This week on the FLATLINING Podcast, Matthew and Ron discuss a new policy from UnitedHealthcare ($UNH ) 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 NewsEasing the prior authorization journey - UnitedHealthcare Senate panel advances drug pricing bills, including PBM reforms - The HillPfizer CEO calls US drug price plan 'negotiation with a gun to your head' - Reuters This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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Ep. 51 - Prior authorizations on colonoscopies?
www.flatlining.net
Ep. 51 - Prior authorizations on colonoscopies?
May 17, 2023
The FLATLINING Podcast from Fulcrum Strategies
The FLATLINING Podcast from Fulcrum Strategies brings you great healthcare news analysis and discussion each week from industry experts who know their way around politics, economics, and a doctor’s office. Questions about payor issues, Medicaid expansion, or the No Surprises Act? We’ve got you covered. New episodes drop every Wednesday morning.
The FLATLINING Podcast from Fulcrum Strategies brings you great healthcare news analysis and discussion each week from industry experts who know their way around politics, economics, and a doctor’s office. Questions about payor issues, Medicaid expansion, or the No Surprises Act? We’ve got you covered. New episodes drop every Wednesday morning.Listen on
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Ep. 51 - Prior authorizations on colonoscopies?