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The 2016 Medicare trustees’ recent report that the Medicare trust fund will reach insolvency by 2028 is providing fodder for congressional Republicans who are pushing a plan to replace Obamacare, including numerous proposals that would dramatically change Medicare.

The American Association of Clinical Urologists (AACU) submitted comments on the post-SGR Medicare reimbursement program, MACRA, on June 27, 2016. In its comments to the Centers for Medicare & Medicaid Services, the AACU expressed concern over a number of provisions that stand to negatively affect urologists in their practice of medicine and increase the cost of medical care.

An Obama administration plan to reform Medicare Part B payment policy has generated a chorus of bipartisan opposition from influential lawmakers and many in the medical community, including a leading oncologist who told Congress the initiative is simply an effort to cut costs by accusing physicians of prescribing more expensive drugs for profit.

In this interview, AUA President Richard K. Babayan, MD, discusses his goal to increase member participation in the AUA, the association’s efforts to balance three main priorities, and how the AUA will work with other organizations.

Urologists and other physicians who serve Medicare patients face some new decisions now that the Centers for Medicare & Medicaid Services has proposed new regulations implementing last year’s fee schedule reform law, while also replacing the existing meaningful use program with a more flexible approach to technology and electronic health records.

“Few physicians are familiar with apology law and even fewer understand the significance,” said Patrick McKenna, MD, chief of the division of pediatric urology at American Family Children’s Hospital and professor of urology at the University of Wisconsin, Madison.

In a series of articles this year, Robert A. Dowling, MD, will examine what you need to know about the law, what the CMS proposed rule for implementation implies for the near and long-term future, and-when it is issued later this year-what the final rule means to your urology practice.

The ACA is a large step forward in allowing men to embrace their health concerns, and for health care practitioners to understand men and the challenge of help seeking, masculinity, and disparity in their quest for wellness (Men’s Health in Primary Care [Current Clinical Practice]. Switzerland: Springer International Publishing, 2016).

"As evidenced by the flurry of activity at the state and federal levels of government, many physicians are fighting back against increasingly burdensome recertification requirements," writes the AACU's Ross E. Weber.

As a result of strong opposition from organized medicine, including the AUA and patients, the Centers for Medicare & Medicaid Services has put on hold its development of a draft plan to penalize physicians for ordering “non-recommended” PSA tests to screen for prostate cancer.

The next few years may bring more change for urologists in a more compressed time frame than ever before. Could a perfect storm be brewing, and what should you be doing about it?

If medical specialties were competing for which would have the most dire shortage of practicing physicians by 2025, urologists would likely win.

A recent a White House Dialogue on Men’s Health brought together experts on men’s health from government, professional sports, nonprofit organizations, and health care, who together raised awareness of the need for increased focus on men’s health.

A 2016 study of certificate of need laws showed at least 20 states restrict the technology used for MRI, CT, and PET scans. Many states are now weighing proposals to reform the process by which health facility projects are reviewed, writes the AACU's Ross E. Weber.

The U.S. Preventive Services Task Force, which in 2012 recommended against PSA-based screening for prostate cancer, is developing a new research plan for updating recommendations that urology practices will be expected to follow once it is finalized.