Senior leaders of ACRO’s Government Relations & Economics Committee (GREC) had a recent meeting with EviCore to express concern about their coverage criteria for Breast and Prostate Hypofractionation and the process they undertake when considering policy implementation. The meeting was in response to a communication drafted by ACRO leadership highlighting the patient safety concerns we have with their coverage criteria. A copy of that letter can be found here.
EviCore has committed to reviewing our concerns with this current coverage policy and has agreed to further discussions on the best way to involve the College before EviCore policies are implemented, such as the opportunity to comment on draft EviCore policies prior to their adoption. The meeting was a positive first step in opening communications between our organizations which could have a profound impact on one of the major administrative burdens for our members and your patients.
According to a recent survey conducted by the American Medical Association, an overwhelming majority (83%) of physicians report that the number of prior authorizations required for medical services has increased over the last five years. This remains an area that as your representative, ACRO is committed and will continue to actively advocate on behalf of its members.