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Topics

Medical Economics Editor Richard Payerchin and Steven P. Furr, MD, FAAFP, president of the American Academy of Family Physicians, discuss proposed cuts in the Medicare Physician Fee Schedule, the AAFP’s work on increasing the number of physicians in rural areas, and even a bit about Furr’s own family medicine practice in Alabama.

Check out our previous episodes featuring interviews with 

Joseph Betancourt, MD, president of the Commonwealth Fund

Music Credit: Emotional Cinematic Piano by Elonix - stock.adobe.com


Overview of the podcast and introduction of the guests discussing family physician challenges.




Discussion on the 2.8% cut in physician reimbursement and its implications.




Concerns about the sustainability of practices due to ongoing Medicare cuts.




Efforts made by AAFP to inform Congress about the effects of physician cuts.




Significance of the G2211 code for increasing family physician reimbursement.



Congress and Medicare Economic Index (00:04:02)


Discussion on whether reimbursement should be based on the Medicare Economic Index.




Effects of site neutral payments on family physicians and practice sustainability.




Concerns regarding physician consolidation and its impact on patient care.




Discussion on the implications of non-compete clauses for family practices.




Impact of the Change Healthcare cyberattack and recovery efforts in practices.




Overview of Dr. For's practice structure and its resilience to cyber threats.




Importance of cybersecurity measures and employee education in practices.




Discussion on new treatments for obesity and their implications for patient care.



Pharmaceutical Pricing Concerns (00:11:59)


Concerns regarding high pharmaceutical prices and their impact on patient equity.




Status and importance of new physician residencies in rural communities.




Final thoughts on the urgent need for Medicare reimbursement reform and its impact on healthcare.

Podcasts

Steven P. Furr, MD, FAAFP, president of AAFP, joins the podcast for a wide-ranging conversation covering the Medicare Physician Fee Schedule, rural health care access, and cybersecurity.

Ep 37: Physician finances with Steven P. Furr, MD of AAFP

Research examines family doctors’ attitudes on team efficiency, home time in electronic health records, and burnout.

Collaboration, EHR time are factors that can influence family physician burnout: study

AMA alleges MultiPlan is working with commercial health insurers to restrict fair payment for out-of-network services.

AMA sues MultiPlan, alleging price-fixing scheme 

Addressing the crisis in physician well-being: Key strategies for the future of health care

Is enough being done for the mental health of physicians?

Resident and citizenship status can affect the specialty chosen by international physicians

Need more primary care physicians? Rethink how international medical grads are handled

The Medicare Physician Fee Schedule, health care consolidation and the next president all can affect the nation’s health through primary care.

U.S. needs to recognize value of primary care – and pay for it, AAFP leader says

Physicians in politics: Advice on running for office

Rep. Ami Bera, MD (D-California) offers his 

. Getting involved in politics does not necessarily entail running for Congress, and policymakers need perspectives of doctors and people with real-world experience working in other professions.

Videos

Physicians in elected office share their thoughts about campaigning, elections and public service.

Physicians in politics: Advice about running for office

Physicians in politics: A day in Congress

 in Congress, and there are plenty of fictional representations in television and movies. What is it like day to day? Rep. Ami Bera, MD (D-California), describes his daily routine when he heads from his home state of California to 

Rep. Ami Bera, MD, provides insight into his daily routine as a congressman traveling from California to Capitol Hill. His schedule is packed with meetings, legislative sessions, and constituent interactions. Bera emphasizes the importance of balancing his responsibilities in Washington, D.C., with staying connected to his district in California. He highlights the challenges of managing time effectively and the necessity of being adaptable to the fast-paced and unpredictable nature of congressional work. Bera's experience underscores the dedication required to serve effectively in Congress.

Physicians in politics: Policy, financial insecurity and health

In fall 2024, state Sen. Elizabeth Steiner, MD (D-Oregon), is 

 and how the state’s chief financial officer can affect health of future generations.

State Sen. Elizabeth Steiner, MD, is campaigning for Oregon's state treasurer position in fall 2024. She emphasizes the role of the state treasurer as a pivotal figure in shaping the financial landscape that impacts public health. Steiner believes that strategic financial management can significantly influence the health outcomes of future generations. Her campaign focuses on leveraging the treasurer's office to address health disparities and promote sustainable health initiatives. Steiner's medical background informs her vision of integrating fiscal policy with public health priorities to foster long-term community well-being.

Physicians in politics: Good policy can lead to better health

, it’s only natural they lend their expertise to policy deliberations involving health. State Sen. Elizabeth Steiner, MD (D-Oregon), discusses some 

 that have inspired her to continue running for public office. This fall, Steiner is running to become the state treasurer there.

