a thing of the past. It is not. Lead poisoning still is a major environmental health issue in Colorado. More than half a million children ages 1 through 5 in the U.S. have blood lead levels above 5µg/dL, which is the CDC’s reference level. Developmental effects of lead poisoning on young children contribute an estimated $50 billion a year in future economic costs to society. Learn more here »
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