Onerous Regulations


Okay, I know, I have to stop beating up on the AAFP.  It’s getting old and it’s like shooting fish in a barrel but they do keep sending out these newsletters that make it too hard to stop.   It’s like crack for me.   Here is there latest headline:

AAFP Pounces on Opportunity to Point Out Onerous HHS Regulations

Wow, they really sound aggressive here by pouncing and then pointing things out.  Takes a lot of guts to do that.  I guess they take lessons from the UN?

Let me list stuff the AAFP is objecting to in the article:

  • The implementation of the ICD-10-CM code
  • The enormous costs physicians bear in providing medical translator services to Medicare and Medicaid patients
  • The overlapping documentation and certification requirements
  • The Academy called prior authorization phone calls, faxes and paperwork “time wasted” for busy medical practices
  • The improvement of the Medicare physician enrollment process, calling it the “largest and most persistent source of physician frustrations” with Medicare
  • To streamline and coordinate claims review processes currently conducted by multiple HHS contractors
  • To implement administrative simplification processes included in the Patient Protection and Affordable Care Act immediately,
  • To reevaluate signature requirements associated with insurance payers’ requests for additional documentation
  • To free physicians from the current complicated requirements for prescribing supplies for patients with diabetes
  • Cain also used his letter to HHS to reiterate the AAFP’s long-standing cry for more appropriate pay for family physicians
  • The AAFP argued for the creation of separate primary care evaluation and management codes for office or other outpatient services to patients.

After listing all this garbage I realized that if one was to apply Occam’s Razor, like we so often do in treating patients, that the way to fix all this is to go into Direct Primary Care.  None of the above would apply!  If the AAFP just said to (or threatened) the government that their next step would be to help, promote, market and enable their members to go into Direct Primary Care then they make some headroom with the HHS.  But, alas, the AAFP sticks its nose up in the air and snubs this small but growing splinter group of docs and instead chooses to pounce themselves and their members into extinction.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]