Several policies, specifically those imposed by Medicare Advantage plans, have been delaying cataract surgeries, according to a June 21 email sent to Becker’s.
Aetna eventually decided to roll back a mandate for prior authorizations for all cataract surgeries a year after it was implemented nationally. However, the policy remains in effect in Georgia and Florida.
Humana has also introduced a prior authorization policy for cataract surgeries in Georgia, sparking industry fears of a nationwide policy expansion.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.