AACE: Your Voice, Your Advocate

Stay up-to-date about activities and issues that have the potential to impact you, your practice and your patients. Take advantage of this valuable AACE membership benefit that helps you keep current on important news.

Through our advocacy work on your behalf with Congress, federal regulators, insurance companies and other health care organizations, we constantly monitor these types of activities and provide frequent updates to our members.

Diabetes

AACE Raises Awareness About Blood Glucose Testing System Accuracy

AACE, as a member of the Diabetes Advocacy Alliance (DAA), expressed concerns to HHS and FDA regarding accuracy issues with certain blood glucose testing systems and its potential implications for people with diabetes. Read more.

Legislation Introduced to Expand Access to DSMT

Leaders in both the U.S. House of Representatives and the U.S. Senate have introduced legislation to expand Medicare beneficiary access to diabetes self-management training services (DSMT). The “Expanding Access to Diabetes Self-Management Training Act” (H.R. 1840) was introduced in the House by Representatives Tom Reed (R-NY) and Diana DeGette (D-CO), the Co-Chairs of the House Diabetes Caucus. The Senate sponsors of companion legislation (S. 814) are Senators Jeanne Shaheen (D-NJ) and Susan Collins (R-ME).  Read more information on the measure.

House and Senate Committees Hold Hearings on Insulin Costs

The House Energy and Commerce Subcommittee on Oversight and Investigations held two hearings on insulin prices. The first hearing April 2, 2019, convened stakeholder perspectives on the difficulties to afford insulin and patient impact and was followed by a second hearing on April 10, 2019, with testimony from insulin manufacturers and pharmacy benefit managers. The House Diabetes Caucus published a white paper in November 2018 on the topic of insulin pricing.

The Senate Select Committee on Aging held a hearing on May 8, 2018, “Insulin Access and Affordability: The Rising Cost of Treatment”. The Chair of the Aging Committee, Senator Susan Collins (R-ME), expressed concern about insulin costs and vowed that the Committee would try to untangle the complexity of the insulin supply chain to determine what is driving the cost so high and who is benefiting. Senator Collins is also the Co-Chair of the Senate Diabetes Caucus. View the hearing and read the hearing statements.

CMS Modifies Coverage Policy for CGMs

On June 11, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that the current coverage policy for therapeutic Continuous Glucose Monitoring (CGM) for Medicare beneficiaries will be modified to benefit patients and support the use of CGMs in conjunction with a smartphone app, including the important data-sharing functions they provide for patients and their families. This issue has been an important AACE advocacy effort and the successful achievement is a win for AACE members and their patients!

The sharing of data is extremely valuable to adjust medications and to provide information-based decisions to enhance patient care and improve health outcomes. The existing policy ban on the use of smart technology devices in conjunction with a CGM receiver curtails the best practice and safety of our patients. As one of the AACE priority advocacy initiatives, this important CMS policy change will allow patients with diabetes to link their glucose data with family members and other caregivers. These shared alerts will have the potential to support patients on multiple levels in the event of unrecognized or severe hypoglycemia and hyperglycemia, with the potential to avoid unnecessary ambulance services, emergency room visits, and hospital admissions. Read the full CMS announcement.


Obesity

House, Senate Bills to Improve Obesity Treatment

The Treat and Reduce Obesity Act of 2019 (S. 595/H.R. 1530) was introduced in early 2019 in the Senate and House by Senators Bill Cassidy (R-LA) and Tom Carper (D-DE) and Representatives Ron Kind (D-WI), Brett Guthrie (R-KY), Tom Reed (R-NY) and Raul Ruiz (D-CA), respectively. The measure aims to effectively treat and reduce obesity in older Americans by enhancing Medicare beneficiaries’ access to healthcare providers that are best suited to provide intensive behavioral therapy (IBT) and allowing Medicare Part D to cover FDA-approved obesity drugs.

AACE Submits Comments on the first MIPS Public Health Priority Set

AACE, as a member of the Obesity Care Advocacy Network, submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the omission of obesity in the first set of public health priorities being developed for the Merit-based Incentive Payment System (MIPS) and on the proposed coding and payment changes for Evaluation and Management (E&M) office codes.

AACE Comments on USPSTF Draft Recommendations on Behavioral Interventions for Weight Loss

AACE, as a member of the Obesity Care Advocacy Network (OCAN), sent a letter to the United States Preventive Services Task Force (USPSTF) provide comments on the recently released draft recommendations regarding “Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions.” 


Osteoporosis

DXA Bills Introduced in U.S. House, Senate

Congressional leaders have again introduced bills aimed at preserving access to osteoporosis testing for Medicare beneficiaries. S. 283 and H.R. 2693, the Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2019 could have a profound effect on the availability of preventative bone density screening by creating a floor reimbursement rate under Medicare for the dual-energy X-ray absorptiometry (DXA) test administered in a doctor’s office. Despite being recommended by the Centers for Medicare and Medicaid Services (CMS) as a critical preventive test in the “Welcome to Medicare” exam, the reimbursement rate for the DXA test administered in a doctor’s office has declined from $140 in 2006 to only $40 in 2019.

