United Healthcare Gold Card Law

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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 applies to …

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

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Texas Gold Card Law Frequently Asked Questions

(5 days ago) WebTexas gold card exemptions. On Oct. 1, 2022, the initial preauthorization exemptions required by Texas House Bill 3459, also known as the “Texas gold card exemptions,” …

https://www.uhcprovider.com/content/dam/provider/docs/public/health-plans/tx-commercial-gold-card-faq.pdf

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Prior authorization reduction equals nearly 20 percent of overall

(3 days ago) WebIn 2024, we’ll implement a national Gold Card program for provider groups that meet eligibility requirements. Qualifying provider groups will follow a simple …

https://www.uhcprovider.com/en/resource-library/news/2023/medical-prior-auth-code-reduction-august.html

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House bill advances “gold card” model on prior authorization

(Just Now) WebMedicare Advantage plan-issued gold cards would be applicable only to items and services—and exclude drugs—and remain in effect for at least a year. The …

https://www.ama-assn.org/practice-management/prior-authorization/house-bill-advances-gold-card-model-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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“Gold card” approach to prior authorization introduced in Congress

(3 days ago) WebMedicare Advantage plan-issued “gold cards” would only be applicable to items and services—excluding prescription drugs—and remain in effect for at least a …

https://www.ama-assn.org/practice-management/prior-authorization/gold-card-approach-prior-authorization-introduced-congress

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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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New physician “gold card” law will cut prior …

(1 days ago) WebThe AMA stands up to insurance companies to eliminate care delays, patient harm and practice hassles. Under a law that took effect this month and is the first of its kind in the U.S., physicians who have a …

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

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FAQs on Preauthorization Exemptions (“Gold Card” Act)

(2 days ago) WebFAQs on Preauthorization Exemptions (“Gold Card” Act) The Texas Hospital Association offers answers to member hospitals’ questions about the Texas Department of …

https://www.tha.org/wp-content/uploads/2022/09/FAQs-on-Gold-Cards-Final-091422.pdf

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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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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 consistently …

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

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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 cutting 20% of prior authorizations - Becker's …

(1 days ago) WebUnitedHealthcare is moving forward with a plan to eliminate 20 percent of its current prior authorizations and implement a national gold-card program.. Code …

https://www.beckerspayer.com/payer/unitedhealthcare-cutting-20-of-prior-authorizations.html

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UnitedHealthcare to reduce prior-authorization, paperwork …

(6 days ago) WebUnitedHealthcare, the nation's largest health insurer, plans to reduce its use of prior authorization requests. Some states have passed laws requiring "gold card" …

https://www.bizjournals.com/twincities/news/2023/03/29/unitedhealthcare-prior-authorization-paperwork.html

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Prior authorization 'gold card' bills spark conversations in states

(5 days ago) WebPrior authorization often divides insurers and providers. The Texas Association of Health Plans said in a 2021 document that the state’s new law could …

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

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UnitedHealthcare shifts colonoscopy requirements from - CNN

(Just Now) WebProviders who submit advance notifications will be eligible for UnitedHealthcare’s Gold Card program, which is expected to be implemented next year …

https://www.cnn.com/2023/06/01/health/unitedhealthcare-colonoscopy-requirements/index.html

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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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Summary of Benefits and Coverage - UnitedHealthcare

(3 days ago) WebThe Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health …

https://www.uhc.com/ifp/sbc.40220TX0080013-01.en.2024

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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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Standard-High-Gold-UHC-Navigate-Gold-0 - UnitedHealthcare

(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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Summary of Benefits and Coverage: What this Plan Covers

(1 days ago) WebUHC Gold Value $1,800 Deductible (Unlimited $0 Virtual Urgent Care + $0 Primary Care Visits, $1 T1 Preferred Rx) Coverage For: Individual, Family Plan Type: HMO

https://www.uhcexchange.com/ifp/sbc.40220TX0080021-01.en.2023

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