Member Resources

Member Resources

Part of the TNAFP strategic plan is identifying and implementing ways the Academy can increase the tangible return it delivers to member physicians for their dues dollars. To that end, TNAFP has developed an intentionally small but valuable suite of physician-focused resources either through in-house expertise or through partnerships with select third-party partners.

These products and services are collectively designed to help family physicians in their practices and personal lives. Contact TNAFP staff with any questions.

Payment Resolution

Put the Academy’s in-house staff expertise to work for you and your practice when you need help resolving a payment issue.

Sometimes it is as simple as connecting with the right person who can act with authority on behalf of the payer. Other times, the influence of a 2,300-member organization can compel an insurance company to engage in productive dialogue when an individual physician or small group family practice cannot.

TNAFP has valuable connections with the major payers and will serve as your liaison and advocate when you have exhausted all other measures. From uncovering payer hassles to identifying practice-based improvements to correct and prevent denials, TNAFP will advocate on your behalf to escalate issues and work toward a successful resolution.

As a certified coder and auditor, TNAFP Director of Member Services Karen Baird has the knowledge and experience to review claims and medical records to help practices identify causes for payment and auditing issues and develop a remediation plan. She is also certified in healthcare compliance and can advise members on compliance-related matters.

Available services for TNAFP member physicians:

  • Direct support for resolving payer-related reimbursement disputes
  • Independent, influential liaison between physician practices and payers
  • Claim review and consultation
  • Advising on auditing and compliance issues

Contact Us

Karen Baird
Director of Member Services
615.370.5144
kbaird@tnafp.org

Value-Based Care

Cumberland Center for Healthcare Innovation (CCHI) is a TNAFP Preferred Partner. CCHI is a physician-led Accountable Care Organization started by Tennessee family physicians with the explicit purpose of helping independent medical practices remain independent and financially solvent. CCHI is uniquely comprised of independent primary care providers who provide high-quality healthcare to economically disadvantaged and underserved rural communities. Altogether, CCHI provides care for patients that reside in over half the state of Tennessee through their Medicare Shared Savings Program (MSSP), Medicare Advantage, and commercial contract relationships. Their unique model allows small clinics and groups to successfully navigate value-based care models to increase quality of care and generate additional revenue. From the start of their MSSP participation in 2012 to present, CCHI has successfully saved Medicare approximately $95 million and was ranked the #1 solely owned and operated ACO in Tennessee for Quality and Savings Rate in Performance Year 2022.

Contact

Amanda Randolph, Operations Manager
931.400.0011
amanda.randolph@cchi-tn.com

TNAFP is proud to also partner with Main Street Health, the nation’s largest provider of value-based care focused exclusively on serving rural America. The core of Main Street’s model is placing a locally hired Health Navigator (at no cost) in each clinic location to work alongside existing clinic staff to support their senior patients. Reducing provider burnout, supporting existing care teams and workflows, and driving extra revenue to the practice are key drivers for our model. The Health Navigator works well alongside existing quality initiatives like community health workers or CCM and uses Main Street’s proprietary technology to assist with care coordination with a focus on social determinants of health (SDOH) needs. Additionally, Main Street Health pays its partners a predictable, transparent, monthly revenue stream with no downside risk or upfront investment.

Visit mainstreetruralhealth.com to learn more, or watch a brief (4-minute) video about the company’s Health Navigators and their impact on patients and clinical staff.

Contact

Please contact TNAFP staff for assistance connecting to the appropriate Main Street Health representative(s), based on geographic location and practice type, among other factors.

Dave Chaney, Executive Director
615.370.5144
dchaney@tnafp.org

Legal Services

TNAFP has established a referral arrangement with Parker | Lawrence, a 40-year-old general civil practice law firm in Nashville, to connect members with professional legal counsel.

The firm will offer one hour of attorney time without charge to any TNAFP member. The first hour of attorney time includes all attorney time from the initial phone and/or email communications, any document review within the first hour, etc. After the first hour, the firm and the TNAFP member must choose whether to form an attorney-client relationship and agree upon any related fee arrangement. 

TNAFP engaged the firm specifically as an employment contract review resource for graduating residents and other physician members changing practice environments. Parker | Lawrence attorneys are available to consult and assist on any situation within their practice areas, however, including reviewing and interpreting employment contracts and related agreements, severance agreements, general employment law matters, and representing clients in employment-related litigation. 

The firm also has other practice areas, including but not limited to wills, probate, and estates.

Visit plcslaw.com to learn more about the firm or contact Brad Gilmore directly for a consultation.

 

Contact

M. Bradley Gilmore, Partner
615.915.5227 (direct)
bgilmore@plcslaw.com

Insurance

The American Academy of Family Physicians has endorsed the AAFP insurance program for more than 60 years to offer members access to a wide range of customized insurance options, including disability, life, health, long-term care, auto and homeowners insurance products, plus a member retirement savings program. AAFP Insurance Services, Inc. is a wholly owned subsidiary of the AAFP Foundation with governance from the AAFP Finance & Insurance Commission and a board made up of Academy members, so the program is uniquely focused on family physicians.  

 

 

Contact

800.325.8166
insurance@aafpins.com
aafpins.com