A call to action: Restoring healthcare access and combat readiness for service members

Kory Cornum, MD; Matthew T. Provencher, MD, MBA, FAAOS; Dean C. Taylor, MD, FAAOS; John M. Tokish, MD

In October 2023, TRICARE, the civilian health insurance provider for U.S. Armed Forces military personnel, retirees, and dependents, implemented a sweeping change in its reimbursement policy by adopting Medicare’s ambulatory surgical center (ASC) rates.

The ‘Big Beautiful’ threat to pediatric orthopaedic care

Timothy J. Skalak, MD; R. Carter Clement, MD, MBA, FAAOS

The One Big Beautiful Bill Act (OBBBA), signed into law in July, is expected to reduce Medicaid spending by $910 billion over 10 years and could disproportionately affect children.

Center for Medicare and Medicaid Innovation launches new prior-authorization model to target Medicare fraud

Jennifer Lefkowitz

Under the government’s Wasteful and Inappropriate Service Reduction Model, the CMMI will evaluate select medical procedures identified as being “vulnerable to fraud, waste, and abuse.

Medical societies express concern about changes to reimbursement for evaluation and management services

It has recently come to the attention of AAOS that major payers, including Cigna, are implementing a new reimbursement policy to review professional claims billed with certain evaluation and management (E/M) codes.

Meet the coalition improving heart safety for young athletes

The Smart Heart Sports Coalition was developed to ensure that all 50 states adopt evidence-based policies that will help prevent fatal outcomes from sudden cardiac arrest among high school students.

Surgeons need grit to navigate the changing healthcare landscape

Douglas W. Lundy, MD, MBA, FAAOS

I refuse to believe that we as orthopaedic surgeons are powerless victims run over by the healthcare apparatus.

Key healthcare policy issues take center stage at AAOS Combined NOLC/Fall Meeting

More than 270 AAOS members and orthopaedic leaders gathered in Washington, D.C., for the 2025 AAOS Combined National Orthopaedic Leadership Conference (NOLC)/Fall Meeting.