UnitedHealthcare’s national prior authorization gold-card program went into effect on Oct. 1, offering reduced pre-certification requirements for providers who meet specific eligibility criteria. Providers must maintain a high prior authorization approval rate and be in-network with UnitedHealthcare plans to qualify. The program aims to streamline the approval process, though it has drawn criticism from the American Gastroenterological Association and American College of Gastroenterology. Some physicians are cautiously optimistic about its potential benefits for patients and providers.
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