MedPAC Explores Ways to Address Medicare Physician Payment Accuracy
The advisory group has been raising concerns about the current Medicare payment system and discussing ways to address rising practice costs.
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March 12, 2025
House Moves Funding Bill, Punts on Medicare Pay Fix
The chances of a Medicare fix in the funding bill are dimming, but the Academy and physicians in Congress will continue to push for an urgent solution.
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March 9, 2025
Act Now: Tell Lawmakers Not to Punt on Physician Payment
The House of Representatives plans to vote on legislation that would fund the government for the rest of 2025 but ignores the Medicare cuts that took effect on Jan. 1.
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February 26, 2025
Academy Pushes Against Humana Downcoding Higher-Level Claims
Responding to members’ request for assistance, the Academy is fighting policies that assign lower reimbursement for certain high-level services.
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February 5, 2025
Automatic MIPS Exceptions for Practices Affected by California Wildfires
The Centers for Medicare & Medicaid Services (CMS) will apply the automatic extreme and uncontrollable circumstances (EUC) policy to eligible physicians in Federal Emergency Management Agency-designated counties in California.
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January 29, 2025
Act Now: New Bill Would Eliminate Medicare Payment Cuts, Provide Inflationary Update to Physicians
A bipartisan group of our congressional champions has introduced new legislation to reverse the 2025 Medicare pay cuts and add 2% update to the conversion factor for the rest of the year. Help us build support for this much needed update.
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January 22, 2025
Academy Supports Reforms Proposed for 2026 Medicare Advantage Program
Our comments support CMS’ plans to reform utilization management and recommend the agency adopt additional measures in its final rule to ensure access to medically necessary care.
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January 22, 2025
Momentum for Physician Payment Reform Grows With MedPAC Vote
The congressionally mandated advisory commission’s unanimous vote to recommend a single-year positive update to the Medicare Physician Fee Schedule connected to the projected increase in the Medicare Economic Index bolsters our position as we push Congress to address the Medicare 2025 pay cuts that went into effect on Jan. 1.
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December 21, 2024
Congress Delays Medicare Payment Action
Congress has recessed and left Washington, D.C., for the year without addressing the impending cuts to Medicare payment, set to take effect Jan. 1, 2025, putting patient’s access to sight-saving care at risk.
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November 20, 2024
Academy, ASRS Push Aetna to Stop Izervay Restrictions for Medicare Advantage Plans
The Academy and ASRS are working to minimize step therapy burdens by calling on Aetna to add Izervay to its 2025 Medicare Advantage Part B preferred drug list.