Radiology’s Fight Against Prior Authorization Delays
ACR is leading national efforts to make prior authorization more efficient and clinically appropriate while reducing the administrative burden and supporting national legislation.
Read moreMain Content
ACR and Partner Societies Challenge Aetna Position on Vertebral Augmentation
May 21, 2024
The American College of Radiology® (ACR®) joined other medical specialty societies whose members utilize and/or perform interventional spine procedures in a letter to Aetna leadership regarding the insurance giant’s failure to revise its policy on vertebral augmentation procedures. Aetna’s policy limits surgical procedures to fractures more than six weeks old; however, the medical societies contend these requirements should be revised/eliminated as they can potentially negatively impact patient outcomes and providers' ability to deliver evidence-based, appropriate spinal care to all patients.
ACR and the other specialty societies previously submitted letters to six commercial insurance payers asking them to change the medical necessity language contained in their coverage policies for Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture. Commercial payers were urged to align their plans with Medicare coverage policies that have been effective since 2021.
For more information or if you have questions, contact Alicia Blakey, ACR Principal Economic Policy Analyst.
ACR and the other specialty societies previously submitted letters to six commercial insurance payers asking them to change the medical necessity language contained in their coverage policies for Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture. Commercial payers were urged to align their plans with Medicare coverage policies that have been effective since 2021.
For more information or if you have questions, contact Alicia Blakey, ACR Principal Economic Policy Analyst.
Related ACR News
ACR Supports Medicaid Coverage of Lung Cancer Screening
ACR-backed bill would mandate Medicaid lung cancer screening, expand cessation coverage, ban prior auth—aiming to save lives and reduce disparities.
Read morePatient-Centered Imaging Care Led by Radiologists
ACR helps its state chapters fight scope of practice expansion, such as helping to oppose bills in state legislatures that would allow non-physicians to practice independently.
Read more