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.
Academy Pushes Medicare Contractors to Expand Coverage for Botulinum Toxin
Members reported to the Academy and ASOPRS that prior authorization requests have been denied for medically necessary injections into the brow and corrugator/procerus muscles to treat blepharospasm.
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May 24, 2023
Academy Meets With Aetna on Prior Authorization Reforms
Florida and Georgia state societies joined the Academy in driving home the burdens of prior authorization.
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May 24, 2023
Surgical Scope Fund: Together We Champion Patient Safety
Your investment is crucial in helping us preserve quality eye care for patients and ensure that surgery is done by surgeons.
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May 23, 2023
Cigna Hits Brakes on Burdensome Modifier -25 Policy
Cigna’s action means that providers will not have to submit medical records to comply with the insurer’s now-delayed policy.
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May 17, 2023
Academy Renews Call for CMS to Restore Global Payment Equity
The latest meeting to challenge payment of global period post-operative visits stressed the complexity of medical decision-making.
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May 17, 2023
Medicare Advantage Overtakes Traditional Medicare Enrollment
In a historic development, the majority of all eligible Medicare beneficiaries are now covered through a Medicare Advantage plan rather than a traditional fee-for-service Medicare program.
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April 26, 2023
Cigna Delays Modifier -25 Documentation Requirements After Academy-Led Coalition Meeting
After sharing how this burdensome new policy will harm practices and patients, the insurer agreed to delay the requirement’s effective start date.
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April 26, 2023
House Veterans’ Affairs Health Subcommittee Seeks Answers on National Standards
The Academy joined a roundtable Wednesday morning with other stakeholders to answer questions from lawmakers on the development of national standards of care in Veterans Health Administration facilities.
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April 5, 2023
Final Medicare Advantage and Part D Rule Implements Academy Priorities
The 2024 rule implements reforms to Medicare Advantage plan coverage criteria requirements and to prior authorization that the Academy has supported.
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March 15, 2023
Veterans Groups Join Academy Call to Preserve Quality Eye Care
National veterans service organizations expressed their support for the Academy’s efforts to preserve quality surgical eye care in the Veterans Health Administration during annual congressional hearings.