Regence's Modifier 25 Policy
As part of APMA’s efforts to ensure fair reimbursement and financial security for podiatric physicians, the association sent a letter to Regence opposing a new reimbursement policy affecting both commercial and Medicare Advantage plans that would impact members in Idaho, Oregon, Washington, and Utah.
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Medicare Payment Update
APMA has released a comprehensive update on the recently released CY 2027 Medicare Physician Fee Schedule Proposed Rule.
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APMA Applauds Introduction of the Patients First Act
Landmark legislation is an important step toward modernizing the Medicare physician payment system and strengthening access to physician-led care.
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CY 2027 Medicare PFS Proposed Rule
APMA is reviewing the calendar year (CY) 2027 Medicare Physician Fee Schedule (PFS) proposed rule and will prepare comments by the September 14 deadline.
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MIPS 2026 Webinar
APMA members can now access the recording of our recent webinar, MIPS 2026 & The Key to Being MIPS-Aware: Reduce the Burden, Protect Revenue, and Improve MIPS Performance, presented in partnership with Darena Health.
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CY 2027 OPPS Proposed Rule
Last week, CMS released the Calendar Year (CY) 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. The proposal includes updates to Medicare payment policies, quality reporting programs, and other policies affecting hospital outpatient departments and ambulatory surgical centers.
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FDA Seeks Patient Input
On August 25, the Food and Drug Administration (FDA) will host a Patient-Focused Drug Development meeting on nonhealing chronic wounds. The purpose of the meeting is to help FDA and other stakeholders better understand the patient experience, including how chronic wounds affect daily life, challenges with current treatments, and factors that influence participation in clinical trials.
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APMA Opposes Federal Funding Restrictions
APMA joined over 150 physician, research, and healthcare-related organizations in support of a letter, led by the International Association of Scientific, Technical & Medical Publishers, urging congressional leaders on the House and Senate Appropriations Committees to reject proposed regulations in the FY 2027 Presidential Budget Request that would restrict federal grant funding to scientific publications.
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APMA Meeting With Aetna
APMA recently met with Aetna leadership as part of APMA’s ongoing quarterly discussions with the insurer. Topics included prior authorization modernization, provider experience issues, modifier 25 concerns, and the use of AI and digital tools to streamline administrative processes.
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New Walk the District 2026 Resource Page
To help strengthen local advocacy and build relationships between Congress and our profession, APMA is encouraging members to “Walk the District” and meet with federal lawmakers in their states during this year’s Congressional Recess, from August 10–28.
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Gold Carding Exemptions in Texas
APMA recently received a positive update regarding implementation of the CMS Wasteful and Inappropriate Services Reduction (WISeR) Model. Cohere Health, the model participant administering WISeR in Texas, has begun notifying providers who qualify for its new "gold carding" program.
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