United Healthcare Gold Card Laws

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New Texas gold card law streamlines prior authorizations

(Just Now) WEBBeginning Oct. 1, 2022, certain provisions of Texas House Bill 3459, as known as the “Texas gold card bill,” take effect. This new law reduces prior authorization requirements helping patients get the treatment they need when they need it. This law …

https://www.uhcprovider.com/en/resource-library/news/2022/tx-gold-card-authorizations.html

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States Target Health Insurers’ ‘Prior Authorization’ Red Tape

(7 days ago) WEBThe AMA is tracking active gold carding bills in 13 states, including Missouri. A 2022 survey of 26 health insurance plans conducted by the industry trade group AHIP …

https://kffhealthnews.org/news/article/states-health-insurers-prior-authorization-legislation-gold-carding/

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New physician “gold card” law will cut prior …

(1 days ago) WEBThe AMA has achieved recent wins in 5 critical areas for physicians. Under a law that took effect this month and is the first of its kind in the U.S., physicians who have a 90% prior authorization approval rate …

https://www.ama-assn.org/practice-management/prior-authorization/new-physician-gold-card-law-will-cut-prior-authorization

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Texas law eases prior auth burdens, but payers see it as …

(5 days ago) WEBSet to take effect on Sept. 1, the law prohibits health insurers from requiring pre-approval for services if a provider earns “gold card” status. A provider can earn the status if they have a

https://medcitynews.com/2021/07/texas-law-eases-prior-auth-burdens-but-payers-see-it-as-a-dangerous-move/

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UnitedHealthcare cuts back prior authorization requirements

(7 days ago) WEBUnitedHealthcare will also implement a national “gold card” program in early 2024, allowing certain providers whose prior authorization requests are …

https://www.healthcaredive.com/news/unitedhealthcare-prior-authorization-changes-provider-reactions/646399/

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Texas Establishes Gold Card for Prior Authorization Exemption

(5 days ago) WEBOn Sept. 1, 2021, a new law went into effect in Texas that sets a new gold standard for prior authorization legislation. Commonly referred to as gold card legislation, H.B. 3459 …

https://www.the-rheumatologist.org/article/texas-establishes-gold-card-for-prior-authorization-exemption/

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Easing the prior authorization journey UnitedHealthcare

(Just Now) WEBEasing the prior authorization journey. Prior authorization, or preauthorization, is a process through which health care providers obtain coverage approval from health plans prior to performing certain non …

https://www.uhc.com/news-articles/newsroom/easing-prior-authorizations

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'Gold card' laws let some providers skip prior authorization

(Just Now) WEBThe first state to implement such a law was West Virginia in 2019. Under the law, providers are not required to seek prior authorization for a certain service if they …

https://www.advisory.com/daily-briefing/2022/05/05/prior-authorization

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UnitedHealthcare gold card could cut 10% of prior authorization …

(9 days ago) WEBEmail. UnitedHealthcare's plans to implement a gold-card program in 2024 might cut another 10 percent of its prior authorization volumes on top of a 20 percent …

https://www.beckerspayer.com/payer/unitedhealthcare-gold-card-could-cut-10-of-prior-authorization-volumes-ceo-says.html

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TMA Frequently Asked Questions on Texas’ “Gold-Carding

(2 days ago) WEBWhat is a “gold card” under Texas law and Texas Department of Insurance (TDI) rules? Under TDI rules (i.e., 28 TAC §19.1730(10)) a “gold card” or …

https://www.texmed.org/GoldCardWhitePaper/

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Prior authorization 'gold card' bills spark conversations in states

(5 days ago) WEBThe AMA and other groups have endorsed gold card policies since 2017, and limited programs from payers existed before then. The policies are picking up …

https://www.modernhealthcare.com/insurance/prior-authorization-gold-card-bills-spark-conversations-states

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States Move To Curb Prior Authorization Requirements - Medscape

(3 days ago) WEBThe Texas Department of Insurance estimated that only 3.3% of licensed physicians in the state have met "gold card" status since the bill became law in 2021, …

https://www.medscape.com/viewarticle/992477

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Texas Prepares to Implement “Gold Card” Prior Auth Bill

(6 days ago) WEBUnder HB 3459, for certain health plans, physicians can earn a continuous exemption from prior authorization – or “gold card” – by earning approvals on at least …

https://www.texmed.org/goldcardprep/

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Summary of Benefits and Coverage: What this Plan

(1 days ago) WEBStandard High Gold: UHC Navigate Gold 0 Coverage Period: 01/01/2022 –12/31/2022 Coverage for: Family Plan Type: INS Page 1 of 7 The Summary of Benefits and …

https://www.uhc.com/content/dam/uhcdotcom/en/iex-marketplace/ma/Standard-High-Gold-UHC-Navigate-Gold-0-2022.pdf

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Dr. Jeffrey Gold - Union NJ, Cardiovascular Disease (Cardiology)

(2 days ago) WEBDr. Jeffrey Gold [NPI: 1104884659] Cardiovascular Disease (Cardiology) Dr. Jeffrey Gold - Union NJ, Cardiovascular Disease (Cardiology) at 1000 Galloping Hill Rd …

https://www.healthcare6.com/physician/union-nj/jeffrey-gold-1927288.html

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The Empire Plan's Provider Directory

(2 days ago) WEBThere is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) …

https://empireplanproviders.com/

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Advance Notification for gastroenterology endoscopy services

(7 days ago) WEBAdvance notification for medically urgent procedures can be provided through the UnitedHealthcare Provider Portal or by calling UnitedHealthcare and clearly indicating …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/Prior-Auth-Gastroenterology-FAQ.pdf

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MN Department of Commerce consent order requires …

(2 days ago) WEBThe Minnesota Department of Commerce today announced a settlement in the form of a Consent Order with UnitedHealthcare that stemmed from the …

https://mn.gov/commerce/news/?id=17-624065

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Find a Dentist UnitedHealthcare Community Plan

(8 days ago) WEBUnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred …

https://www.uhc.com/communityplan/find-a-dentist

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2024 Individual Exchange plans in Texas quick reference guide

(5 days ago) WEBUnitedHealthcare Individual Exchange plans in Texas, also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans. For most Individual …

https://www.uhcprovider.com/content/dam/provider/docs/public/health-plans/exchanges/guides/TX-Exchange-2024-QRG.pdf

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