AGA Campaign to #StopUHC
AGA campaign to block UHC's GI prior auth policy
UnitedHealthcare (UHC) now requires “advance notification” for GI endoscopy services. AGA believes this is a way for UHC to lay the groundwork for future prior authorization requirements next year.
AGA priority: Protecting GI patients and practices from prior auth policies — especially what UnitedHealthcare is planning for 2024
Here's how we're fighting for GI
AGA will not let UHC quietly role out a prior authorization program that will impact millions of patients nationwide.
Latest news
Dr. Maria Abreu
UnitedHealthcare policies undermine gastrointestinal care — South Florida Sun Sentinel, Aug. 8, 2023
Dr. Fola May
Insurer tactics to delay care pushes health equity further away — Capitol Weekly, July 31, 2023
Rep. Mark Green
Insurers such as UnitedHealthcare should not make it harder to get a colonoscopy — The Tennessean, July 26, 2023
Dr. Joseph Losurdo
Insurance companies putting up too many barriers — Daily Herald, July 25, 2023
- Prior authorization, by any other name, threatens Washingtonians’ health — The Olympian (authored by Dr. Barbara Jung), July 19, 2023
- UHC should reverse course on prior authorization policy — Dallas Morning News (authored by Dr. Rajeev Jain), July 13, 2023
- UnitedHealthcare shifts colonoscopy requirements from controversial ‘prior authorization’ to ‘advance notification’ — CNN, June 1, 2023
- UnitedHealthcare nixes prior authorization rule, but docs aren’t happy about what’s replaced it — Fierce Healthcare, June 1, 2023
- UnitedHealth backs off contentious prior authorization plan — Axios, June 1, 2023
- UnitedHealth Ditches Controversial Prior Authorization for GI Procedures for ‘Advance Notification Process’— Managed Healthcare Executive, June 1, 2023
- GI Docs Reject UHC Plan To Replace Prior Auth With Advanced Notification — Inside Health Policy, May 31, 2023
- How UHC’s new prior authorization policy for colonoscopies could make patients wait — Fierce Healthcare (authored by Dr. Barbara Jung), May 26, 2023
- Doctors and patients are worried this large health insurer’s new policy will delay care — USA Today, May 24, 2023
- Gastro Docs Demand United Reverse Prior Auth Changes Set For June 1 — Inside Health Policy, May 23, 2023
- UnitedHealthcare draws fire from docs over new prior authorization policy for colonoscopies — Fierce Healthcare, May 16, 2023
- UnitedHealthcare will soon implement a controversial prior authorization policy for surveillance and diagnostic colonoscopies — Forbes, May 16, 2023
- ‘Stunning’ change to United’s colonoscopy coverage roils physicians and patients — STAT News, May 15, 2023
Background
After weeks of protest from AGA and the GI community, UnitedHealthcare shelved the prior authorization policy for GI endoscopy planned to go into effect June 1, but replaced it with a nebulous Advance Notification Program.
This program requires you to provide even more data on top of the current burdensome paperwork requirements. It is a temporary patch – patients will not be denied care immediately, but this program lays the groundwork for a sweeping prior authorization program in 2024.
- One month after UnitedHealthcare’s “advance notification” program began, confusion still reigns for America’s GI doctors — July 6, 2023
- Despite last minute change, UnitedHealthcare’s policy for virtually all colonoscopies and endoscopies lays groundwork for delays, disruptions, and denials of life-saving services — June 1, 2023
- GI society statement: UHC offers to trade GI prior auth for a poorly defined alternative — May 26, 2023
- AGA doubles down on prior auth fight with UHC — May 10, 2023
- TIME IS RUNNING OUT: Patients, Physicians Brace for Anticipated Delays, Denials by UnitedHealthcare for Endoscopies Starting 6/1 — May 1, 2023
Bottom line: Patients should have timely access to the care their health care providers deem medically necessary.
For more information
Contact the AGA Government Affairs team: [email protected]. Media: contact Rebecca Reid at [email protected] or 410-212-3843.
