August 14, 2023
Medicaid Rate Increase
The ALOA Medicaid Peer Review Committee meets regulary with the Alabama Medicaid Agency and has been advocating for increased reimbursement for optometrists. We are pleased to announce two changes in the Medicaid program. First, E&M codes from 8-1-22 forward are being re-processed to include a rate increase that was not applied to optometry claims. Medicaid has also announced that effective September 1st, they are increasing reimbursement for the codes listed below.
Congress Launches Vision Plan Inquiry
At the direction of its chairman, Rep. James Comer (R-KY), the U.S. House Committee on Oversight and Accountability today sent a letter of inquiry to the Federal Trade Commission seeking information on the impact of vision plan consolidation and vertical integration -- Letter-to-FTC-Khan-on-Consolidation-of-Vision-Care-Plans.pdf (house.gov).  
 
The letter points to marketplace domination by two large competitors and outlines concerns about an array of harmful business practices. We believe it’s notable that the Oversight committee’s approach to securing information about vision plans is similar to the steps it’s taken with regard to an ongoing review of pharmacy benefit managers (PBMs). As is noted, the Committee on Oversight and Accountability is the principal oversight committee of the U.S. House of Representatives and has broad authority to investigate, “any matter” at “any time.”
 
This is a link to the Oversight committee’s just-issued press release announcing the launch of their probe -- Comer Opens Probe into FTC Regulation of Vision Care Market - United States House Committee on Oversight and Accountability.  
 
ODs Share 3 Keys to Reducing Stress and Preventing Burnout in the Practice
Reducing stress is crucial for facilitating a healthy workplace culture and providing excellent care. AOAExcel talked with five doctors of optometry from a variety of backgrounds and career stages to discuss the importance of mental health and to learn some best practices for reducing stress in the optometric practice.

Key 1: Communication
When it comes to reducing stress, “communication is key,” said Dr. Lori Roberts-Hauser. “Don’t wait until you’re burnt out to communicate. Know what you’re capable of and seek to build an open, honest relationship with your team.” Whether you’re in solo or group practice, make clear communication with colleagues a priority. Dr. Blair Holden agreed: “Having communicative, well-trained, and highly motivated staff members is essential.”

Key 2: Delegation
Along with communication, delegation can also help build a low-stress work environment. “Delegate,” answered Dr. Matthew Jones, when asked how to reduce stress in the workplace. “I’m not always the best at it, but it’s necessary.” Dr. Roberts-Hauser explained further: “Taking care of patients is a team effort. A team with well-defined roles that can support each other while accomplishing tasks will build healthy relationships while advancing your practice’s mission.”

Key 3: Scheduling
Finally, setting yourself up for success with scheduling is crucial to the wellbeing of you and your team. “Leave margin in your schedule,” advised Dr. Lee Peplinski. “When unexpected things come up—and they will— you will have room to handle them. If your schedule is completely full, one small hiccup can throw everything off.” Taking a longer-term perspective, Dr. Dori Carlson reminded us that a career in optometry is a marathon, not a sprint: “You don’t have to work 60 hours per week. If finances allow, consider reducing your daily hours or moving down to 3 days of patient care a week. Do what you can to make it fun and ensure that what you’re doing is making you happy.”

Ultimately, prioritizing communication, delegation, and schedule management are three methods that doctors of optometry can employ to reduce stress in their practice. While not all challenges can be prevented, taking an active approach to identifying and addressing workplace stressors is a beneficial step for preventing burnout and caring for the health of your patients—and the health of your practice.
For more advice and best practices from doctors of optometry, visit the AOAExcel Career Center. In addition to informative resource updates, the Career Center hosts an optometry-exclusive job board and resume database that makes searching for qualified candidates and exciting opportunities simple.
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