Becker's Payer Issues: UnitedHealthcare community plans prior authorization cuts by category

  By Andrew Cass    August 31, 2023

UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1. 

Here are the cuts UnitedHealthcare is making to its community plans prior authorization requirements, broken down by category. See the individual codes being eliminated here. All cuts for these plans begin Nov. 1.

Cardiology: 5

Genetic testing: 292

Hysterectomy: 2

Spine surgery: 4

Radiology: 66

Arthroplasty: 2

Vein procedure: 2

Sterilization/site of service: 1