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 only ophthalmologist in the House of Representatives spoke with us about her reelection campaign. You can support her through OPHTHPAC Direct.
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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 16, 2025
CMS Proposes 2.4% Pay Increase for Hospital Outpatient Departments, ASCs for 2026
The proposed rule could affect about 3,500 hospital outpatient departments and 6,100 ambulatory surgical centers (ASC).
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July 9, 2025
GOP Reconciliation Bill Makes Numerous Health Care Changes
The bill includes an additional 2.5% payment increase for the 2026 Medicare Physician Fee Schedule. See more and how the Academy worked to influence the process for you and your patients.
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July 2, 2025
Congress Expected to Pass GOP Reconciliation Budget Bill
The U.S. Senate has approved a Republican budget reconciliation bill that would give doctors a one-year 2.5% Medicare payment increase in 2026 and makes major changes to the Medicaid program. The House is expected to vote on the legislation later on Thursday after an all-night session.
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June 4, 2025
OIG Reviews Modifier 25 Usage With Intravitreal Injections
A new report examines modifier 25 billing patterns with intravitreal injections and outlines CMS plans for additional review.
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May 21, 2025
Academy Meets With Aetna on E/M Downcoding Policy
Here’s how ophthalmologists can request removal from the program.
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May 14, 2025
House Republican Budget Bill Includes Medicare Physician Payment Reforms
It does not include a fix for 2025 cuts, but the process is far from over. See where things stand after the Energy and Commerce Committee vote.
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May 7, 2025
Medicare Update: Payment Fix Introduced in Senate
The bill would eliminate the 2.8% cut to 2025 Medicare physician payment and provide an inflationary update to Medicare payments for the rest of this year. Call on your lawmakers to back this short-term fix.
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March 26, 2025
MedPAC Recommendation to Congress Continues Momentum for Physician Payment Reform
The new recommendations to Congress call for a single-year positive update to the Medicare Physician Fee Schedule.