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.
Cataract Cost Measure Scores May Have Errors, Academy Members Report
The Academy and ASCRS have alerted CMS to potential errors with cataract cost measure scores and called for the agency to immediately remedy the issue. Check your MIPS score and file a targeted review, using Academy suggested language, if necessary.
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September 6, 2023
Inspector General Plans Increased Oversight of Managed Care
With a growing number of Medicare and Medicaid beneficiaries enrolled in managed care arrangements, the Department of Health and Human Services Office of Inspector General plans to scrutinize the programs to address waste, fraud and abuse.
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July 5, 2023
Academy to House: Recognize Importance of Medicare Payment Reform
We are working with Congress to fix Medicare’s broken payment system, highlighting the need to fix a physician payment program that fails to account for inflation and increasing practice costs.
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June 21, 2023
HHS and MedPAC Reports Encourage Significant Changes to Part B Drug Payment
HHS and MedPAC Reports Encourage Significant Changes to Part B Drug Payment The Academy is monitoring congressional reaction to these reports given that the recommendations would impact ophthalmologists.
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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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September 14, 2022
Congress Seeks Feedback on Stabilizing Medicare Physician Payment System
Several of the Academy’s congressional champions and Visionary Award winners want you to tell them how Congress can protect physician payments.
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September 7, 2022
Academy Urges Congress, CMS to Collaborate to Reform Physician Payments
In a 50-plus-page letter to the Centers for Medicare & Medicaid Services administrator, we urged the agency to engage with Congress to ensure appropriate physician reimbursement and reform of the Medicare payment system.
The Academy will raise scope concerns over CMS’ plan to create a combined new ophthalmology and optometry specialty set under the Merit-Based Incentive Payment System, a concept the agency unveiled in its 2023 proposed Medicare Physician Fee Schedule.
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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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September 12, 2018
Academy Calls on CMS To Drop E/M Proposal, Preserve MIPS Credit for IRIS Registry Users in New Fee Schedule
We’re delivering a consistent message throughout our comments to CMS — let ophthalmologists do what we do best: deliver quality medical eye care