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Advocacy News

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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Ophthalmologist Raj Maturi, MD, with a patient in his clinic.
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Featured News

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.

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May 17, 2023
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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A doctor shines a light into a patient's eyes during an eye exam
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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.  

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January 18, 2023
Advisory Commission Recommends Increased Physician Payment

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.