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 Medicare contractor updated its botulinum toxin injection coverage policy to clarify that single-dose vials may be split between multiple patients.
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July 30, 2025
CMS Will Apply Automatic MIPS Exceptions for Practices Following Texas Storms
CMS will automatically apply exceptions from Merit-Based Incentive Payment System (MIPS) reporting for clinicians affected by the strong winds and flooding during severe storms in Texas.
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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 23, 2025
Academy to Congress: Don’t Dismantle the National Eye Institute
The proposed NIH reorganization threatens sight-saving research — and the future of ophthalmology itself.
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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 16, 2025
Alaska Prior Authorization Reform Becomes Law
The law streamlines the prior authorization process through electronic systems, reducing delays and administrative burdens for Alaska physicians and patients.
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July 9, 2025
CMS Model Will Test Technology-Driven Prior Authorization in Medicare
Ophthalmology services aren't included for now. Learn how the WISeR Model works.
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July 9, 2025
IRIS Registry Continues to Help Ophthalmologists Succeed in MIPS, Report Confirms
The Academy’s clinical data registry again helped our profession maximize scores in the Merit-Based Incentive Payment System.
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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.