Following the release of the new Wasteful and Inappropriate Service Reduction (WISeR) Model by the CMS, APMA promptly engaged with CMS to share the association's concerns and provide its recommendations. Now, House Democratic lawmakers, led by Representatives Susan DelBene (D-WA-01) and Ami Bera, MD (D-CA-06), have sent a letter seeking further information on WISeR from CMS as well.
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APMA recently submitted comments to the U.S. House Committee on Ways & Means in response to its joint Subcommittee hearing titled Medicare Advantage: Past Lessons, Present Insights, Future Opportunities. APMA's comments highlighted ongoing challenges faced by podiatrists with Medicare Advantage (MA) plans and offered concrete solutions for Congress to address them.
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APMA is the organization advocating for podiatric physicians and surgeons on Capitol Hill, with CMS and private payers, and with the public. To keep our members informed about all the advocacy work being accomplished, APMA released Advocacy in Action: APMA Advocacy Impact Report, 2025 Mid-Year Update. This report is a comprehensive summary of the important legislative and policy work that APMA is doing on behalf of podiatrists.
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As APMA previously shared, CMS released the Medicare Physician Fee Schedule for Calendar Year 2026 proposed rule. A summary of the proposed rule and further analysis conducted by APMA is now available online.
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Two APMA members participated in the Clinician Expert Workgroup (CEW) for the Non-Pressure Ulcers episode-based cost measure last week: APMA Coding Committee Chair David Freedman, DPM, and APMA Vice President, Clinical Affairs and Medical Director Dyane Tower, DPM, MPH, MS, CAE. Dr. Tower serves as Co-Chair for the CEW.
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APMA is pleased to announce the winners of the APMA 2025 Annual Scientific Meeting Abstract Competition. The winners in each category were selected by a panel of judges appointed by the Education Committee.
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As a result of APMA's advocacy, the episode-based cost measure related to Non-Pressure Ulcers, for potential use in the Merit-based Incentive Payment System (MIPS), was not part of the recently released Medicare Physician Fee Schedule for Calendar Year 2026 proposed rule.
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The Centers for Medicare & Medicaid Services (CMS) recently unveiled a new initiative—the Wasteful and Inappropriate Service Reduction (WISeR) Model—designed to target services within Medicare that are considered vulnerable to fraud, waste, and abuse. APMA Health Policy Advisor Jeffrey Lehrman, DPM, recorded a brief video to help podiatrists better understand the ramifications of this new model.
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Last week, APMA submitted a sign-on letter to Cigna, urging it to rescind its problematic Modifier 50 reimbursement policy as it relates to bilateral imaging. This APMA-led letter was also signed on by the American Academy of Orthopaedic Surgeons and five other orthopedic specialty societies.
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Last week, APMA responded to the Department of Health and Human Services’ (HHS) "Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again," calling on HHS to remove or reduce burdens related to same or similar requirements for durable medical equipment (DME), duplicative certification requirements for the Medicare Therapeutic Shoes for Diabetics (TSD) program, and the Merit-based Incentive Payment System.
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Yesterday, the Massachusetts Legislature's Joint Committee on Public Health met to hear testimony from podiatric physicians and other allies in support of the Massachusetts Foot and Ankle Society’s (MFAS) legislation that would modernize the state podiatric scope of practice. Massachusetts is one of only two remaining states that do not permit podiatrists to treat the ankle in the state statue.
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CMS has issued the proposed Medicare Physician Fee Schedule for Calendar Year 2026. The annually issued rule outlines proposed changes to payment rates, telehealth services, quality reporting programs, and more. The proposed Conversion Factor is 3.62% with an estimated impact of 2 percent for podiatry. Thanks to the advocacy efforts of APMA and its members, Congress provided a 2.5-percent payment increase for 2026 in the One Big Beautiful Bill Act. Read on for more impacts for podiatrists.
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