To better reflect its private payer activities, the ACR Managed Care Committee adopted a new name — the ACR Payer Relations Committee and Network — in a formal discussion at the May 2018 ACR Annual Meeting.
Though managed care remains critical to its work, the newly named Payer Relations Committee and Network tracks and responds to many different types of private payer issues in radiology, radiation oncology and nuclear medicine. Its overall mission aims at advancing ACR efforts to protect patient access to appropriate imaging services in all clinical settings.
The broad scope of the committee and network’s activities was reflected in following additional topics also addressed during their discussion:
- The Anthem site of service preauthorization policy
- Mammography and digital breast tomosynthesis reimbursement
- Out of network surprise coverage gaps
- The uses of clinical decision support by private payers
In addition, the committee and network addressed how to increase ACR member involvement in payer relations activities. They include encouraging participation in the private ACR Engage community dedicated to private payer discussions among members of the Payer Relations Committee and Network. Please contact Katie Keysor (firstname.lastname@example.org) if you are interested in becoming involved in these discussions and activities.