Last year, Humana started requiring pre-approval for all cataract and posterior capsulotomy surgeries, which caused treatment delays and denials, according to the release. Humana rolled back the decision on Aug. 1.
Over 4 million Americans undergo cataract surgery every year to improve their vision. Two years ago, insurer Aetna also implemented a prior authorization policy for cataract procedures but rescinded the requirement in July 2022 except for Medicare Advantage patients in Florida and Georgia.
“While we’re encouraged by Humana’s decision to rollback its policy, the fight to protect our patients is not over,” Parag Parekh, MD, government relations chair for ASCRS, said in the release. “We will continue to pressure Aetna to retract its policy for people enrolled in Medicare Advantage in Florida and Georgia.”
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.