The AOA Third Party Center advocates for the inclusion of doctors of optometry in all medical eye care whether provided privately, publicly or through any third party arrangement.

AOA survey finds discrimination by health and vision plans

The AOA has long championed nondiscrimination against doctors of optometry. The survey of doctors of optometry and AOA affiliates gathered responses from 47 of the 50 states plus the District of Columbia.

Aetna reverses AOA-opposed cataract surgery pre-approval policy

The prior-authorization requirement ended July 1, 2022, for all patients—except Medicare Advantage in Georgia and Florida—a year after the AOA and other groups decried Aetna’s decision.

AOA escalates concerns to DOJ over Medicare Advantage claim denials

Medicare Advantage Organizations’ denials of prior authorization requests raise flags in HHS report and prompt AOA’s third-party advocacy outreach on behalf of optometry practices.

AOA, affiliates prompt changes to MAC claims processing

Direct third-party advocacy remains a critical component of the AOA and affiliates’ mission, helping support practice success by ensuring patients can freely access the broadening scope of eye health and vision care delivered by optometry. But advocacy requires a team effort, and optometry’s advocates have an opportunity this spring to help bring about the payer changes the profession needs.

Overpower Payer Issues

The AOA's Third Party Center, working continuously to monitor plan policies and actions, is the profession's payer advocacy nerve center.

Payer issues hot topic at AOA on Capitol Hill

The agenda for AOA on Capitol Hill April 24-26 will be dominated by issues uppermost on member-doctors’ minds. Open to doctors of optometry and optometry students, register now.

AOA and state associations target plan abuses

Payer Advocacy Summit gathers “all-in” doctors from every state as AOA legal team takes next steps in fight against anti-doctor and anti-patient policies.

Be a better negotiator on payer issues

Register now for the virtual AOA Payer Advocacy Summit, Nov. 15-16.

Anthem stops unilateral downcoding of eye codes

The insurer noted 99000-series codes are still subject to E/M review; however, the AOA Third Party Center continues to challenge health plans’ downcoding schemes as inappropriate.

Congress probes vision plan policies, NCOIL drops AOA-opposed model language

Vision plan policy changes that incited swift AOA and affiliate rebuke have come under Congressional scrutiny, while optometry’s advocates score a win for states.

Plans’ stagnant fee schedules undervalue primary eye care

Despite the climbing cost of high-quality eye health and vision care, vision plans’ low fee schedules have remained flat for decades, creating undesirable consequences for patients and the health care system.

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