Ep. 51 - Prior authorizations on colonoscopies?
UnitedHealthcare changes its policy and the HELP Committee passes PBM reforms
This week on the FLATLINING Podcast, Matthew and Ron discuss a new policy from UnitedHealthcare (UNH 0.00) that requires diagnostic and surveillance colonoscopies to undergo prior authorization. At the same time UnitedHealthcare claims they are cutting twenty percent of prior authorizations across the board.
Then, the Senate Health, Education, Labor, and Pensions Committee passed several new regulations on Pharmacy Benefits Managers, including a prohibition on price spreading. Matthew and Ron discuss that and its impacts on patients.
Subscribe to the FLATLINING Podcast on Apple Podcasts, Spotify, the iHeartRadio app, Amazon Music, Google Podcasts, Stitcher, Pandora, TuneIn, and Audible.
Articles mentioned in this program:
‘Stunning’ change to United’s colonoscopy coverage roils physicians and patients - STAT News
Easing the prior authorization journey - UnitedHealthcare
Senate panel advances drug pricing bills, including PBM reforms - The Hill
Pfizer CEO calls US drug price plan 'negotiation with a gun to your head' - Reuters