The Show-Me-State Update is your source for the latest news and information impacting the medical community. Time-sensitive information and requests related to healthcare, advocacy issues, and professional development opportunities from MAFP are included.

January 2026 – MAFP News & Events

Last Call! MAFP Board of Directors and Nominating Committee Applications

Applications close: January 16, 2026

At our Annual Meeting on November 7, 2025, the membership unanimously approved revised bylaws that modernize and streamline MAFP’s governance structure. These updates are designed to make MAFP leadership more accessible, more inclusive, and better aligned with the evolving needs of family physicians now and in the future. With this new structure, more members than ever will have meaningful opportunities to help guide the future of our Academy.

We are now accepting applications for members interested in shaping the future of MAFP on the MAFP Board of Directors and the Board Nominating Committee.

Why Serve?
Leadership roles within MAFP offer the chance to:
• Influence decisions that impact Missouri’s family physicians, your patients, and your communities
• Advocate for the future of family medicine in our state
• Connect with colleagues who share your commitment to primary care
• Build leadership skills that support your professional growth

Who Should Apply?
Anyone interested in contributing! Whether you’re early in your career, mid-career, or a long-time physician leader, the revised bylaws were created to welcome a broad range of voices and perspectives. If you’ve ever thought about getting involved, now is the perfect time.

Great nonprofit board members share a mix of character, commitment, and practical skills. They show up prepared, engage thoughtfully, and make decisions with the mission of the organization at the center. They ask good questions, listen actively, and balance strategic vision with a willingness to roll up their sleeves when needed. They bring diverse perspectives, uphold fiduciary responsibility, and hold the organization accountable with equal parts support and candor. Above all, the best board members champion the mission, act with integrity, and work collaboratively to help the organization thrive. Serving on the MAFP Board requires dedication, a wide lens to benefit all family physicians, and strong commitment to the strategic success of MAFP.

The new board members will be instrumental in a strategic planning session scheduled for May 29-31, 2026. This dynamic weekend will identify priorities and set the direction of MAFP for years to come.

We fully understand some members may not be at a place in their professional lives that they can dedicate appropriate time and attention to serving on the MAFP board but care about the organization. Your perspective is still important, and I encourage you to consider applying for the MAFP Nominating Committee to help ensure we have the right people in the right seats.

How to Apply
Applications are open for both the Board of Directors and the Nominating Committee. Please apply for one or the other, but not both. Both applications are designed to ascertain enough information to make an informed decision without being burdensome to complete.

Nominating Committee Application Timeline
Applications close: January 16, 2026
Nominee Publication: February 6, 2026
Apply here!

Board of Directors Application Timeline
Applications close: January 16, 2026
New board starts: February 24, 2026
Apply here!

Board Positions Available
• Up to nine (9) MAFP members put forth by the nominating committee and ratified by the membership
• Standard terms are three (3) years
• For the initial board under the revised structure:
• Three members will serve three-year terms
• Three members will serve two-year terms
• Three members will serve one-year terms
• Board members may serve one additional three-year term

The Board Nominating Committee chaired by outgoing Chair Afsheen Patel, MD, and composed of five additional members will nominate nine MAFP members. These nine nominees, along with eight ex-officio members (for a total of 17 board members as outlined in the bylaws), will be presented to the membership for ratification at a special meeting in February.

Read a full description of board composition and the selection process in the MAFP Bylaws.

Any questions, please email Bill Plank at bplank@mo-afp.org.

Your Voice Matters: Help Shape MAFP’s Future

As the Missouri Academy of Family Physicians looks ahead, we want to be guided by what matters most to you. MAFP leadership will gather for a strategic planning session in late May to reflect on where we are and, more importantly, where we should go next. Your input will play a vital role in shaping that conversation.

We invite all MAFP members to complete a brief survey designed to gather your perspectives on priorities, opportunities, and challenges facing family medicine in Missouri. The survey was designed to be completed in under three minutes by using intuitive sliders to rank how MAFP should prioritize what matters to you. It also gives respondents the ability to expand their thoughts in text boxes as they wish. Whether you’re early in your career, well-established in practice, or somewhere in between, your experiences and ideas will help ensure MAFP’s work remains relevant, responsive, and physician-driven by providing quantitative and qualitative data to our strategic planning session. The survey is open to all current and future family physicians in Missouri.

