May 17 • 27M

Ep. 51 - Prior authorizations on colonoscopies?

UnitedHealthcare changes its policy and the HELP Committee passes PBM reforms

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Appears in this episode

Matthew Handley
Ron Howrigon
The FLATLINING Podcast brings you great healthcare analysis and discussion each week from industry experts who know their way around politics, economics, and a doctors office. Subscribe for more great content and check out the articles at
Episode details

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.


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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