Rural Policy Research Institute

The Quality Payment Program (QPP) was established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The QPP consolidates existing Medicare pay-for-performance programs – the Physician Quality Reporting System, the Physician Value-based Payment Modifier, and the Medicare Electronic Health Record Incentive Program for Eligible Professionals – into a unified, cohesive program. MIPS is one of the two tracks of the QPP program and the regulatory framework for MIPs was originally provided by MACRA and CMS’s calendar year (CY) 2017 QPP final rule. This brief discusses changes to the original MIPS regulatory framework brought about by the Bipartisan Budget Act of 2018 and the CY2018 QPP final rule. Read it: Changes to the Merit-based Incentive Payment System Pertinent to Small and Rural Practices, 2018.


A special message from your KAFP President Jeremy Presley, MD, FAAFP of Dodge City:


If you have already completed the membership satisfaction survey, thank you for your feedback.

We thank each of you for your membership!


If you are an active member or resident with a Kansas license, you are eligible to serve as the Family Doctor of the Day (FDOD) at the Statehouse during the legislative session. Please check your calendars and see if you are available February 5, 19 or 26 to serve as FDOD. The month of January is filled (thank you!), now let’s get the month of February filled with volunteers!

Your time is appreciated! 

Upcoming open dates include:
February 5, 19, 26
March 5, 6, 11, 12, 13, 18, 19, 25, 26, 27, 28

Go to the FDOD web page for a complete calendar listing with instructions and to sign-up or contact Michelle Corkins at 316.721.9005.

FDOD volunteers report to the Capitol Building in Topeka at 9:00 a.m. and stay until 3:00 p.m. taking care of legislators, staff and sometimes even visitors who need medical attention.

Thank you to all of our FDOD volunteers!




What better way to support and advocate for your specialty than by attending 2019 Advocacy DayPlease join us on Wednesday, January 30, 2019 for an update on legislative issues expected to arise in the 2019 session and presentations on important topics such as Tobacco 21, Primary Care Spend, and a special training on how to best engage with legislators. Following Advocacy Day, you are invited to the Dillon House for a reception to mingle with legislators. This is our biggest legislative event of the year – don’t miss it!

Advocacy Day

623 SW 10th Ave. Topeka, KS
10:30 a.m. – 5:30 p.m.

Legislative Reception

Dillon House
404 SW 9th St., Topeka, KS
5:45 – 7:45 p.m.


A new rural policy brief is available from the RUPRI Center for Rural Health Policy Analysis: Trends in Hospital System Affiliation, 2007-2016

Previous work by the RUPRI Center showed significant growth in hospital system membership among non-metropolitan hospitals from 2007 to 2012. Re-examining data from the American Hospital Association through 2016 shows continued growth in system membership among all categories of hospital size, location, and Critical Access Hospital (CAH) status. However, the growth rate in system membership declined in metropolitan hospitals in the South census region and non-metropolitan CAHs in all census regions. The analysis also indicates that non-metropolitan CAHs and hospitals make up a small portion of hospitals in the largest healthcare systems. Non-metropolitan hospitals and non-metropolitan CAHs face unique challenges given the demographics of the population they serve, payer mix, and reimbursement levels.

Additional Resources: Trends in Hospital Network participation and System Affiliation, 2007-2012


Mark your calendars and plan to participate in this training focusing on buprenorphine treatment of opioid use disorder in an office-based setting. The standard Provider Clinical Support System (PCSS) will be presented and will qualify for the first half of training to receive the DATA 2000 buprenorphine waiver.

Buprenorphine Certification Course
Dec. 14, 2018  |  Noon to 5:15 p.m.
Hilton Garden Inn, Salina, KS
Presenters: Charles Allred, MD and Daniel Warren, MD

This course is sponsored by University of Kansas Wichita Family & Community Medicine.

Additional information and registration details will be coming soon. Contact the KHA Education Department if you have any questions.

This project is partially federally funded through KDHE-BCHS-FLEX Program. The FLEX program is managed by the Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services. Additional support is being provided by Kansas Medical Society and Kansas Hospital Association.


The American Board of Family Medicine has approved the Family Medicine Certification Longitudinal Assessment (FMCLA) pilot for 2019.  The longitudinal assessment pilot is an alternative to the one-day examination that will allow Diplomates to complete their 2019 examination requirement in an exciting new way.  FMCLA aligns with adult learning principles and is coupled with modern technology to promote enduring learning, retention and transfer of knowledge. This pilot is limited to Diplomates who are currently certified and are in the tenth year of certification due to end December 31, 2019.  Learn more about the FMCLA pilot on the ABFM website.


Kansas Academy of Family Physicians is seeking the best family doctors, family medicine teachers, and physician humanitarians in Kansas!  Your help is needed to recognize these individuals. KAFP is seeking nominations for the following awards:

Kansas Family Physician of the Year: This is the highest recognition KAFP awards annually.  Through it, KAFP recognizes involvement in community affairs and activities that enhance the quality of life of the community. >> Learn more and nominate.

Kansas Exemplary Teaching (two categories: full-time/part-time and volunteer): Through these annual awards KAFP recognizes members with exemplary teaching skills, who have implemented educational programs and/or developed innovative teaching models. >> Learn more and nominate.

Kansas Humanitarian Award: This award recognizes extraordinary and enduring humanitarian efforts. >> Learn more and nominate.

Please submit your nominations for Kansas family physician awards by Monday, December 31, 2018. Thank you in advance for sharing this information with your office manager.


Attention KAFP Members:

The Membership Satisfaction Survey closes Friday, November 30. Thank you if you have already completed the survey to help us better serve you.

If you have not already done so, please take a few minutes to complete the survey today.

The Kansas Academy of Family Physicians’ mission is to support and serve family physicians of Kansas as they advance the health of Kansans.



Don’t miss this opportunity to find out more about how you can improve your practice’s immunization rates and earn up to $4,900 in stipends.

KFMPIOC Program Webinar

Wednesday, November 28, 2018 | 12:00 – 1:00 p.m.

Target Audience:
Kansas Family Physicians and immunization staff interested in participating in a QI initiative to increase pneumococcal immunization rates in seniors.

Upon completion of the webinar, participants will have a greater awareness of:

  1. How this program incorporates the Office Champion model to improve pneumococcal immunization rates in seniors
  2. How practices will perform PDSA cycles and make systems changes to improve pneumococcal immunization rates in seniors
  3. How to apply for the KFMPIOC program

Carolyn Gaughan, MSE, CAE, Executive Vice President, Kansas Academy of Family Physicians
Erin McGuire, BS, Quality Improvement Consultant, Great Plains Quality Innovation Network

This program is funded by a grant from Pfizer and AAFP, who selected KAFP in a competitive grant proposal process, as one of three chapters participating in the grant. KAFP is pleased to work with Kansas Foundation for Medical Care (KFMC) on this program.