Tag

Colonoscopies

All articles tagged with #colonoscopies

healthcare2 years ago

Blue Cross Blue Shield of Massachusetts Reverses Controversial Colonoscopy Policy

Blue Cross Blue Shield of Massachusetts has decided to halt a controversial policy to restrict the use of anesthesia during colonoscopies after facing backlash from doctors and concerns about patient discomfort. The policy, which took effect on Jan. 1, drew outrage from medical professionals who argued that it could deter patients from undergoing the potentially life-saving procedure. The company's chief medical officer stated that the decision to pause enforcement of the policy was made due to confusion and the goal is to ensure that patients receive the appropriate level of sedation. The use of anesthesia during colonoscopies has been a point of contention, with doctors and patients preferring it for more efficient and higher-quality exams, while the insurance company had argued that many patients can safely undergo the procedure with moderate sedation.

healthcare2 years ago

UnitedHealthcare Revises Colonoscopy Policy, Drops Prior Authorization Requirement.

UnitedHealthcare has shifted its approach to endoscopy services, including colonoscopies, from "prior authorization" to "advance notification." The new requirement involves providers submitting patient data to UnitedHealthcare before performing a procedure. Providers who submit advance notifications will be eligible for UnitedHealthcare's Gold Card program, which will eliminate prior authorization requirements for most procedures. The change comes after criticism from medical groups about the prior authorization plan, which could have delayed urgent procedures. Some groups have expressed concern about the "advance notification" process, which they say could create significant administrative and resource burdens for physicians and medical staff.

healthcare2 years ago

UnitedHealthcare Revises Colonoscopy Policy, Drops Prior Authorization Requirement.

UnitedHealthcare has shifted its controversial "prior authorization" requirement for non-screening colonoscopies and other gastroenterology endoscopy services to an "advance notification" process. Providers must collect and submit patient data to UnitedHealthcare before performing a procedure to be eligible for the insurer's Gold Card program, which will eliminate prior authorization requirements for most procedures. The prior authorization plan received criticism from the medical community, and some groups have expressed concern about the "advance notification" process.