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UHC’s Gold Card program: Status quo

AGA does not expect UnitedHealthcare's national Gold Card program to have major effects for GI practices.
Prior authorization form with pen, calculator and glasses on desk
Prior authorization form with pen, calculator and glasses on desk

On Sept. 1, 2024, UnitedHealthcare (UHC) released information about its national Gold Card program, which does not include any GI endoscopy procedures. In fact, the program appears to mainly affect a fraction of low-frequency medical procedures across medicine and still requires completion of advance notification paperwork — calling into question the efficiency of the program.

Bottom line: At this time, AGA does not expect the UHC Gold Card program will have major effects for GI practices. However, UHC provided scant details with their program announcement and has not provided useful information in response to AGA inquiries. If you receive information from UHC representatives, please let us know. We’re ready to advocate for GIs and our patients.

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