The survey is short, confidential, and impactful. Taking just a few minutes now will help guide decisions that influence MAFP’s advocacy, education, and support for family physicians in the years ahead.

Thank you for your engagement, your leadership, and your continued commitment to family medicine. We’re grateful for your voice—and we look forward to putting it to work.

Represent Missouri at the AAFP National Conference of Constituency Leaders (NCCL)

The Missouri Academy of Family Physicians invites you to consider serving as an MAFP representative to the AAFP National Conference of Constituency Leaders (NCCL). NCCL brings together family physicians from across the country to connect, learn, and engage in meaningful dialogue around leadership development, advocacy, and the future of family medicine Thursday, April 23, 2026 to Saturday, April 25, 2026 in Kansas City. It’s a unique opportunity to elevate the voice of constituencies in our state, share ideas, and bring back insights that strengthen our Academy and support family physicians statewide.

NCCL member constituencies include: 

• Physicians who identify as women and those physicians who are supportive of and aligned with the issues faced by this group
• BIPOC physicians and those physicians who are supportive of and aligned with the issues faced by this group
• New physicians (i.e., those who completed residency or extended training immediately following residency within the past 7 years) and those physicians who are supportive of and aligned with the issues faced by this group
• International Medical Graduates (i.e., those who graduated from a medical school outside the U.S., Canada, and Puerto Rico) and those physicians who are supportive of and aligned with the issues faced by this group
• Physicians who identify as LGBTQ+ and those physicians who are supportive of and aligned with the issues faced by this group

To encourage participation, MAFP will cover travel expenses in accordance with the MAFP travel policy, making it easier for you to take part in this national experience. Whether you are a seasoned leader or someone looking to deepen your involvement, your perspective matters and your participation will help shape conversations that impact our specialty.

If you’re interested in representing MAFP at NCCL, please apply at NCCL Delegate Interest – Fill out form to let us know. We would love to hear from you and are happy to answer any questions as you consider this rewarding opportunity.

More information at https://www.aafp.org/events/aclf-nccl/nccl.html.

2026 CME Opportunities & Call for Presentations

MAFP is pleased to offer two exceptional CME opportunities in 2026. Members are encouraged to register early.

“I enjoyed the shorter format, relaxed atmosphere, panel discussion and yoga. Very good topic for our practices.”

“That was so helpful and so much more than I was expecting!”

Women’s Health Symposium: Practical CME for Family Physicians 

August 28–29, 2026 | Springfield, MO 

Don’t miss this dynamic, highly engaging conference designed for family physicians who care for women across the lifespan. This unique educational experience follows a woman’s health journey from pre-teen years through their golden years, delivering practical, immediately applicable insights at every stage.  

Hosted at the beautifully renovated historic Hotel Vandivort in vibrant downtown Springfield, this conference combines high-quality CME with a relaxed, collegial atmosphere. Learn from expert faculty, exchange clinical pearls with peers, and participate in interactive group consults that tackle real-world challenges in women’s health. You’ll leave energized, connected, and better equipped to provide exceptional care with both new knowledge and new professional friendships. 

“That was so helpful and so much more than I was expecting!”
— 2025 Obesity Symposium Attendee 

“I enjoyed the shorter format, relaxed atmosphere, panel discussion, and yoga. Very good topic for our practices.”
— 2052 Obesity Symposium Attendee 

Registration Rates 

• $325 – MAFP Member 
• $375 – Non-Member 
• $250 – One-Day MAFP Member 
• $300 – One-Day Non-Member 

Register: https://www.mo-afp.org/symposium/ 

Hotel Accommodations – Hotel Vandivort is offering an exclusive discounted room rate for Women’s Health Symposium attendees. 

• Rate: $199 + taxes per night 
• Arrival: Friday, August 28, 2026 
• Departure: Saturday, August 29, 2026 
• Reservation deadline: Monday, July 28, 2026 (subject to availability thereafter) 

Book your room
Hotel Vandivort Booking Link: https://be.synxis.com/?Hotel=47446&Chain=6052&arrive=2026-08-28&depart=2026-08-29&adult=1&child=0&group=M2SC888 

Note: During the booking process, guests must indicate who will be paying for the reservation in the “Special Requests” box. 

