Becker's Healthcare December 11, 2024
From new prior authorization rules to growing payer contracts, here are six GI payer updates from 2024:
1. In September, Exton, Pa.-based US Digestive Health signed a five-year contract with major payer Highmark Health, an independent licensee of the Blue Cross Blue Shield Association. The contract ensures that Highmark members will have in-network access to US Digestive’s specialized gastroenterologists in Pennsylvania and Delaware.
2. On Oct. 1, UnitedHealthcare launched its gold-card program, impacting nearly all physician specialties. Several GI-related codes were impacted by the program’s launch, and will continue to be as long as the program is in place.
3. Two key GI organizations, the American College of Gastroenterology and the American Gastroenterological Association have expressed...
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