Health Law & Policy

The Florida Second District Court of Appeal has renewed a woman’s lawsuit claiming she suffered permanent eye damage when her ophthalmologist misdiagnosed her during nasal surgery. In its opinion, the appellate court ruled that the trial court erred when it dismissed the lawsuit.

Michael X. Repka, MD, vice chair of clinical practice at Wilmer Eye Institute (Johns Hopkins University) speaks with Ophthalmology Times'®  Sheryl Stevenson

Michael X. Repka, MD, vice chair of clinical practice at Wilmer Eye Institute (Johns Hopkins University) speaks on the institution's latest protocol changes allowing for the resumption of elective surgery as well as the adaptations clinicians have had to make in order to ensure the continuation of clinical practice at Wilmer Eye Institute.

While physicians who treat Medicare patients are confronting a drastic pay cut Jan. 1, a number of legislators are scrambling, again, to block the scheduled reduction with a permanent solution.

Dramatic changes are coming to the way Medicare will pay physicians for their services, but savvy practices that voluntarily adopt the reporting procedures can financially benefit from incentives offered now.

After putting physicians on the brink of a massive pay cut 5 times during 2010, legislation has been passed that buys a year of stability while a better method is sought for paying those who treat Medicare patients.

Medicare cut looming

As the Centers for Medicare and Medicaid Services prepares to implement a 23.5% pay cut on Dec. 1, physicians who treat Medicare patients are pleading with Congres to intervene and considering their options.

After enduring a week-long 21.2% pay cut, ophthalmologists and other physicians who see Medicare patients will receive a 2.2% pay increase, retroactive to June 1 through Nov. 30.

As yet another deadline challenges Congress to avert a 21.3% pay cut to physicians who treat Medicare and Medicaid patients, groups representing the nation's physicians say they do not support a proposal that fails to change the formula behind the cut.

After years of wrangling in court with two former regional manufacturer's representatives, officials at STAAR Surgical Co. hope a $4 million settlement will allow it to move forward with new products and solidify its financial status.

The American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery are among 25 groups urging Congress to solve the Medicare physician payment problem.

Reform is reality

As members of the healthcare industry try to unravel the comprehensive health reform legislation that President Obama signed into law March 23, they are voicing concerns about such issues as patient access, payment for physicians, the creation of a new oversight board, and new taxes on medical devices.

As Congress continues to debate health-care reform and how best to pay physicians for providing medical care to the nation's neediest and elderly people, ophthalmologists are increasingly frustrated by the instability it wreaks upon their practices.