UnitedHealthcare community plans prior authorization cuts by category

UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1. 

Advertisement

Here are the cuts UnitedHealthcare is making to its community plans prior authorization requirements, broken down by category. See the individual codes being eliminated here. All cuts for these plans begin Nov. 1. 

Cardiology: 5

Genetic testing: 292 

Hysterectomy: 2

Spine surgery: 4

Radiology: 66

Arthroplasty: 2

Vein procedure: 2

Sterilization/site of service: 1

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 17–19 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.

Advertisement

Next Up in Policy Updates

Advertisement

Comments are closed.