Health Insurer to Require Authorization for All Nonvaginal Hysterectomies
March 6, 2015 | Strategic Insights for Ambulatory Care
Physician practices may be interested in a February 26, 2015, Wall Street Journal article that discusses the ramifications of a move by the nation's largest health insurer to require prior authorization before physicians are permitted to perform most kinds of hysterectomies. The decision by UnitedHealth Group Inc. was driven in part by research that revealed that the use of power morcellators to perform hysterectomies and remove uterine fibroids could inadvertently spread undetected cancerous material to other parts of the body. The U.S. Food and Drug Administration (FDA) has since recommended against the use of power morcellators for most women who undergo these procedures (see the May 2, 2014, Physician Practice E-News). According to the article, only vaginal hysterectomies performed on an outpatient basis won't require prior approval.