Advocacy News

Aetna recently announced, without proper notice and without educating Academy members, that it will soon require preapproval for all cataract surgeries (PDF) in ambulatory surgery centers and outpatient departments.

What Medicare reimbursement and physician payment reforms are on the horizon and how does Medicine break out and restore equity for physician payment?

At Mid-Year Forum 2021, health care leaders and Academy members discussed the burdens of step therapy and how we can advocate for change within the Biden administration. 

We’re leading a large coalition to lobby federal health agencies.

Physicians are required to comply with information blocking regulations as of April 5.

The promised exemption takes effect May 1 for facilities with 90% initial approval rate. 

The agency's final rule promises a better health care experience for patients, burden reductions for providers.

Congress’ deal infuses $3 billion into the physician payment system to reduce the negative effect of the policy changes for evaluation and management (E/M) services that the Centers for Medicare & Medicaid Services (CMS) will implement in January.

We’re working to make sure that a demonstration plan that becomes effective Jan. 1 won’t limit patients’ access to treatment.

The Centers for Medicare & Medicaid Services (CMS) on Wednesday finalized a rule that includes a 2.4% increase in payment for ambulatory surgery centers in 2021, but expands prior authorization for procedures performed in hospital outpatient departments.