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Advocacy News

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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Ophthalmologist Raj Maturi, MD, with a patient in his clinic.
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Featured News

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.

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December 3, 2025
How Two Controversial Medicare Policies Attack Surgical Care

The Academy’s team of health policy experts have analyzed finalized Medicare policies slated to begin Jan. 1, 2026, and outline the details of the most controversial policies. We are running out of time for Congress to act and stop these policies from harming your patients. Act today.

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November 24, 2025
CMS Finalizes 2026 2.6% Pay Increase for Hospital Outpatient Departments, ASCs

The final rule could affect about 4,000 hospital outpatient departments and 6,000 ambulatory surgical centers (ASC).

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November 19, 2025
CMS Reverses Course on NCCI Edits for Key Imaging Codes Following Academy Advocacy

The Academy's persistent and expert advocacy is securing sight saving wins for patient access to essential vision care.

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October 8, 2025
Humana to Correct Some Claim Denials Following Academy Action

The payer told the Academy it has started to correct some previously denied claims. Here is what Academy members need to know.

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A closeup photo of an intravitreal injection
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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 24, 2025
Academy Opposes New Prior Authorization Demo for ASCs

What you need to know about CMS’ plan to expand prior authorization for some ambulatory surgical center services in 10 states.

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An exterior shot of a building with a sign that reads "Hubert H. Humphrey Building, 200 Independence Avenue, SW, U.S. Department of Health and Human Services"
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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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September 9, 2025
Advocacy Works: Humana Removes Ophthalmologists From Downcoding Program

Responding to our members, the Academy worked for months to secure this change to protect your time and the financial stability of your practice.

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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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August 6, 2025
CMS Ignores Global Surgical Post-Op Visit Payment Parity, Focuses on Global Surgical Packages

The Academy plans to comment on this payment inequity that unfairly underpays physicians for post-operative evaluation and management visits bundled in global surgical codes.