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A call to action on Medicare reform


Headshot of Dr. Cronin

From the President

Dr. Cronin served as Academy president from March 2023 to March 2024.

By Terrence A. Cronin Jr., MD, FAAD, May 1, 2023

In 1938, a small group of 17 dermatologists founded the American Academy of Dermatology to advance our clinical practice and education, all with the goal of enhancing patient care. For all the changes that have occurred in medicine, dermatology, and health care in general since 1938, our mission at the Academy is as relevant as it was for our founders: to provide safe and quality patient care.

We know that when it comes to health care, change is inevitable. Some change, however, needs to be fought against on behalf of our patients. Payment instability threatens our ability to provide care.

Last year, your Academy fought against Medicare payment cuts of 8.5% or more that were scheduled to begin on Jan. 1, 2023. Our advocacy efforts were rewarded when President Biden signed into law an omnibus spending package that included partial relief from the Medicare cuts — reducing the cut from 8.5% to 2% in 2023.

Learn more

While the relief fell short of the AADA’s and the physician community’s requests, congressional action on this critical issue was influenced by the grassroots efforts of dermatologists, patients, and the membership of other medical associations:

  • 2,100 AADA members sent nearly 10,000 emails and messages to Capitol Hill.

  • 2,000 members of the public sent messages via AADA’s action alert center — at least 965 patients and 336 practice staff. The remainder were concerned citizens or physicians.

Your Academy staff didn’t do this alone.

Clearly, the strength and involvement of our members are the keys to our success. However, the work is not over yet. The AADA and the physician community have stressed and will continue to stress that any cut is unacceptable.

That is why the AADA’s top priority in 2023 is Medicare reform. We need a system that establishes a positive annual inflation adjustment, eliminates budget neutrality requirements, and removes overly burdensome documentation and compliance activity.

John Shaw, MD, Academy President 1977

“The strength of an organization depends on the involvement of its membership.”

─ John Shaw, MD, Academy President 1977

Academy advocates at SkinPac
Academy advocates attend the SkinPAC event in Vancouver.
However, the only way we’re going to get there is with more help from you. Consider this a call to action. When I call on you to act, it won’t be minor. It will be something important, like contacting your member of Congress or meeting with a leader who’s in town. We must do whatever it takes to move the needle, and we must do it together as one forceful unified front. We need to keep the pressure up and I hope you will join me in fighting this important battle this year. Our ability to provide patient care is at stake.

Take Action

Find out how you can get involved in the Academy’s advocacy efforts.


Presidential spotlight

It takes a dedicated and engaged membership to move the needle on the issues facing our patients and practices, and sometimes our most diligent members can go unrecognized. As a toast to our unsung heroes within the Academy, I will be featuring one hardworking member at the end of this column each month.

This month’s recipient of the Presidential Spotlight goes to: Clifford Warren Lober, MD, JD, FAAD

Clifford Warren Lober, MD, JD, FAAD
Clifford Warren Lober, MD, JD, FAAD
When coverage for Mohs surgery was in jeopardy, he worked with five national (AADA, ASDSA, AOCD, ACMS, and ASMS) and three state (FAD, FSDS, and FMA) organizations to maintain coverage and appropriate reimbursement. When women with psoriasis were to be denied the use of biologic agents unless they first failed on methotrexate, he worked with the Academy, the Psoriasis Foundation, and state organizations to negate this attempt. When coverage and payment for the treatment of actinic keratosis were in jeopardy, he represented the Academy in Baltimore and Washington, D.C., and successfully addressed this issue. He has represented dermatology to the Florida Medicare carrier (First Coast) on the Medicare Carrier Advisory Committee since its inception, and for two years was co-chair of this committee. His dedication and leadership to the Florida Board of Medicine and the AAD are truly exemplary. 

His commitment and successful acts of advocacy deserve our admiration and certainly the Presidential Spotlight!

Dr. Lober
AAD/A Impact Report

Read more about the Academy’s most recent advocacy wins.

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