ASGE Listening Session: UnitedHealthcare Advance Notification Program | June 2023-United Healthcare Advance Notification Program

Video Transcription

Video Summary

The American Society for Gastrointestinal Endoscopy (ASGE) held a listening session on UnitedHealthcare's Advanced Notification Program. The session focused on key issues regarding the program's impact on practices and reimbursement. Dr. Colleen Schmidt and Dr. Joe Vacari served as moderators for the session.<br /><br />Dr. Bruce Hennessey provided an update on ASGE's advocacy efforts against the program. UnitedHealthcare implemented the program, which requires prior authorization for endoscopy procedures, claiming geographic variation and overutilization of endoscopy. However, they refused to provide the societies with data to support their program. The program is seen as a way for UnitedHealthcare to gather data for future prior authorization programs and support their gold card program.<br /><br />Dr. Inessa Heickes, Dr. Jim Weber, and Dr. Mazen Jamal shared their perspectives on participating in the program. They discussed concerns about administrative burden, transparency in evaluation criteria, and limited input from the GI community. They also highlighted challenges in staffing and the impact on patient access to care.<br /><br />The session included a Q&A session and polling questions to gather information on participants' experiences and perspectives. The panel members and ASGE emphasized the importance of communication, feedback, and ongoing advocacy efforts to address the concerns raised by the program.<br /><br />Overall, the session provided a platform for participants to discuss key issues and share their experiences with UnitedHealthcare's Advanced Notification Program, as well as strengthen collaboration and advocacy efforts within the GI community.

Keywords

American Society for Gastrointestinal Endoscopy

ASGE

listening session

UnitedHealthcare

Advanced Notification Program

practices

reimbursement

prior authorization

endoscopy procedures