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.
MedPAC Explores Ways to Address Medicare Physician Payment Accuracy
The advisory group has been raising concerns about the current Medicare payment system and discussing ways to address rising practice costs.
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March 12, 2025
House Moves Funding Bill, Punts on Medicare Pay Fix
The chances of a Medicare fix in the funding bill are dimming, but the Academy and physicians in Congress will continue to push for an urgent solution.
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March 9, 2025
Act Now: Tell Lawmakers Not to Punt on Physician Payment
The House of Representatives plans to vote on legislation that would fund the government for the rest of 2025 but ignores the Medicare cuts that took effect on Jan. 1.
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March 5, 2025
Academy Health Policy Committee Sets Strategy for 2025 Key Advocacy Priorities
The Academy’s Health Policy Committee consulted with Academy staff on many of the top advocacy issues arising from the January 2025 Federal Secretariat meeting.
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February 26, 2025
Academy Pushes Against Humana Downcoding Higher-Level Claims
Responding to members’ request for assistance, the Academy is fighting policies that assign lower reimbursement for certain high-level services.
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January 29, 2025
Academy Leadership Sets 2025 Advocacy Priorities
Academy leaders have identified physician payment reform, reducing practice burdens, Medicare Advantage and Quality Performance Program issues, as well as military veterans’ eye care as some of our top federal advocacy priorities for 2025.
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January 29, 2025
Act Now: New Bill Would Eliminate Medicare Payment Cuts, Provide Inflationary Update to Physicians
A bipartisan group of our congressional champions has introduced new legislation to reverse the 2025 Medicare pay cuts and add 2% update to the conversion factor for the rest of the year. Help us build support for this much needed update.
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January 22, 2025
Momentum for Physician Payment Reform Grows With MedPAC Vote
The congressionally mandated advisory commission’s unanimous vote to recommend a single-year positive update to the Medicare Physician Fee Schedule connected to the projected increase in the Medicare Economic Index bolsters our position as we push Congress to address the Medicare 2025 pay cuts that went into effect on Jan. 1.
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January 22, 2025
First MIPS Value Pathway for Ophthalmology Available for 2025 Performance Year
This new reporting option is available for voluntary reporting for the 2025 MIPS performance year/2027 payment year.
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December 21, 2024
Congress Delays Medicare Payment Action
Congress has recessed and left Washington, D.C., for the year without addressing the impending cuts to Medicare payment, set to take effect Jan. 1, 2025, putting patient’s access to sight-saving care at risk.