The new policy will not apply to Medicare Advantage members in Florida and Georgia.
Last July, the payer implemented a new policy that required pre-approval for all physician-prescribed cataract surgeries for its members, which was opposed by the American Academy of Ophthalmology.
According to the academy, an estimated 10,000 to 20,000 Aetna members had cataract surgery unnecessarily delayed in the month of July 2021 alone.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
