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  4. CAP and Six Medical Organizations Call on UnitedHealthcare to Forego Designated Provider Program

The CAP and six other medical professional organizations stated their concerns regarding UnitedHealthcare’s Designated Diagnostic Provider laboratory program in a letter on January 26. The groups urged UnitedHealthcare to update the program so it would not undermine the patient-physician relationship. The CAP engages with private-sector insurers, like UnitedHealthcare, to ensure access to pathology and laboratory services across all settings.

In a January 26 letter, the CAP, along with the American Medical Association, the American Academy of Dermatology, the American College of Obstetrics and Gynecology, the American College of Rheumatology, American Society of Dermatopathology, and the Medical Group Management Association asked UnitedHealthcare to seek stakeholder input from physicians and medical groups on the Designated Diagnostic Provider program.

The CAP has urged UnitedHealthcare to permanently cease implementation of this program because of the burden and confusion created for pathologists and their patients, the lack of transparency, and – most importantly – the potential financial harm for UnitedHealthcare plan members.

The CAP continues to work on this issue and will update the membership on any developments.

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