Advocacy Pays Off for ASCs - Summary - MDSpire

Advocacy Pays Off for ASCs

  • By

  • Jennifer Ford, content director

  • Jennifer Ford, content director

  • May 1, 2026

  • 4 min

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Objective:

To update on reimbursement, regulatory developments, and advocacy priorities affecting ophthalmic ambulatory surgery centers (ASCs).

Key Findings:
  • Successful advocacy resulted in a $150 million increase for ASCs performing cataract surgery.
  • CMS will determine the update factor for ASCs in 2027, with a recommendation to retain the Hospital Market Basket.
  • OOSS is concerned about narrow definitions for non-opioid drug payments and ongoing payment limitations for MIGS procedures.
Interpretation:

Advocacy efforts have proven effective in influencing reimbursement policies for ASCs, emphasizing the need for continued engagement and vigilance in monitoring regulatory changes.

Limitations:
  • Potential future restrictions on payments for vital eyecare services.
  • Limited access to hospitals and ASCs for retinal surgical care.
Conclusion:

Active participation in advocacy is crucial for maintaining and improving reimbursement policies for ASCs, with a call to action for members to engage with legislators.

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