34th Annual Fall Conference 

November 13–14, 2026 | Lake of the Ozarks 

“The people! The leaders. The speakers. The curriculum. Terrific conference!”
— 2025 Annual Fall Conference Attendee

“Great variety of topics—most of which I will use in my practice.”
— 2025 Annual Fall Conference Attendee

Early-bird registration discount is available until 9/1/2026, so register early!
Register: https://www.mo-afp.org/cme-events__trashed/annual-fall-conference/ 

Call for Presentations: Proposal submissions for the Annual Fall Conference are open through March 1, 2026. Submit a proposal: https://www.mo-afp.org/cme-events/call-for-presentations/ 

Additional details on 2026 CME Opportunities, including confirmed speakers and session topics, will be announced soon. 

For questions, contact Andrea Holloway, MAFP Member Experience Manager, at aholloway@mo-afp.org or (573) 635-0830 

Family Physician Advocacy Day

You have had a significant impact on legislation over the past several years, and we need you to continue to be the voice of Missouri Family Physicians by participating in Advocacy Day on February 23-24, 2026. This event will be held at the Courtyard Marriott, Jefferson City.

Monday, February 23, is dedicated to Advocacy Education for residents, students, new physicians, or anyone interested in enhancing their legislative and personal advocacy skills. Attendees will visit with their representatives and senators on Tuesday, February 24.

We encourage you to invite a colleague, medical student, or resident to join you to promote the importance of family medicine and primary care. This is your opportunity to educate your State Senator and State Representative on issues that affect you, your profession, and your patients. YOU make a difference!

Registration for Family Physician Advocacy Day is free. Make your lodging reservation at the Courtyard Marriott, 610 Bolivar Street, Jefferson City, MO 65101, (573) 761-1400. Be sure to reference the Missouri Academy of Family Physicians to receive the discounted rate of $134 per night. The last day to make a reservation in our block is January 2, 2026. Any reservations made after that date are subject to availability.

More information, including registration, can be found at https://www.mo-afp.org/advocacy/advocacy-day/.

Your Voice. Your Experience. Your Impact.

No matter your stage in practice, your voice matters—and we want to hear from you!

The Missouri Academy of Family Physicians is looking for article submissions for upcoming magazine issues. Share your knowledge, expertise, and accomplishments that can benefit, inform, or inspire your fellow family medicine physicians—whether it’s a promotion, award, research findings, clinical insight, emerging trend in your specialty, or unique experience from the field.

Use the Article Submission Form to submit your article for consideration. Medical students and residents are encouraged to submit scholarly articles or case reports with physician collaboration. Subspecialist physician colleagues are also invited to contribute content that supports family medicine.

For more info, contact Andrea Holloway, Member Engagement Manager, at aholloway@mo-afp.org.

Let’s build something meaningful together.

Your Journey Is Our Purpose

Navigating your career path is easier with a partner at your side. For family physicians, that’s the AAFP and MAFP.

As a current AAFP and MAFP member, you know that through both the national arm and Missouri Academy of Family Physicians you’ll grow your leadership skills, learn from the journals, ensure you are compensated fairly, access practice tools, help advocate for your specialty—and that’s just the tip of the iceberg.

Look to MAFP for networking, educational workshops, leadership opportunities and regional advocacy. We’re here to support you throughout your professional journey. All these reasons are why we’re better together. Stronger together. Thank you for your membership. We look forward to continuing to work together.

Ready to Renew?
Let’s continue to work together for family medicine. It’s easy to renew your AAFP membership for 2026 now to ensure access to everything this membership provides.

Renew Today

Contact the MAFP team at marketing@mo-afp.org or (573) 635-0830 if you have any questions.

Rural Health Transformation Funding Announced

The Missouri Academy of Family Physicians (MAFP) is sharing an update with members following the announcement that Missouri has been awarded more than $216 million in first-year funding through the federal Rural Health Transformation Program (RHTP), a multi-year initiative intended to support healthcare delivery and innovation in rural communities.

The RHT Program is designed to strengthen rural health systems by investing in areas such as:

• Improved care coordination across hospitals, clinics, and community-based organizations
• Support for primary care and behavioral health integration
• Modernization of rural healthcare infrastructure, including data sharing and care management tools
• Workforce support and practice transformation efforts aimed at long-term sustainability
• Strategies to address health disparities and improve access for underserved rural populations
• For family physicians practicing in or serving rural communities, these investments may help stabilize local health systems and support innovative models of care that meet patients where they are.

