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 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.