MAFP Advocacy Priorities

Michigan Academy of Family Physicians' advocacy agenda supports public policies that underlie the Academy’s strategic vision—to ensure all Michigan residents have access to quality, affordable healthcare within a Family Physician-led medical home. MAFP’s advocacy efforts seek to enhance recognition for Family Physicians and result in a positive, productive legislative and regulatory climate for the primary care community. Issues for 2019 are organized into five categories listed below. Click here to download and print the priorities (PDF).
 

INCREASING ACCESS TO CARE FOR ALL

  • Healthcare coverage for all Michigan residents with guaranteed access to a Family Physician who can provide comprehensive, compassionate and continuous care
  • Dedicated state funding to ensure successful continuation of Healthy Michigan
  • Increased Medicaid primary care provider payment uplift to 100% of Medicare levels and making any increase permanent
  • Mental health parity and reforms to the delivery of mental healthcare in Michigan, specifically implementation of reimbursement mechanisms that recognize the important role of the Family Physician in treating mental illness as well as the significant issues of comorbidity that require non-psychiatric care
  • Appropriate payment for physician telehealth services that are medically necessary, safe and effective, and provided in accordance with accepted standards of medical practice
  • Increase access to substance use disorder services for all

REDUCING PHYSICIAN ADMINISTRATIVE BURDEN

  • Working toward the elimination of administrative tasks, such as prior authorization and utilization management, that take away from patient care
  • Standardizing performance measures and reporting requirements across payers
  • Integrating the Michigan Automated Prescription System, Michigan Care Improvement Registry, and electronic medical records
  • Preserving the physician-patient relationship by opposing legislative interference into the practice of medicine

INVESTING IN THE PRIMARY CARE WORKFORCE

  • Policies and incentives that help alleviate medical school loan debt, making Family Medicine more attractive to aspiring physicians
  • State and federal funding for the Michigan State Loan Repayment Program (MSLRP)
  • Reforms that encourage a high participation rate in the MSLRP and maximize resources in the geographic areas of most need
  • Sustained state and federal funding for Graduate Medical Education; encourage continuation of MiDocs and its continued utilization
  • Reforms that prioritize funding for primary care training in community-based settings and underserved areas, such as those modeled after the Teaching Health Center Graduate Medical Education Program

REFORMING THE PAYMENT & DELIVERY SYSTEM

  • State adoption of innovative payment and delivery models that will help lower costs, improve quality, and expand access to primary care over the long-term by all payers
  • Reforms that seek to reduce the income disparity between primary care physicians and specialists
  • Continued collaboration with American Academy of Family Physicians to shape implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) and efforts to educate members about the law
  • Seek to establish collaboraties with other medical groups to address issues such as payment reform
  • Adoption and expansion of Direct Primary Care, a potentially viable alternative to the traditional insurance-based model of care

PRESERVING PUBLIC HEALTH AND SAFETY

  • Reducing tobacco use in Michigan by maintaining FDA authority to regulate the manufacture, sale, labeling, distribution, and marketing of tobacco products, including e-cigarettes
  • Maintaining state requirements for education as a condition of obtaining a non-medical vaccination waiver and opposing legislative efforts that undermine existing state authority to regulate vaccinations and protect public health
  • Work toward state mandate for recording and reporting of all adult immunizations
  • Opposing legislation that would allow concealed carry in ‘gun-free’ zones, including hospitals and healthcare facilities, and promote responsible ownership
  • Label violene caused by the use of guns as a national public health epidemic
  • Combating the opioid epidemic, including placing an emphasis on prescriber education and initiatives that help curb diversion, such as community take-back programs as well as expanding access to substance use disorder treatment
  • Promote Family Physicians as a resource in maintaining maternity care and access to women's healthcare, including full spectrum reproductive services