At the same time, MAFP remains mindful of the broader policy landscape. While targeted programs like RHTP may offer meaningful opportunities, recent and proposed federal funding reductions raise ongoing concerns about patient access to care and the financial stability of physician practices, particularly in rural areas where resources are already limited.

MAFP will continue to monitor how these funds are distributed and implemented by the state, including how they intersect with MO HealthNet and other federal and state programs that directly affect family medicine. We will remain engaged and keep members informed as additional details become available. We will continue to advocate for policies that promote stable, sustainable access to comprehensive primary care for all Missourians.

New Streamlined Recognition Program

The AAFP is launching a fully refreshed recognition program that will make it easier for chapters and individuals to participate in nominations for awards and other AAFP recognitions. The program was announced at the 2025 Congress of Delegates and Family Medicine Experience (FMX). 

The new program streamlines nominations (including self-nominations) for recognitions into four categories: 

• Leadership 
• Mentorship & Teaching 
• Service & Community Engagement 
• Career Longevity & Special Accomplishment  

Chapters may still nominate members and/or provide written recommendations for recognitions, but these supporting actions will now be optional. In addition, a new optional scale allows chapters to quickly express their level of support for a nominee without having to write a letter of recommendation. 

The new system includes a form allowing individuals to request support from their chapter. When the form is completed by a MAFP member, MAFP will receive a link allowing us to write a recommendation and/or check a box to indicate that we are: 

• Familiar with the member and highly supportive of the nomination 
• Familiar with the member and supportive of the nomination 
• Familiar with the member and neutral on the nomination 
• Familiar with the member and not supportive of the nomination at this time 
• Not familiar with the member  

Visit the AAFP Awards page at aafp.org/awards  for details. Nomination period will close February 15, 2026. 

AAFP’s Positions Regarding Recently Adopted and Updated Immunization Recommendations for the 2025-2026 Season

Family physicians play a pivotal role in delivering preventive care, and it is crucial that coverage and payment policies are in harmony with evidence-based guidance to ensure patient access. To aid in this effort, the AAFP has published its 2025-2026 immunization schedules to serve as a practical tool for family physicians.  

Family Medicine Advocacy Rounds – Issue 42, December 2025

Welcome to Family Medicine Advocacy Rounds — the American Academy of Family Physicians’ monthly tip sheet to educate, engage and update you on the latest policy issues affecting family physicians and their patients. 

Family Physicians Respond to 2026 Medicare Physician Fee Schedule

The AAFP welcomed new provisions in the 2026 Medicare physician fee schedule that strengthen primary care. Key changes include:

• fairer payments for medical services, 
• more support for small and independent practices, 
• expanded home care options through the G2211 add-on code and 
• optional add-on codes to support behavioral health integration. 

We are also encouraged that CMS will be increasing the conversion factor for 2026 by 3.77% for qualifying advanced alternative payment model participants and 3.26% for all other physicians. These updates reflect CMS’ commitment to supporting primary care. However, most of the increases for 2026 are temporary adjustments attributable to H.R. 1, which will expire at the end of 2026.  

To sustain this progress, we urge Congress to take action to prevent another payment cliff, which would leave practices struggling to keep pace with inflation despite the promising direction set by CMS. Read our full statement here.  

Additionally, Primary Care for America hosted a deep dive briefing with leaders from CMS and in the health policy space. You can watch the full recording here. 

Leading Physician Groups: Department of Education’s PSLF Rule Will Hurt Patients and Physicians

The AAFP, along with the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the American College of Physicians, the American Osteopathic Association and the American Psychiatric Association, expressed alarm over the U.S. Department of Education’s final rule undermining the Public Service Loan Forgiveness program, a vital pathway that has enabled thousands of physicians to serve rural and underserved communities.  

Loan forgiveness is a powerful tool to attract and retain physicians in public service, rural health care settings and nonprofit roles, particularly in primary care and psychiatry, where workforce shortages are most severe. Read our full statement here.  