AACE Comments on USPSTF Draft Research Plan for Osteoporosis Screening

AACE, as a member of the Fracture Prevention Coalition, sent a letter to the United States Preventive Services Task Force (USPSTF) commending their work on and attention to the issue of screening for osteoporosis, as well as commenting on points within the recently released Draft Recommendation Statement on screening for osteoporosis


AACE Health Policy Position Statements

AACE Comments on HHS Blueprint to Lower Drug Prices

AACE submitted a comment letter to the Department of Health and Human Services (HHS) on American Patients First, the Administration’s blueprint for lowering drug prices and reducing out-of-pocket costs. 

AACE Expresses Concerns on Prior Authorization and Step Therapy

AACE joined the AMA and other organizations in expressing concerns to the Centers for Medicare & Medicaid Services (CMS) Administrator regarding prior authorization and step therapy for Part B drugs in Medicare Advantage.

AACE Statement on Health System Reform

May 5, 2017 - The American Association of Clinical Endocrinologists (AACE) supports legislative efforts that seek to increase access to affordable health insurance for all Americans. As health system reform moves through the legislative process, we affirm our commitment to the following principles that ensure high quality healthcare for our patients: 

  • Access to affordable comprehensive healthcare, including continuity of care to prevent and treat chronic conditions such as diabetes, should be available to all individuals and their families over their lifetimes;
  • Insurance market reforms that prevent discrimination against individuals and families based upon a current or pre-existing health condition, family history, race, gender identity or sexual orientation must be retained;
  • Policies prohibiting health insurers from imposing annual and lifetime caps on benefits should be retained, and should continue to be applicable to both public and private insurance;
  • Coverage for young adults under their parents’ insurance plans should be retained;
  • Individuals must be empowered to control how their own healthcare dollars are spent;
  • Health care should be provided in an accessible, comprehensive, culturally and linguistically appropriate manner.

AACE believes that healthcare policies should always be clinically based, and that treatment decisions should be made between physicians and their patients.  We are committed to securing appropriate access to medical services so that AACE members can provide the highest quality of care to our patients with endocrine disorders.


Practice Management

AACE Expresses Concerns on Proposed FNA Cuts

AACE, along with the American Thyroid Association and Endocrine Society, submitted comments to the Centers for Medicare and Medicaid Services expressing concerns about proposed reductions for fine needle aspiration (FNA) included in the 2019 Medicare Physician Fee Schedule rule. 

AACE Submits Comments on the 2019 Medicare Physician Fee Schedule Proposed Rule

AACE submitted a comment letter to the Centers for Medicare and Medicaid Services (CMS) on the proposed changes in the Medicare physician payment policies for calendar year 2019. 

AACE Submits Comments on E&M Code Payment Changes

AACE joined the AMA and other organizations in submitting comments to the Centers for Medicare & Medicaid Services (CMS) Administrator opposing the proposed changes in payment for Evaluation and Management (E&M) office codes included in the 2019 Medicare Physician Fee Schedule (MPFS) proposed rule. 

Proposed Rule for the 2019 MPFS and QPP Released

On July 12, CMS released the proposed rules for the 2019 Medicare Physician Fee Schedule (MPFS) and Year 3 of the Quality Payment Program (QPP). With the budget neutrality adjustment to account for relative value changes, as required by law, the proposed 2019 MPFS conversion factor is $36.05, a slight increase above the 2018 MPFS conversion factor of $35.99. There are several proposals in the MPFS and QPP proposed rules that will be of interest and will have an impact on AACE members.  For example, CMS is proposing to reform both documentation requirements and payments for E&M codes as part of their effort to reduce burdens on providers. CMS is also proposing to implement new CPT codes and payment for remote monitoring and interprofessional consultations.

As part of the proposed rule for the 2019 MPFS, CMS has proposed to collapse payment for E&M codes for office and outpatient visits. New patient office visit (99202-99205) payments would be blended to be $135. Established office visits (99212-99215) would be blended to be paid at $93. New codes would be created to provide add-on payments to office visits for specific specialties, including endocrinology, for high complexity visits, and for primary care physicians. To replace existing documentation guidelines, CMS proposes to allow use of:  (1) 1995 or 1997 documentation guidelines, (2) medical decision-making, or (3) time.

Documentation for history and exam will focus on interval history since last visit. Physicians will be allowed to review and verify certain information in the medical record entered by ancillary staff or the beneficiary, rather than re-entering the information. When physicians report an E/M service and a procedure on the same date, CMS proposes to implement a 50 percent multiple procedure reduction to the lower paid of the two services. Access a brief slide deck that explains the proposed changes to the E&M codes and new codes developed for services provided with communication technology.

Following careful review of these proposed changes and others in the rule, AACE submitted a comment letter to CMS on September 7th and posted a press release on the proposed rule, with links to the rule and to fact sheets on the proposed changes to the MPFS and the QPP.

AACE Urges CMS to Modify the MIPS Quality Measure Reporting Period

AACE joined the AMA and other organizations to urge the Centers for Medicare & Medicaid Services (CMS) Administrator to consider reducing the onerous Merit-based Incentive Payment System (MIPS) documentation requirements in order to reduce administrative burden and ensure physicians have sufficient time to report after receiving performance feedback.