Advocacy News

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. 

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

New system comes with new bonuses and penalties as a means for emphasizing value over volume in patient care

Ophthalmology payments reduced by 1 percent as agency ignores RUC recommendations

A new law signed by President Obama last week extends cuts to Medicare physician pay through 2024. The law extends the 2 percent cut on physician pay caused by sequestration, across-the-board cuts in federal spending, through 2024. This is the second time in two months that lawmakers have enacted legislation that is funded by extending the cut to physician pay.

As of April 1, Medicare physician claims submitted for reimbursement are being reduced by 2 percent as part of across-the-board cuts in federal agency spending caused by the sequestration process. Costs for drugs administered by the physician that are included in those claims are also subject to the 2 percent cut.