The nation’s most profitable insurer has yet to release clear information about its new program that went into effect on June 1, which lays the groundwork for UHC’s prior authorization policy for lifesaving colonoscopies and endoscopies.
The American Gastroenterological Association (AGA) remains concerned by UnitedHealthcare’s (UHC) advance notification program, which went into immediate effect June 1. The nation’s most profitable insurer has yet to provide clear requirements, instructions or training––sowing confusion and uncertainty among doctors and their staff. Most importantly, AGA remains alarmed that the insurance giant is using this program as a basis for its “Gold Card” prior authorization program, which could force its 27.4 million commercial beneficiaries to wait for time-sensitive endoscopy and colonoscopy procedures when it goes into effect in early 2024.