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.
Sidney Gicheru, MD: ‘The Next Generation of Ophthalmologists Deserves This’
Sidney Gicheru, MD, medical director at Laser Care Eye Center in Dallas, was one of the top three fundraisers for the Academy’s special Protect Veterans’ Eyesight initiative this year. He recruited more than 85 of his friends and colleagues to donate to help defend the highest quality surgical eye care that our veterans deserve. We asked what motivated him.
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September 20, 2023
Congress Puts Department of Veterans Affairs on Notice
Academy CEO Stephen McLeod, MD’s, testimony before the House Veterans’ Affairs Subcommittee on Health has helped put a spotlight on the Department of Veterans Affairs development of national standards or practice for optometry.
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September 18, 2023
Academy CEO Testifies to House Subcommittee on VA Eye Care
Academy CEO Stephen D. McLeod, MD, was among the leaders of organized medicine who testified Tuesday in Washington, D.C., to the House Veterans’ Affairs Subcommittee on Health, arguing for surgery by surgeons in VA health facilities.
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September 6, 2023
Ophthalmology Highlights Surgical Training at Department of Veterans Affairs Listening Session
Academy leaders made the case for protecting veterans’ access to quality eye care at an Aug. 31 listening session, hosted by the U.S. Department of Veterans Affairs (VA). The listening session is part of the VA’s efforts to develop national standards of practice for health care workers, including optometrists.
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September 6, 2023
Inspector General Plans Increased Oversight of Managed Care
With a growing number of Medicare and Medicaid beneficiaries enrolled in managed care arrangements, the Department of Health and Human Services Office of Inspector General plans to scrutinize the programs to address waste, fraud and abuse.
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August 16, 2023
Academy Responds to Episode-Based Payment Model Request for Information
As policymakers look to drive new payment models, the Academy outlined how we believe the Centers for Medicare & Medicaid Services can make new payment models accessible to medical specialties like ophthalmology.
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August 2, 2023
Humana Drops Prior Authorization for Cataract and YAG Procedures in Georgia
In a win for patients, Humana announced it will stop requiring prior authorization for cataract and YAG surgery for Medicare Advantage members in Georgia, effective Aug. 1.
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July 19, 2023
CMS Proposes 2.8% Pay Increase for Hospital Outpatient, ASC Settings
About 3,500 hospitals and 6,000 ambulatory surgical centers (ASC) that perform ophthalmic procedures would be affected by the proposed pay hike.
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July 5, 2023
Academy to House: Recognize Importance of Medicare Payment Reform
We are working with Congress to fix Medicare’s broken payment system, highlighting the need to fix a physician payment program that fails to account for inflation and increasing practice costs.
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June 21, 2023
HHS and MedPAC Reports Encourage Significant Changes to Part B Drug Payment
HHS and MedPAC Reports Encourage Significant Changes to Part B Drug Payment The Academy is monitoring congressional reaction to these reports given that the recommendations would impact ophthalmologists.