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.
The Centers for Medicare & Medicaid Services (CMS) is expected to issue guidance on handling unpaid telehealth claims soon.
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October 22, 2025
Government Shutdown Update: CMS Lifts Claims Hold for Most Services
The Centers for Medicare & Medicaid Services (CMS) has again reversed course and instructed Medicare administrative contractors (MACs) to lift the hold on the majority of Medicare claims with dates of service on or after Oct. 1.
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October 8, 2025
CMS Updates Guidelines on Intravitreal Injections and Modifier 25
The Academy is engaging CMS directly to resolve new inconsistencies around modifier 25 and ensure clear, accurate guidance for ophthalmology practices.
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September 17, 2025
Academy Pushes Back on CMS’ Harmful Proposals in Formal Comments
Drawing on member feedback, our formal comments detail how CMS’ proposals would disrupt surgical eye care, reduce practice stability, and threaten patient access.
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August 17, 2025
CMS Proposes Misguided Practice Expense Reductions in Draft 2026 Physican Fee Schedule
The Academy is concerned the proposed indirect practice expense reduction policy could accelerate health care consolidation across specialties. Here's what's at stake and how we're responding.
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July 30, 2025
CMS Will Apply Automatic MIPS Exceptions for Practices Following Texas Storms
CMS will automatically apply exceptions from Merit-Based Incentive Payment System (MIPS) reporting for clinicians affected by the strong winds and flooding during severe storms in Texas.
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July 28, 2025
CMS Proposes Problematic -2.5% Efficiency Adjustment for 2026
The proposed Medicare Physician Fee Schedule includes an unprecedented -2.5% efficiency adjustment. We have serious concerns. Here’s why.
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July 9, 2025
IRIS Registry Continues to Help Ophthalmologists Succeed in MIPS, Report Confirms
The Academy’s clinical data registry again helped our profession maximize scores in the Merit-Based Incentive Payment System.
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June 17, 2025
Academy Advocates for Stronger Data Interoperability in Ophthalmology
The Academy urges federal agencies to advance imaging interoperability in ophthalmology, reduce administrative burdens in quality reporting, and expand opportunities for specialists to participate in value-based care.
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May 28, 2025
Get Ready: 2023 Quality Payment Program Performance Data to Go Live
The Doctors and Clinicians Preview Period is now open from May 27 to June 25, 2025.