The AAFP previously wrote comment letters to the U.S. Department of Education, emphasizing that addressing the burden of student loan debt for physicians and medical students is an essential step to improving our nation’s health care system. We have repeatedly urged the agency to recognize that:  

• Implementing H.R.1 loan provisions in ways that support future primary care physicians will strengthen the health care workforce in the long term.  
• Minimizing administrative burdens on medical students is crucial to those students successfully accessing federal debt relief programs that enable them to choose the practice environment that best suits them.  
• Protecting GRAD PLUS loans is critical to supporting medical students.  
• Supporting the PSLF program as an important tool in building a strong primary care workforce will contribute to a healthier America with fewer chronic diseases.

AAFP Leaders Call on Lawmakers to Support Telehealth, Workforce, Medicare Payment  

Why it matters: AAFP President Sarah Nosal, MD, FAAFP; Board Chair Jen Brull, MD, FAAFP; and President-elect Kisha Davis, MD, FAAFP, met with lawmakers in Washington, D.C., to champion legislative policies that would bolster access to care.  

AAFP Supports Hepatitis B Vaccination at Birth  

Why it matters: On December 5, the Advisory Committee on Immunization Practices voted to overturn the recommendation that all newborns get a hepatitis B shot within hours of birth. Since universal birth dosing began in 1991, pediatric HBV infections have dropped by more than 95%. 

A 2024 CDC analysis of children born after implementation of the birth-dose recommendation found that it prevented 6 million+ infections and nearly 1 million hospitalizations. Protecting infants early reduces the long-term burden of liver cancer, cirrhosis and liver transplantation (which can exceed $320,000 per patient per year). 

What we’re working on:  

• The AAFP issued a statement that reiterated how removing the universal recommendation for hepatitis B vaccination could result in thousands of chronic HepB infections, leading to severe complications, including liver cancer and death. We called on the CDC to ensure that this safety net continues to protect newborns.

• AAFP Chief Medical Officer Margot Savoy, MD, FAAFP, expressed concern to the Washington Post that patients will be more confused about vaccine efficacy, and that the overall process could become more complicated by potentially subjecting babies to extra blood tests—which would require multiple doctor visits because those tests typically must be sent to a lab for evaluation. 

• AAFP President Sarah Nosal, MD, FAAFP was quoted in the Associated Press and NBC News about the importance of the patient-physician relationship and the role physicians play in providing guidance about vaccines. 

• Dr. Nosal also participated on a panel with the Infectious Disease Society of America, where she shared her experiences with hepatitis B vaccination in her practice. 

IRS Finalizes Guidance Allowing HSAs to Pay for Direct Primary Care 

The IRS released a notice formally implementing H.R. 1’s provision that allows patients to use Health Savings Accounts (HSAs) to pay for Direct Primary Care (DPC) services. The AAFP was supportive of this provision because DPC provides flexibility for physicians and can improve access to care for patients.  

For years, the IRS treated DPC arrangements as health plans, which blocked patients from both contributing to an HSA while under a DPC arrangement and from using HSA dollars to cover DPC fees. 

H.R. 1 clarified that DPC arrangements are not health plans for HSA eligibility, and the new IRS FAQs confirm that DPC fees are reimbursable from HSAs. The guidance also outlines guardrails on what qualifies as DPC and notes two additional changes: permanent extension of the telehealth safe harbor and an updated definition of high-deductible health plans to include Bronze and Catastrophic plans. 

Robert Graham Center Research: Rural U.S. Loses 1 in 9 Family Physicians in 6 Years 

A new study in the Annals of Family Medicine shows that the rural family physician workforce has continued to shrink — down 11% between 2017 and 2023 — underscoring persistent gaps in primary care access. The analysis, led by Colleen Fogarty, MD, MSc, and researchers at the AAFP’s Robert Graham Center, found declines across every region, with the Northeast experiencing the sharpest drop (15.3%) and the West the smallest (3.2%). There was one encouraging trend: The share of women practicing family medicine in rural communities grew from 35.5% to 41.8% over the same period. 
 

CMS Unveils New Tech-focused ACCESS Model 

The Centers for Medicare and Medicaid Innovation (CMMI) recently announced a new 10-year voluntary alternative payment model focused on technology-enabled chronic care management. The AAFP welcomed the model’s direction and emphasized the importance of ensuring that patients have access to effective, evidence-based tools while keeping the patient-physician relationship central to care delivery. The AAFP looks forward to continued collaboration with CMMI as the model develops. 

