News and views on the regulatory, legislative, and political issues impacting ophthalmology in Washington, D.C., and around the United States
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2027 Fee Schedule Proposes Cutting Pay to Physicians by 1.68%
The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare Physician Fee Schedule for 2027. Here are the highlights based on the Academy’s analysis. The Academy will work with our advocacy partners to ensure finalized policies support our members and their patients.
OPHTHPAC Helps Bring ‘Eye-Partisan’ Candidates to 119th Congress
The election results are in, and ophthalmology strengthened its voice on Capitol Hill in the next Congress. Help your profession prepare for the new Congress.
November 20, 2024
Academy to UnitedHealthcare: Add Ophthalmology to New ‘Gold Card’ Program
The “gold card” program would exempt certain practices from prior authorization requirements.
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November 20, 2024
New Add-On Code for Post-Operative Care Finalized in Medicare 2025 Rule
Learn about new add on code G0559 and how it can be used.
November 19, 2024
Act Now to Ensure Your Medicare Coverage Works for You
Advocacy for patients.
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November 18, 2024
K. David Epley, MD: Without a Seat at the Table, Our Voice Goes Unheard
A Surgical Scope Fund Committee member and former OPHTHPAC committee member explains how your contributions drive the Academy’s advocacy efforts.
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November 13, 2024
Ophthalmology Calls for Step Therapy Pause for Repackaged Avastin During Supply Chain Disruption
CMS signaled a willingness to review the request in its Nov. 12 meeting with the Academy and the American Society of Retina Specialists.
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November 13, 2024
Aetna Offers Step Therapy Bypass to Ophthalmologists Unable to Source Compounded Avastin
Practices can note access issues in precertification requests to be granted an exemption from step therapy requirements.
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November 13, 2024
CMS Finalizes Major Changes to MIPS Cost Performance Category
The changes include an updated scoring methodology which could improve scores for many ophthalmologists starting with the 2024 performance year/2026 payment year.
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November 6, 2024
Ophthalmologists Reelected to Arkansas and Kansas State Legislatures
Academy members William Clifford, MD, of Kansas, and Steven Magie, MD, of Arkansas, won their campaigns for state office.
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November 6, 2024
CMS Finalizes 2.9% Pay Increase for Hospital Outpatient, ASC Settings for 2025
The final rule could affect about 3,500 hospitals and 6,100 ambulatory surgical centers (ASC). Here are the key takeaways.