Becker's Healthcare August 27, 2024
Prior authorizations are considered obstacles by many physicians and patients alike, with 9 in 10 physicians saying in an American Medical Association survey prior authorization has a negative effect on patient outcomes.
To combat that burden, UnitedHealthcare is rolling out a gold-card program that will reward contracted provider groups that “consistently adhere to evidence-based care guidelines” by allowing certain physicians to bypass the prior authorization process.
While some physicians and groups have expressed concern over the program, other physicians are optimistic it could help combat lengthy wait times and existing prior authorization requirements.
Joshua Rosenow, MD. Director of functional neurosurgery at Northwestern Medicine (Chicago): UHC has been the perpetrator of some of the most onerous prior authorization requirements. While the...
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