AAFP Asks DOJ, FTC to Examine Anti-competitive Health Plan Downcoding 

Why it matters: The growing practice of “downcoding” by health plans is quietly undermining the financial viability of independent primary care practices and potentially distorting competition in the health care marketplace, to the detriment of American patients, who rely on these physicians for their care.  

When a service is downcoded, practices must choose between accepting the lower payment or appealing the claim. But the latter option may be prohibitively expensive. For small practices, this can result in tens of thousands of dollars in annual losses, excluding lost revenue from underpaid claims.  

What we’re working on:  

• The AAFP wrote to the Federal Trade Commission, the Department of Justice and CMS, asking them to investigate the practice of downcoding and urging the agencies to 
• investigate the use and impact of downcoding algorithms by health plans; 
• require disclosure of downcoding criteria and ensure uniform application, including to health plan–owned practices; 
• mandate streamlined, transparent appeals processes with clear standards and timelines; and 
• engage physicians and regulators in oversight of these practices. 

AAFP Provides Feedback to FDA on Real-world Evaluation of AI-enabled Medical Devices 

Why it matters: The U.S. Food and Drug Administration is seeking input on how best to measure and evaluate the real-world performance of AI-enabled medical devices.  

This is critical because AI tools can behave differently in everyday clinical practice than they do in controlled testing environments. Without careful monitoring, these changes could affect the safety, accuracy and effectiveness of diagnoses or treatments, potentially impacting patient outcomes. Ensuring robust, ongoing evaluation helps protect patients, supports physicians in making reliable clinical decisions and maintains trust in emerging medical technologies. 

 What we’re working on: In comments submitted recently, the AAFP emphasized that real-world data and ongoing testing are essential to ensuring that AI tools remain safe, effective, fair and transparent. Our letter outlines key policy principles and targeted recommendations to help the FDA strengthen oversight while protecting patient safety and supporting the patient-physician relationship. 

AAFP Joins Call to Withdraw HIPAA Cybersecurity Proposed Rule 

The AAFP signed onto a letter with more than 100 medical societies urging HHS to withdraw its proposed updates to the HIPAA Security Rule. Our letter cited significant implementation and financial concerns for small and independent practices.  

While the AAFP supports strengthening cybersecurity protections for electronic protected health information, the proposed rule includes unrealistic compliance timelines and costly requirements that could disproportionately burden physicians. In the letter, we urged HHS to work collaboratively with stakeholders to develop practical, effective cybersecurity guidance. 

AAFP Urges Congress to Act on Rising Health Care Costs 

Why it matters: As the entry point for many patients to the health care system, family physicians see firsthand how rising health care costs impact individuals and their health outcomes. Our health care system should not be forcing patients to decide between seeking care or buying their groceries for the week. It is critical that Congress takes steps to lower costs and empower patients.  

What we’re working on: The AAFP recently submitted a letter to the Senate Finance Committee to urge it to support policies that 

• increase investment in primary care and track how much different payers spend on it; 
• reduce or eliminate out-of-pocket costs for patients seeking primary care; 
• fix payment and market incentives that encourage consolidation, reduce competition and drive-up prices; and 
• continue financial assistance that helps people afford health insurance through the Marketplace 

Advancing these reforms will help ensure patients can access comprehensive, high-value primary care while lowering financial burdens and improving health outcomes nationwide. 

AAFP Applauds Reauthorization of the SUPPORT Act 

The AAFP applauds the bipartisan reauthorization of the SUPPORT Act. The law extends essential programs that prevent substance use disorders, expanding access to evidence-based treatment and strengthening the primary care workforce needed to care for patients. Importantly, it ensures that family physicians can continue delivering comprehensive, patient-centered care to those affected by SUD—supporting recovery, reducing harm and improving health in every community. 

What We’re Reading 

• AAFP EVP and CEO Shawn Martin spoke to Modern Healthcare about the practice of downcoding and how it hurts primary care physicians and patients.

• AAFP Board Chair Jen Brull, MD, FAAFP, spoke to Healthcare Brew about a new Commonwealth Fund study showing increasing clinician burnout. “The good news is we know what helps. When we can cut unnecessary burdens like prior authorization, invest in growing the next generation of primary care physicians, and support physicians’ mental health, we will see real improvements,” she said.  

• Martin was also a guest on Aledade’s ACO Show podcast to discuss the challenges with the future of primary care, particularly independent primary care practices, and how value-based care is a solution.