Last call! Abstracts for APTA CSM in Anaheim are due July 15.
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Outpatient services for many Medicare Advantage patients are impacted, but UHC's Gold Card program could provide some relief.
(This article was updated on Dec. 4 from its initial publication on Aug. 19 to include additional clarifications and guidance from UHC.)
In disappointing moves that walk back needed reforms to burdensome prior authorization policies announced in August 2023, UnitedHealthcare has expanded prior authorization requirements within certain plans for follow-up PT visits when services are provided in office and outpatient hospital settings, effective Sept. 1.
News
Senate Introduces Companion Legislation To Help Patients Avoid InterruptionsJul 10, 2025
If enacted, PTs across the country would be allowed to secure substitute care for patients during an absence.
Article
Proposed 2026 Home Health Rule: Implementation of PDGM Leads to 6.4% CutJul 9, 2025
In this review: Medicare and Medicaid Programs: Calendar Year 2026 Home Health Prospective Payment System Rate Update; Requirements for the HH Quality
News
APTA Advocates Against Anthem's Policy for Reporting Timed UnitsJul 9, 2025
APTA urges the insurer to revise the policy and has created a template letter for members to add their voices to the advocacy effort.
