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Advocacy News

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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Ophthalmologist Raj Maturi, MD, with a patient in his clinic.
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Featured News

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.

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April 21, 2021
Academy Leads Call to Reinstate Step Therapy Ban for Medicare Advantage

We’re leading a large coalition to lobby federal health agencies.

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April 14, 2021
New HHS Rule Eases Patients’ Access to Health Records

Physicians are required to comply with information blocking regulations as of April 5.

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March 31, 2021
CMS Releases Guidance on HOPD Prior Authorization Exemption Pathway

The promised exemption takes effect May 1 for facilities with 90% initial approval rate. 

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January 20, 2021
CMS Acknowledges Academy’s Prior Authorization Comments in Final Rule

The agency's final rule promises a better health care experience for patients, burden reductions for providers.

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December 22, 2020
Congress Announces Year-End Deal That Mitigates 2021 Medicare Payment Cuts

Congress’ deal infuses $3 billion into the physician payment system to reduce the negative effect of the policy changes for evaluation and management (E/M) services that the Centers for Medicare & Medicaid Services (CMS) will implement in January.

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December 9, 2020
Academy Urges HHS to Halt Most Favored Nation Drug Pricing Demonstration

We’re working to make sure that a demonstration plan that becomes effective Jan. 1 won’t limit patients’ access to treatment.

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December 2, 2020
Prior Authorization for Hospital Outpatient Surgeries Expands Under CMS Rule

The Centers for Medicare & Medicaid Services (CMS) on Wednesday finalized a rule that includes a 2.4% increase in payment for ambulatory surgery centers in 2021, but expands prior authorization for procedures performed in hospital outpatient departments.

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November 10, 2020
2020 Health Policy

The year 2020 was a busy one for the Academy's health policy advocates. Here is a rundown of our top issues.

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October 21, 2020
CMS Agrees to Address Delays of Blepharoplasty Prior Authorizations

We raised your concerns about timely approvals; agency pledges improvement.

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September 30, 2020
Problems With CMS’ New Hospital Prior Authorization Process Result in Surgery Delays

The Centers for Medicare & Medicaid Services has repeatedly assured the Academy on several occasions that all MACs were ready to implement this policy change.