Committee action in the House and Senate this week focused on Medicare, with hearings on Academy priorities to improve patient access to care, including policies to reform prior authorization and update the Medicare physician payment system.
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August 16, 2023
Academy Responds to Episode-Based Payment Model Request for Information
As policymakers look to drive new payment models, the Academy outlined how we believe the Centers for Medicare & Medicaid Services can make new payment models accessible to medical specialties like ophthalmology.
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July 5, 2023
Academy to House: Recognize Importance of Medicare Payment Reform
We are working with Congress to fix Medicare’s broken payment system, highlighting the need to fix a physician payment program that fails to account for inflation and increasing practice costs.
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May 23, 2023
Cigna Hits Brakes on Burdensome Modifier -25 Policy
Cigna’s action means that providers will not have to submit medical records to comply with the insurer’s now-delayed policy.
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May 17, 2023
Academy Renews Call for CMS to Restore Global Payment Equity
The latest meeting to challenge payment of global period post-operative visits stressed the complexity of medical decision-making.
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April 26, 2023
Cigna Delays Modifier -25 Documentation Requirements After Academy-Led Coalition Meeting
After sharing how this burdensome new policy will harm practices and patients, the insurer agreed to delay the requirement’s effective start date.
This unusual move by MedPAC, which advises Congress, signals growing awareness of the need for Medicare payment reform.
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December 7, 2022
CMS Released Proposed Rule That Could Ease Passage of Prior Authorization Reform Bill
We pushed CMS to release the rule, which would reduce the cost of this important bill to entice Senate action by the end of the year.
November 2, 2022
Academy Responds to Call for Medicare Physician Payment Reform Ideas
We shared several ideas on how to reform physician payment to address both the growing number of annual cuts you face and long-term stability for the Medicare system.
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September 14, 2022
Congress Seeks Feedback on Stabilizing Medicare Physician Payment System
Several of the Academy’s congressional champions and Visionary Award winners want you to tell them how Congress can protect physician payments.