The year 2020 was a busy one for the Academy's health policy advocates. Here is a rundown of our top issues.
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October 21, 2020
CMS Agrees to Address Delays of Blepharoplasty Prior Authorizations
We raised your concerns about timely approvals; agency pledges improvement.
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September 30, 2020
Problems With CMS’ New Hospital Prior Authorization Process Result in Surgery Delays
The Centers for Medicare & Medicaid Services has repeatedly assured the Academy on several occasions that all MACs were ready to implement this policy change.
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July 22, 2020
Nearly 200 Patient and Provider Groups Urge Removal of Barriers to Part B Drug Access
Societies urge agencies to eliminate prior authorizations barriers in Medicare Advantage plans.
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June 17, 2020
Academy Calls for Lifting Originating Site Restrictions, Increased Reimbursement for Telehealth
A recent Academy survey indicated that 13% of our members now say they use telehealth services to treat patients.
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May 13, 2020
Information Blocking Rule Outlines Fines for Violators
Vendor information blocking has hobbled efficient patient care, clinical data registry participation and clinical research for years without an available recourse for physicians.
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November 6, 2019
Fallout From E/M Overhaul in 2021 Could Be Twice as Bad as Overall Hit From This Year’s Cataract Cuts
Medicare’s forthcoming 2021 change to E/M reimbursement, as currently configured, will have a devastating effect on ophthalmology.
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November 6, 2019
CMS Finalizes Hospital Outpatient Department Fee-For-Service Prior Authorization — Including Blepharoplasty
Services provided outside of the hospital outpatient setting — including ambulatory surgery centers — are not subject to the new prior authorization requirements.
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August 7, 2019
Academy Analysis: MIPS Changes Reflect Some Good Cost-Measurement News, but Other Challenges Remain
Our efforts are securing relief from a problematic measure that has inappropriately attributed things like hernia repair costs to our members.