News Archive


Addressing Your Managed Care Issues


Addressing Your Managed Care Issues

CMS Awards $100 Million to Help Small Practices Succeed in the Quality Payment Program


This week the Centers for Medicare & Medicaid Services (CMS) awarded approximately $20 million to 11 organizations for the first year of a five-year ...

CMS Tips for Successfully Reporting PQRS 2016 Data


A review of Physician Quality Reporting System (PQRS) revealed common errors in submissions for the 2015 performance-period. ...

CMS Releases ACA Market Stabilization Proposals


In its first major healthcare rulemaking, the Trump Administration on February 15 released a proposed rule intended to stabilize the ACA Marketplaces ...

Legislative Report – Week Six


The most significant development at the Capitol for the medical community this week was the introduction of the IMS-crafted tort reform legislation.

Tort Reform Introduced in Iowa Legislature


On Monday, both the House and Senate Judiciary Committees introduced bills on tort reform

Opioids: Attorneys General Urged to Help End Prior Authorization for MAT


Nationwide, state legislatures are considering a myriad of proposals to combat the opioid abuse epidemics in their states. Last week, the AMA urged the ...

Fighting Together, Physicians Foil Insurance Goliaths


In another significant win for organized medicine and the nation’s patients, federal judge Amy Berman Jackson blocked the proposed merger between insurance giants Anthem and Cigna.

Legislative Report – Week Five


This week, the first of the IMS-crafted priority legislation came out of drafting. HSB 99 enacts a series of measures to help combat opioid abuse in our state.

Issue Spotlight: Commercial Fireworks Sales


For the past few years, advocates from both chambers and both parties have pushed to repeal Iowa's long-standing ban on the commercial sale of fireworks.

Psychologist Prescribing Subcommittee Holds Third Meeting


This past Monday, subcommittees from the Iowa Board of Medicine (IBM) and the Iowa Board of Psychology (IBP) met for the third time to continue work on joint ...

Legislative Report – Week Four


It was another busy week at the capitol. This week saw considerable discussion of HSB 48, which would repeal statutory restrictions to allow an optometrist to ...

Advocacy Spotlight: Optometrist Injections & Surgical Procedures


A number of IMS members and their staff have already been to the capitol this session to advocate for their profession and their patients. Starting this week, the ...

New Fact Sheets Highlight the Role and Reach of Medicaid in Every State


The Kaiser Family Foundation has released a series of fact sheets that illustrate the role of Medicaid in each state. The new state Medicaid fact sheets highlight the ...

IMS Nominating Committee Seeks Candidates for Board, AMA Delegation


The IMS Nominating Committee will meet via conference call on March 16, 2017, to slate candidates for election to IMS leadership positions. Physician members, residents and students who are interested in seeking leadership roles within IMS, including

NCCDP Seeks Nominations for Educator of the Year


In honor of Alzheimer’s Disease and Dementia Care Staff Education Week, February 14 through 21, the National Council of Certified Dementia Practitioners (NCCDP) is now accepting nominations for Educator of the Year.

Issue Spotlight: Prior Authorization Reform


The average physician practice now spends an average of 20 hours per physician, per week dealing with insurance authorizations. Further complicating the problem ...

IMS Recruiting New Executive Vice President


On behalf of the IMS Board of Directors, I share with the membership that Clare Kelly has announced her intention to leave IMS in mid-May. IMS has greatly benefitted ...

Legislative Report – Week Three


This week, IMS worked extensively on prior authorization and tort reform, with several member-physicians and their clinic administrators visiting the capitol to ...

Does Your Community Have What it Takes? Become a Healthy Hometown


Our day-to-day activities and where we live impact our health. Think about your normal day. Do you drive to the store rather than walk? Is processed food more readily ...

Aetna-Humana Merger Blocked


A U.S. district court judge this week blocked a proposed $37 billion merger between insurance giants Aetna and Humana. In his opinion, issued on January 23 ...

Clinic Administrators Advocate for Prior Authorization Reform


On Wednesday, administrative staff from Cedar Rapids, Waukee, and Des Moines visited the capitol to discuss the insurance barriers they see every day, due to ...

New I-9 Form Now Required


As of January 22, all organizations are required to use the new version of the I-9 form for all new hires. Learn about the pros and cons to the online and manual versions from Davis Brown Law Firm.

Congressional Budget Office: ACA Repeal Would Result in 18 Million Losing Coverage


The nonpartisan Congressional Budget Office issued a report this week estimating repeal of the Affordable Care Act (ACA) would result in 18 million losing health insurance coverage in the first ...

Issue Spotlight: Opioid Abuse


Over the past ten years, the rate of opioid overdose deaths in Iowa has more than tripled. Our state needs a multi-faceted approach to combatting opioid abuse ...

Ophthalmologists Commit to Weekly Advocacy


Over the past two years, IMS and the Iowa Academy of Ophthalmology (IAO) have partnered to oppose a proposal being put forward by the Iowa Optometric ...

