Welcome

Celebrating Over 75 Years Of Service

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Advance the comprehensive management of allergy and inflammatory disease in Otolaryngology-Head and Neck Surgery through training, education, and advocacy."

ADVOCACY UPDATES

CY 2021 Physician Fee Schedule Proposed Rule Summary

On August 3, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician…

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Congress and Administration Take Aggressive Action to Address COVID-19 Pandemic but Providers Continue to Struggle

Congress has passed four pieces of legislation and the Centers for Medicare & Medicaid Services…

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USP General Chapter <797> News. Media Fill Test Kit

Implementation of the new USP General Chapter <797> Pharmaceutical Compounding — Sterile Preparations is still…

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Changes in MACRA

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Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

07/15/20: Call for Scientific Papers
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09/11/20: Membership Application Deadline to be voted in at the 2020 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2020 Annual Meeting Learn more

12/01/20: Research Grant Cycle
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04/01/21: Fellow Exam Application Deadline
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06/01/21: Research Grant Cycle
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06/26/21: Membership Application Deadline to be eligible for AAOA Member rate for the 2021 Basic Course

EDUCATION

Allergy & ENT: Wait, Wait Don't Tell Me!, presented at the AAO-HNSF 2020 by Keith Andrew Sale, MD, Alpen A. Patel, MD, Glen Porter, MD, and Wesley D. Vander Ark, MD can be viewed here. It will be avialable through Friday, October 30, 2020.

Register Today for the 2020 AAOA Annual Meeting to earn up to 18.25 AMA PRA Category 1 Credit(s)TM for the live activity plus 8.75  AMA PRA Category 1 Credit(s)TM for the on demand content.

PLEASE ALLOW 24-48 HOURS FOR YOUR REGISTRATION TO BE PROCESSED FOR YOU TO RECEIVE THE LOGIN/ACCESS INSTRUCTIONS.

For those member and nonmembers who register for the AAOA 2020 Annual Meeting Oct 24-29 (live stream) before October 15th, you will be offered complimentary registration to participate in the AAO-HNSF “Comprehensive Otolaryngology Week” component of the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience. Access to the Comprehensive week – Each registrant will receive a welcome email with login instructions once the AAOA Annual Meeting Registration list is imported. The deadline to register to get the access is October 15th.

IFAR

IFAR Impact Factor: 2.454

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IFAR Featured Content: COVID-19 - Free Access
Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies . Read More

Now Available

Changes in Managing Practices

Mission

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

2020 AAOA Annual Meeting
October 24-29, 2020
Virtual || Free For Members
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AAOA Clinical Insights
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USP 797 Online Module
Learn More and Register

2021 Basic Course in Allergy & Immunology
July 15-17 | Seattle, WA

News and Updates

CEO Update, Fall 2020 -Winter 2021

In writing this piece, I tried to find something inspirational to help set the stage. Google…

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THANKFUL FOR YOU!

2020 has reminded us to be thankful. Thank You for your support through this year. …

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College Allergy Symptoms Treatment Back to Shcool

PRACTICE RESOURCES

AAOA Practice Resource Tool Kit

The American Academy of Otolaryngic Allergy (AAOA) Practice Resource Tool Kit is intended as a guide to help AAOA members integrate allergy into their otolaryngology practice and to continually improve on this integration as new information, regulations, and resources become available.

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PATIENT CORNER

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Congress Makes Changes to MACRA

The second year of the Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA) began in January, but in February, Congress responded to concerns from the physician community and made changes to the Merit-Based Incentive Payment System (MIPS) one of the two tracks in the QPP. These changes provide the Centers for Medicare and Medicaid Services greater flexibility in implementing the program.
They include:

  • The original MACRA statute included the cost of physician administered drugs in the calculation of MIPS bonuses and penalties. This differed from how these calculations were made under the legacy quality programs, like the Physician Quality Reporting System. As a result of this legislative change, physician administered drug costs will be excluded from the MIPS bonus and payment adjustment calculations.
  • CMS is still in the process of developing episode specific cost measures to evaluate clinicians’ resource use as part of the Cost category in MIPS. Beginning in year 3 of the program, CMS was statutorily mandated to count cost as 30% of a clinician’s score. Congress has now provided the agency with more flexibility allowing the weight to be set at no less than 10% for years 2 through 5 of the program.
  • Similar changes were made to the MIPS performance threshold, the score at which penalties are assessed to those below and bonuses to those above. CMS will now have the flexibility to set this threshold for years 2 through 5 before requiring it to be set at either the mean or median of the performance scores.

These changes will allow those participating in MIPS to more gradually transition into the MIPS program and gain a better understanding of they can succeed in this new value-based model. The physician community is very pleased that Congress took action to make these changes.

CMS Launches Patients Over Paperwork Initiative

Last fall CMS launched a new initiative called “Patients Over Paperwork” with the aim of reducing burdensome regulations. CMS has established a process to evaluate and streamline regulations to reduce burden on physicians and improve the beneficiary experience. Issues that are being considered as part of the initiative include:

  • Reducing the burden associated with the Quality Payment Program
  • Improving the medical review process
  • Reducing documentation requirements
  • Improving Patient Access to their Electronic Data

As part of the initiative, CMS is accepting feedback from the public and when appropriate making changes in response. For instance, the agency consolidated the QPP data submission process allowing physicians to submit all over their MIPS data through one site.

Sign up for the monthly newsletters on this initiative here.

Congress Struggles to Address Drug Prices as White House Prepares to Release Plan

Both Congress and the White House continue to express concern about the high cost of prescription drugs and the impact on patient access. When drug price spikes make the news, like they did with the EpiPen, Congress takes notice and holds hearings. The President has been stating that controlling drug costs is a priority since the campaign. Despite all the interest, no action has been taken.

In a midterm election year, Congress is unlikely to pass significant legislation on this topic, but the committees of jurisdiction continue to meet with stakeholders to explore the issue and brainstorm solutions. The first real action on this issue will come next week when the White House unveils its plan to curb the growth of drug prices.

One of the White House proposals may be to allow pharmacy benefit managers to negotiate prices for some Medicare Part B drugs similar to what they do in Part D. Another option may be to share rebates with seniors at the point of sale. The President’s budget request called for cutting doctors’ Part B reimbursement for administering drugs and testing the approach in a demonstration. CMS could devise a formula to limit Part B drug reimbursement for certain classes of drugs. It should be noted the Obama administration proposed a Part B drug demonstration that would have limited provider reimbursement for drug administration and received serious criticism from stakeholders on this proposal that was never finalized.

The White House proposal may include controversial legislative changes like capping Medicare beneficiaries’ annual out-of-pocket spending and gradually making plans pay for 80 percent of the spending in catastrophic coverage which is currently capped at 15 percent. Another legislative approach is to count discounts toward beneficiary out-of-pocket spending which would increase beneficiary costs before reaching catastrophic coverage. This would discourage the use of expensive Part D drugs.

Whatever policies are included in the White House proposal, it is clear that there is no easy fix for patients who continue to struggle with the high and sometimes unpredictable costs of prescription drugs.