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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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July 22, 2020
Nearly 200 Patient and Provider Groups Urge Removal of Barriers to Part B Drug Access

Societies urge agencies to eliminate prior authorizations barriers in Medicare Advantage plans.

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June 17, 2020
Academy Calls for Lifting Originating Site Restrictions, Increased Reimbursement for Telehealth

A recent Academy survey indicated that 13% of our members now say they use telehealth services to treat patients.

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May 13, 2020
Information Blocking Rule Outlines Fines for Violators

Vendor information blocking has hobbled efficient patient care, clinical data registry participation and clinical research for years without an available recourse for physicians.

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November 6, 2019
CMS Finalizes Hospital Outpatient Department Fee-For-Service Prior Authorization — Including Blepharoplasty

Services provided outside of the hospital outpatient setting — including ambulatory surgery centers — are not subject to the new prior authorization requirements.  

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November 6, 2019
Fallout From E/M Overhaul in 2021 Could Be Twice as Bad as Overall Hit From This Year’s Cataract Cuts

Medicare’s forthcoming 2021 change to E/M reimbursement, as currently configured, will have a devastating effect on ophthalmology.

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August 7, 2019
Academy Analysis: MIPS Changes Reflect Some Good Cost-Measurement News, but Other Challenges Remain

Our efforts are securing relief from a problematic measure that has inappropriately attributed things like hernia repair costs to our members.

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July 31, 2019
Understanding Medicare’s Significant Cataract Cuts

Here’s what you need to know about what’s happening and how and why these cuts are occurring.

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May 22, 2019
New Analysis: CMS’ Step Therapy Plan Draws into Focus

The Academy has new details on fail-first policies in Medicare, including how you can appeal decisions to deny care.  

May 15, 2019
BREAKING: CMS Releases Step Therapy Rule; Academy Comments Net Impact on New-Starts Requirement  

Our early review of the rule concludes that CMS has agreed to an Academy request that it adjust its definition of new starts of treatment.

January 23, 2019
Academy Leads Coalition Response to CMS’ Unacceptable Medicare Advantage Step Therapy Policies

Our profession continues to spearhead efforts to unfetter access to necessary ophthalmic treatments.