PQRS Reporting: Your Guide to Upcoming Deadlines and More


The Physician Quality Reporting System (PQRS) reporting period is underway. If you or your group report your 2016 Program Year data satisfactorily, you will be able to ...

Legislative Report – Week Two


It was a short week at the capitol due to the Martin Luther King Jr. holiday on Monday. Despite this abbreviated schedule, it was again a very active week for the General ...

Scott County Medical Society Announces 2017 Executive Committee


The 2017 Scott County Medical Society Executive Committee began their terms on January 17. See the IMS members who are taking a leadership role within this county society.

Budget Cuts Target Loan Repayment Program


Iowa’s budget is built each year based upon the estimates of the state’s Revenue Estimating Conference (REC) – a group of three fiscal experts who meet quarterly ...

Legislative Report – Week One


On Monday, the 87th General Assembly of the Iowa Legislature convened in Des Moines. This year marked a transfer of power in the Senate, with Republicans ...

Patient-facing Encounter Codes Now Available


The Centers for Medicare and Medicaid Services (CMS) released and posted to the Quality Payment Program (QPP) website the list of patient-facing encounter codes ...

CMS Takes Steps to Help Physicians Identify Dual Eligibles


The top legislative priority for IMS this session is pursuit of comprehensive medical liability reform. Over the past several months, IMS has worked with ...

Legislative Spotlight: Comprehensive Medical Liability Reform


The top legislative priority for IMS this session is pursuit of comprehensive medical liability reform. Over the past several months, IMS has worked with ...

Governor Highlights Tort Reform


On Tuesday, Governor Branstad delivered what will likely be his final Condition of the State Address and released his budget recommendations for the upcoming ...

CMS Issues Final Rule on New Cardiac, Orthopedic Care Models


CMS released its final rule December 20 outlining new care models According to CMS, these models will “reward hospitals that work together with physicians and other providers to avoid complications, prevent hospital readmissions, and speed recovery.

AMA Offers Practice Support for E-workers' Compensation Billing


The AMA's newly revised workers' compensation and property and casualty (P&C) insurance toolkit and associated webinar offer practices assistance in understanding and automating P&C processes.

Alert: DEA Reverses Announced Change to Registration Renewal Process


Last week, IMS alerted the membership to a notice from the Drug Enforcement Administration (DEA) that effective January 1, 2017, the DEA was changing its long-standing policy of allowing a grace period for registrants who failed to file a timely rene

DUR Seeks Input on Prior Authorization Edits


The Iowa Medicaid Drug Utilization Review Commission (DUR) is seeking feedback related to recommendations they plan to present to the Department of Human Services regarding clinical prior authorization criteria and ProDUR edits for several drugs and

VA Final Rule Allows ARNPs to Practice Independently


The Department of Veterans Affairs (VA) this week issued a final rule that will allow most advanced practice nurses (ARNP) within the VA system to practice ...

2017 IMS Legislative Agenda


The 87th General Assembly convenes on January 9, 2017. IMS enters the legislative session well-positioned to see meaningful action on a number of issues of critical interest to Iowa physicians. The IMS Committee on Legislation convened a few days aft

Alert: DEA Announces Changes to Registration Renewal Process


In a notice posted to its website, the Drug Enforcement Agency announced it will implement significant changes to its registration renewal process effective January 1, 2017. One example: Physicians will receive ONE renewal notice approximately 65 day

Congress Passes 21st Century Cures Act


The 21st Century Cures Act, a bill with bipartisan support passed by majority votes in both by the U.S. House and Senate, provides resources to support medical ...

MAAC Executive Committee Adopts First Managed Care Recommendations


Recently, the Medical Assistance Advisory Council (MAAC) met to discuss the issues associated with the implementation of Medicaid managed care. Under oversight legislation enacted this past session, the MAAC Executive Committee is directed to provide

Informal Review Request Period for the 2017 Value Modifier Extended to December 7, 2016


In 2017, CMS will apply a downward payment adjustment to those who did not satisfactorily report PQRS in 2015.

Surgeon General Releases First-Ever Report on Addiction in America


On November 17, 2016, U.S. Surgeon General Vivek Murthy, MD, released "Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health."

Free MACRA Training Webinars from the AMA


The American Medical Association (AMA) is offering two upcoming educational opportunities to help physicians understand the requirements of the new ...

Nominations Being Accepted for 2017 IMS Awards


Do you know of someone who deserves recognition from Iowa medicine? Has a colleague or layperson in your community made outstanding contributions to the medical profession, health care, or IMS? Perhaps you know of a lay organization whose contributio

CMS Finalizes 2017 Medicare Physician Fee Schedule


CMS recently published the 2017 Medicare Physician Fee Schedule final rule, which updates payment policies, payment rates and quality provisions for services provided in CY 2017. The rule finalizes several new policies, including one designed to “imp