CMS and private insurers have made multiple moves affecting spine and orthopedic surgeons.
Here are four updates to know since April 27.
1. CMS has proposed capping certain state Medicaid payments by more than $775 billion over 10 years, including $510 billion in federal savings, drawing concern from spine surgeons.
2. About 50 insurers signed an AHIP and Blue Cross Blue Shield Association commitment to standardize electronic prior authorization for several medical services including orthopedics.
3. UnitedHealthcare is set to remove nearly two-thirds of prior authorization requirements for pediatric services across a number of specialties, including orthopedics.
4. CMS has proposed expanding its Comprehensive Care for Joint Replacement model nationwide through the fiscal year 2027 hospital inpatient and long-term care payment rule.
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
