View the 2018 Principles of Health Care System Reform for full details of each topic listed below.

ACOFP's Position
  • Support policies that equalize reimbursement for primary care and specialty care.
  • Reward care provided by family medicine through reimbursement policies that are proven to ensure high quality patient outcomes and patient satisfaction.
  • Expand access to loans for medical students, and deferment and forgiveness of loans for medical students choosing family medicine.
  • Increase financial support to hospitals to establish residency programs in family medicine.
  • Expand Graduate Medical Education Funding - both Direct Graduate Medical Education and Indirect Medical Education - including: preserving existing alternative Graduate Medical Education programs such as the Teaching Health Centers Graduate Medical Education program, Title VII and others.


ACOFP's Position
  • Support primary care models that empower and reward PCPs who focus on prevention of chronic illness, manage those who have progressed and appropriately use specialists.
  • Equalize reimbursement across settings of care between primary care and specialty care so that primary care has the resources to provide the newest technology and to obtain health IT that assists with improving quality and reducing costs.
  • Support reimbursement policies that reward care provided by family physicians who are proven to ensure high quality and improved patient outcomes.
  • Expand the “Patients Over Paperwork” initiative.
  • Physicians should earn compensation for activities that are under the heading of “care coordination.” These activities are essential for improved outcomes and reduction of health care costs.


ACOFP's Position
  • Ensure recognition and inclusion of the social determinants of health and their overarching impact on healthcare in policy making.
  • Expand physician knowledge of population health and how it relates to the understanding of patient outcomes.
  • Expand telehealth access and billable codes for vulnerable populations in rural, inner-city and urban areas.
  • Preserve and enhance Medicare and Medicaid reimbursement for rural and underserved area physicians, including the facilities where they provide care (e.g., Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Critical Access Hospitals (CAHs) and Disproportionate Share Hospitals (DSHs).


ACOFP's Position
  • Support federal legislative and regulatory action that combats the opioid crisis, but does not impede access to opioids for legitimate indications and patients.
  • Support federal action on behavioral health including additional funding for mental health facilities and more physicians trained to manage these patients.
  • Support additional reimbursement for PCPs to provide high-level, in-office screening and make appropriate referrals to behavioral health specialists.
  • Lobby for parity in reimbursement for behavioral health screening and services.