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.
Surgeons Report Delayed Emergency Cataract Surgery Under New Aetna Policy
You play a critical role in our multipronged effort to overturn these new prior authorization requirements.
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June 30, 2021
Effective July 1: Aetna’s Harmful Cataract Policy Increases Patients’ Risks
As Aetna refuses to change its harmful policy, the Academy and the American Society of Cataract and Refractive Surgery are ramping up efforts to get it rescinded and protect patient sight.
June 15, 2021
Avastin Update: CMS, Medicare Payers Urged to Halt Step Therapy
As concern grows about Avastin shortages, the Academy and the American Society of Retina Specialists this week are pushing health plans to halt step therapy and prior authorization requirements imposed on alternative therapies to avoid further patient care disruption.
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June 8, 2021
New Aetna Policy: Ophthalmologists Must Get Preapproval on All Cataract Surgeries
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.
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May 6, 2021
Outlook for Physician Payment: Navigating a Rapidly Changing Landscape
What Medicare reimbursement and physician payment reforms are on the horizon and how does Medicine break out and restore equity for physician payment?
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April 28, 2021
Medicare Advantage Plans With Step Therapy Requirements Threaten Patient Outcomes
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.
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April 21, 2021
Academy Leads Call to Reinstate Step Therapy Ban for Medicare Advantage
We’re leading a large coalition to lobby federal health agencies.
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April 14, 2021
New HHS Rule Eases Patients’ Access to Health Records
Physicians are required to comply with information blocking regulations as of April 5.
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March 31, 2021
CMS Releases Guidance on HOPD Prior Authorization Exemption Pathway
The promised exemption takes effect May 1 for facilities with 90% initial approval rate.
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January 20, 2021
CMS Acknowledges Academy’s Prior Authorization Comments in Final Rule
The agency's final rule promises a better health care experience for patients, burden reductions for providers.