Advocacy Leads to Positive Changes in ASC Reimbursement in 2026

Late fall of 2025 provided the ophthalmic ASC community with several substantial—and not necessarily expected—victories in Washington.

By: Michael A. Romansky, JD

Ophthalmology Management March 2, 2026 Vol 30, Issue The Ophthalmic ASC March 2026 Page(s): 14-15

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In 2026, CMS increased ASC payment rates by 2.6%, reversing a proposed 4.7% reduction for cataract surgery fees.
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OOSS successfully advocated for the removal of outdated ASC quality measures, reducing administrative burdens for facilities.
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CMS delayed mandatory participation in a prior authorization project for certain eye procedures, addressing community concerns.
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The hospital market basket will continue to apply to ASC payment updates through 2026, benefiting ophthalmic surgical centers.
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OOSS emphasizes the importance of grassroots advocacy to maintain and improve reimbursement and regulatory conditions for ASCs.

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