AAOS Advocacy in Action

Joined neurosurgery and spine surgery specialist groups in developing and endorsing a position statement on image requirements for prior authorization (read more below).
 
 
 
 
 
 
2nd Annual Orthopaedic Advocacy Week

The AAOS leadership, in conjunction with the Office of Government Relations, is hosting the second annual Orthopaedic Advocacy Week August 1-5. The completely virtual event is designed to offer members simple, minute-long opportunities to advocate for priority healthcare policy issues including prior authorization reform, scope of practice protections, increased safety from workplace violence, and preserving Medicare reimbursement—whether it’s sending a prewritten letter to policymakers or sharing graphics and messaging on social media.

 
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AAOS News

 

AAOS Endorses Statement on Prior Authorization Image Requirements

The AAOS recently joined neurosurgery and spine surgery specialist groups in developing and endorsing a position statement on image requirements for prior authorization. According to the statement, the doctor-patient relationship is an indispensable component of shared decision-making in choosing to undergo spine surgery. This choice must remain the purview of the patient and the surgeon. Using imaging studies in isolation, without clinical context, may undermine appropriate clinical diagnosis and treatment plans The concept that image sharing should be a basis for prior authorization is an unnecessary and unwelcome impingement on the doctor-patient relationship, which will detrimentally interfere with the decision for spine surgery Physicians who treat spine conditions adamantly oppose requiring the submission of patient images as a prior authorization requirement for spine surgery. Read the full statement…

 
 
 

Healthcare Policy News

Orthopaedic Research Program Receives $30 million in Initial House Bill
The House Appropriations Committee has advanced all 12 Fiscal Year 2023 spending bills, teeing up full floor votes later this month. In one of the bills, the defense appropriations bill, the Peer-Reviewed Orthopaedic Research Program (PRORP) received $30 million. The AAOS Office of Government Relations lobbied extensively for this funding. PRORP is a competitive grant program that funds research pertaining to extremity war injuries, which account for 82% of injuries from the Global War on Terror caused by IEDs, RPGs, and high-velocity gunshot wounds. More than 15,000 patients have been enrolled in PRORP studies that have led to major improvements in surgeons’ abilities to care for these devastating injuries. Another bill, the Labor-Health and Human Services-Education bill, appropriated $124 billion to the U.S. Department of Health and Human Services (14% increase) and $47.5 billion for the National Institutes of Health. Read more about the bill…

Specialty Care Highlighted in New CMS Innovation Center Blog
On June 17, the Centers for Medicare & Medicaid Services (CMS) published a blog authored by several members of the CMS Innovation Center’s (CMMI) leadership that shares their findings on specialty care integration in the next generation of value-based care models. The blog discusses insights on increasing access to coordinated and integrated specialty care which include: providing data on specialist performance and enhancing data sharing across practices that would facilitate integration with primary care; redesigning episode-based payment models to align incentives between specialists and Accountable Care Organizations; specialty care assuming primary responsibility for special populations and beneficiaries with specific conditions; and integrated specialty and primary care may especially benefit beneficiaries with complex conditions. Read the full report…

 
 
OrthoPAC Corner

OrthoPAC to Host “Day of Giving” During Orthopaedic Advocacy Week

The countdown is on for the 2022 OrthoPAC Day of Giving on Friday, August 5, as part of the AAOS Orthopaedic Advocacy Week. This year, we are thrilled to announce a new PAC Charity Match benefit. From July 7-August 7, OrthoPAC will match your OrthoPAC contribution to a registered 501c3 of your choice, allowing you to make twice the difference with the same dollar. We will be allocating up to $100,000 for this year’s event. Additionally, we will once again be running a Winner’s Choice Sweepstakes. All 2022 contributors will be entered to win (retroactive from Jan. 1, 2022). If you haven’t already done so, we encourage you to get invested with the OrthoPAC and help us amplify our advocacy efforts.  Text SWEEPS or PACMATCH to 41444 to donate…

 
 
 
What We’re Reading

·        AAOS Advocacy Efforts Focus on Physician Burden Relief (AAOS Now, July)

·        CMS Innovation Center Tackles Implicit Bias (Health Affairs, 7/5)

·        Insurer Delays Prior Authorization, Patient Loses Leg and Pelvis, Then Dies (Medscape, 7/1)

 
 
 
 
 
 
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QUESTIONS

For questions or concerns on these or other advocacy issues, contact us at dc@aaos.org.

 
 
JOIN THE PAC
Did you know? Supporting our Orthopaedic PAC by phone is easy: simply text AAOS to the number 41444. Learn more about OrthoPAC.


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