Variations in Medical Necessity Determinations Across Commercial Insurance Carriers for Prostate Cancer Procedures - International Journal of Radiation Oncology, Biology, Physics
Variations in Medical Necessity Determinations Across Commercial Insurance Carriers for Prostate Cancer Procedures - International Journal of Radiation Oncology, Biology, Physics redjournal.org Variations in Medical Necessity Determinations Across Commercial Insurance Carriers for Prostate Cancer Procedures Search for articles by this author 4-6 minutes Abstract PURPOSE : Variation in commercial insurance coverage may lead to disparity in access to quality cancer care. We evaluated commercial insurance coverage determinations to assess the degree of variation across a national sample. MATERIALS and METHODS : We identified the predominant carrier of commercial insurance in each state based on the 2020 U.S. Government Accounting Office (GAO-21-34) report on insurance. For each state, publicly available medical policies from 1/1/2021 to 1/31/...