ACOI Joins in Support of Legislation to Modernize Medicare Physician Payment
Year over year cuts to the Medicare Physician Fee Schedule (MPFS) threatens access to needed care. Since 2001, Medicare physician payment has reduced by 33 percent after adjusting for inflation.
ACOI Works to Address Proposed Regence BlueCross Blue Shield Modifier 25 Policy
Following advocacy by the American Osteopathic Association (AOA), ACOI, and other osteopathic organizations, Regence BlueCross Blue Shield announced a pause in implementation of its proposed Modifier 25 reimbursement policy set to take effect on September 1, 2026.
House Subcommittee Advances Prior Authorization Bill
On June 25, the House Energy and Commerce Subcommittee on Health advanced the Improving Seniors Timely Access to Care Act (H.R. 3514), a major legislative milestone for reform of Medicare Advantage (MA) prior authorization practices.
A Massachusetts federal judge has ruled that President Donald Trump's $100,000 H-1B visa payment constitutes a tax that Congress did not authorize the president to impose, declaring the fee unlawful and vacating it in its entirety.
Federal Appointees Would Have Final Say in Federal Research Grant Process Under Trump Proposal
Last week, the House Appropriations Committee approved a Fiscal Year (FY) 2027 spending bill that would cut the Department of Health and Human Services (HHS) by 4 percent.
Last week, the House Appropriations Committee approved a Fiscal Year (FY) 2027 spending bill that would cut the Department of Health and Human Services (HHS) by 4 percent.
House Committee Passes Bill to Update Budget Neutrality Rules
The House Ways and Means Committee unanimously approved legislation that would promote Medicare physician fee service (PFS) payment stability by modernizing budget neutrality requirements.
Prior Authorization Burden Remains High Despite Insurer Promises
A new American Medical Association (AMA) survey of 1,000 physicians finds that prior authorization processes continue to have a devastating effect on patient outcomes and physician burnout.
ACOI Joins Coalition in Asking for Step Therapy Regulations
The ACOI has joined more than 100 organizations are part of the Safe Step Ad Hoc Coalition in a letter asking the Centers for Medicare and Medicaid Services (CMS) to undertake rulemaking to create common-sense guardrails on the use of step therapy, or "fail-first," processes.
As part of a multifaceted approach to reform prior authorization, Reps. Julie Johnson (D-TX) and Mike Lawler (R-NY) have introduced the Prior Authorization Reform for Autoimmune and Blood Disorders Act (H.R. 9192).
