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.
Medicare Advantage Overtakes Traditional Medicare Enrollment
In a historic development, the majority of all eligible Medicare beneficiaries are now covered through a Medicare Advantage plan rather than a traditional fee-for-service Medicare program.
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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.
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April 26, 2023
House Veterans’ Affairs Health Subcommittee Seeks Answers on National Standards
The Academy joined a roundtable Wednesday morning with other stakeholders to answer questions from lawmakers on the development of national standards of care in Veterans Health Administration facilities.
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April 5, 2023
Final Medicare Advantage and Part D Rule Implements Academy Priorities
The 2024 rule implements reforms to Medicare Advantage plan coverage criteria requirements and to prior authorization that the Academy has supported.
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March 15, 2023
Veterans Groups Join Academy Call to Preserve Quality Eye Care
National veterans service organizations expressed their support for the Academy’s efforts to preserve quality surgical eye care in the Veterans Health Administration during annual congressional hearings.
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February 15, 2023
New Report Confirms Rising Prior Authorization Denials in Medicare Advantage Plans
The report from the Kaiser Family Foundation documents how Aetna uses prior authorizations to deny or delay medically necessary care.
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January 18, 2023
CMS Announces Timeline for Negotiated Medicare Drug Pricing
The key provision from the Inflation Reduction Act is not expected to affect ophthalmic drugs in the short term.