ASCRS Advocates for Congress to Address Regulatory Burdens Placed on Practices by Medicare Advantage Plans in Statement for the Record for Ways and Means Health Subcommittee Hearing

This week, ASCRS submitted a written statement for the record for a hearing of the Health Subcommittee of the House Ways and Means Committee on the status of the Medicare Advantage (MA) program. In our testimony, we express disappointment that the hearing did not include any witnesses from the physician community and did not address any of the regulatory burdens placed on practices from MA plans we have previously communicated to the committee and its members. The hearing’s witnesses were all representatives from MA plans or health policy academics who were not able to represent the physician perspective. In our statement, we reminded the committee that many MA plans place burdens on physician practices, especially small and solo specialty practices like ophthalmologists, such as onerous chart requests for unnecessary risk adjustment audits and an increasing burden from prior authorization requests. In addition, the plans may be limiting beneficiaries’ timely access to specialty care by narrowing networks to exclude specialists and subspecialists. We continue to urge Congress to work with CMS to reduce the burdens from chart requests and prior authorization, and ensure provider networks do not limit access. We will keep you updated.