State Sen. Elizabeth Steiner, MD, leverages her medical expertise in health policy deliberations as a public official. Her contributions have led to significant health policy victories, motivating her continued pursuit of public office. As a physician, her insights have been instrumental in shaping effective health policies. This fall, she is campaigning to become Oregon's state treasurer, aiming to further influence public health and fiscal policies. Her journey exemplifies the impact healthcare professionals can have in legislative roles, bridging the gap between medical knowledge and policy-making.

Physicians in politics: Common language, different beliefs

There are doctors in Congress on both sides of the aisle. One physician is Rep. Kim Schrier, MD (D-Washington). Here she describes how the 

physicians may hold different political beliefs

, but can work together and can help restore bipartisanship in an 

 in the United States. She also explains her philosophy to focus on her district instead of partisan divisions.

Rep. Kim Schrier, MD, a physician in Congress, emphasizes the potential for bipartisan collaboration among doctors despite differing political beliefs. She advocates for focusing on district-specific issues rather than partisan divisions, aiming to restore bipartisanship in a politically divisive era. Her approach highlights the unique perspective physicians bring to legislative processes, leveraging their medical expertise to address healthcare challenges. By prioritizing constituents' needs, she believes physicians in Congress can bridge political divides and contribute to more effective governance.

Physicians in politics: Why run for office?

In 2018, Rep. Kim Schrier, MD (D-Washington), became the 

 to the U.S. House of Representatives. She made her decision to run based on national 

Rep. Kim Schrier, MD, a pediatrician, was elected to the U.S. House of Representatives in 2018, marking a significant milestone as the first pediatrician to achieve this position. Her decision to enter politics was driven by national healthcare issues, reflecting her commitment to influencing healthcare policy. Schrier's unique perspective as a medical professional in the legislative arena underscores the importance of having healthcare practitioners involved in shaping policies that directly impact the medical field and patient care.

Physicians in politics: Why doctors need to get involved

Alice Mann, MD, MPH, is an elected state senator in Minnesota. Previously she served in the Minnesota House of Representatives. Physicians don’t always like to 

, for many reasons. But they need to, she says, not necessarily by 

, but lending their expertise to lawmakers.

Physicians often hesitate to engage in politics, but their involvement is crucial. Alice Mann, MD, MPH, a Minnesota state senator and former House representative, emphasizes the importance of medical professionals contributing their expertise to legislative processes. While not all physicians need to run for office, their insights can significantly influence healthcare policy and decision-making. By participating in political discourse, physicians can help shape policies that better address public health needs and improve healthcare systems, ultimately benefiting patients and communities.

Physicians in politics: The anatomy of an attack ad

Alice Mann, MD, MPH, is an elected state senator in Minnesota. Previously she served in the Minnesota House of Representatives. Here she describes one of the worst parts of 

: attack ads. Spoiler alert: Don’t believe everything you hear about 

Attack ads are a prevalent and challenging aspect of political campaigns, often distorting the truth about candidates. These ads can significantly impact public perception, leading to misinformation and misunderstanding among voters. Candidates, like Alice Mann, MD, MPH, who have transitioned from medical professions to political roles, face unique challenges in maintaining their professional integrity amidst such negative campaigning. It is crucial for voters to critically evaluate the information presented in these ads and seek out reliable sources to make informed decisions about candidates.

Physicians in politics: On patient reaction and doctor leadership

Jasmeet Bains, MD, of Delano, California, is an elected member of the California State Assembly. She specializes in family and addiction medicine. Here she shares her throughts about patient reaction to her run for office, and why physicians make good leaders in public service.

Bains also supported the new Grow Our Own Bill, 

 in California. The plan is to improve health of patients and fill a shortage of physicians in a region that needs it in that state.

Jasmeet Bains, MD, a family and addiction medicine specialist, serves in the California State Assembly. She discusses her patients' reactions to her political career and emphasizes the suitability of physicians for leadership roles in public service. Bains advocates for the Grow Our Own Bill, which aims to establish a new medical school in California. This initiative seeks to enhance patient health and address the physician shortage in underserved regions of the state, highlighting the intersection of healthcare and legislative efforts to improve community well-being.

PAI: Physicians in some ways are at a disadvantage in fighting health care consolidation

 that makes it difficult for physicians to lead 

. Physicians, if they are able to do so, can offer competitive, high-quality health care choices to patients in the United States, said Kelly Kenney, JD, CEO of the 

Physicians Advocacy Institute CEO discusses consolidation in health care.

Physician Advocacy

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