MMM · Medicare/Medicaid
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Literal federal measure citations: H.R. 9693, H.R. 8163, H.R. 8622, H.R. 9693, H.R. 3514, H.R. 10394
HCR · Health Issues
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Literal federal measure citations: H.R. 9693, H.R. 8163, H.R. 8622, H.R. 9693, H.R. 3514, H.R. 10394
