{"campaignList": [{"_extra": {}, "ai_options": null, "always_show_to_advocates": false, "background_color_override": "#ffffff", "background_image_override_url": "", "background_style_type": null, "campaign_interaction_types": [], "campaign_layout": 1, "campaign_type": 2, "conf_email_from_address": "craynor@gastro.org", "conf_email_from_address_username": null, "conf_email_from_name": null, "conf_email_reply_to_address": null, "conf_email_reply_to_address_domain": null, "conf_email_reply_to_address_username": null, "conf_email_reply_to_name": null, "conf_email_subject": null, "custom_call_to_action_button_text": "", "custom_call_to_action_text": "", "custom_css": "", "custom_fields": [], "custom_gamification_points": 10, "custom_javascript": "", "custom_target": "", "custom_thank_you_javascript": "", "description_alignment_type": 1, "facebook_leadgen_form_id": "", "facebook_leadgen_form_questions": null, "fixed_post_message": "", "fixed_post_message_two": "", "fixed_pre_message": "", "fixed_pre_message_two": "", "footer_html": "", "full_bleed_header_image_contain": false, "full_bleed_header_image_url": "", "full_bleed_header_text_is_left_aligned": true, "full_bleed_header_type": 1, "full_bleed_header_video_url": "", "gamification_points_mode": 1, "id": 109928, "inbound_texting_reply_message": "", "internal_only_name": "", "is_custom_targeting_enabled": null, "is_one_click_registration_enabled": true, "logo_override_url": "", "long_description": "

Recent cuts to NIH research funding will severely impact advancements in GI treatments and cures.

Currently, an estimated 60-70 million Americans are suffering from gastrointestinal diseases. Consistent and sustainable research funding is necessary to support innovative research and treatment development, with a majority stemming from the National Institutes of Health (NIH).

Members of Congress needs to hear from you on how these cuts impact GI research and the future of the specialty.

Personalized messages are especially effective. Please consider adding your own personal note in the letter to Congress.

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Over 63 million Americans rely on Medicare. Despite threatening Medicare patients' access to specialty care, Medicare payments were cut by 2.8% on January 1st, 2025.

Medicare payments already fail to keep up with the increasing cost of delivering healthcare. More cuts only exacerbate that problem.

We encourage you to contact your Members of Congress and urge them to reverse this cut and pass the Medicare Patient Access and Practice Stabilization Act (H.R. 879), which reverses the January 1st cut and provides a 2% payment update. H.R. 879 is a great first step in addressing the crisis facing the physician payment system.

Personalized messages are especially effective. Please consider adding your own personal note in the letter to Congress.

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The 119th Congress is underway! Now is the perfect time to introduce yourself to your members of Congress and offer to serve as a resource to them on health policy issues.\u00a0\u00a0\u00a0

Outreach is easy. This prewritten letter highlights AGA's policy priorities. All it needs is your personalization. This is your opportunity to share information about your practice, patients, or research, and most importantly, how these issues impact you and your community. Members of Congress are interested in hearing from their constituents!\u00a0

Thank you for taking the time to help AGA build important relationships on Capitol Hill.\u00a0

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Beginning June 1, 2023, United Healthcare plans to implement a burdensome, new prior authorization program for GI endoscopy procedures for Commercial plans in almost every market.\u00a0United will require prior authorization for many EGD, diagnostic and surveillance colonoscopy and capsule endoscopy procedures, citing increasing volume and perceived overutilization.

United\u2019s program will most certainly have a negative effect on your patients\u2019 willingness to undergo medically recommended endoscopy procedures and will undoubtedly cause delays of care for high-risk individuals.

Implementing yet another program that adds to the already high administrative burden physicians face for procedures that are medically appropriate and indicated, and potentially lifesaving, seems like a waste of United\u2019s resources and, most certainly, your time.

Join us in writing to United and sharing your thoughts!

Personalized messages are especially effective. Please consider adding your own personal note in the letter to United.

", "multi_action_ordered_children_ids": [], "multi_action_parent_id": null, "multiple_actions_allowed": true, "name": "Tell United to Stop New Prior Auth Requirements!", "navigation_bar_is_transparent": false, "navigation_bar_type": 1, "number_actions_count": 1214, "number_actions_last_month_count": 4, "number_participants_count": 1022, "number_participants_last_month_count": 4, "order": 18, "page_layout_type": 1, "personalized_campaign_pages": null, "pos_message": "Andrew Witty \nChief Executive Officer \nUnitedHealth Group \n9900 Bren Rd E \nMinnetonka, MN 55343 \nandrew.witty@uhg.com \n\nDear Sir Witty, \n\nI am a practicing gastroenterologist writing to ask you to stop United Healthcare\u2019s program to require prior authorization for almost all upper gastrointestinal (GI) endoscopy, colonoscopy and capsule endoscopy procedures scheduled to begin June 1, 2023, for Commercial plans in almost every market. \n\nUnited\u2019s timing for the announcement of a program designed to limit access to GI endoscopy procedures, including colonoscopy, during Colorectal Cancer Awareness month is insensitive and out of touch. Specifically, the National Cancer Institute confirms that \u201cColorectal cancer is a leading cause of cancer death among people under 50 in the United States, with rates of new diagnoses still climbing in this age group.\u201d[1] However, United\u2019s prior authorization program for GI endoscopy, even though it excludes screening colonoscopy, will most certainly have a chilling effect on patients\u2019 willingness to undergo medically recommended subsequent colonoscopy examinations after polyps are removed or for diagnostic testing when they have red flag symptoms. Eighty percent of physicians report that the prior authorization process can lead to treatment abandonment.[2] This policy will also likely exacerbate existing sociodemographic disparities in care and outcomes, as our most vulnerable patients are most subject to access issues. \n\nUnited\u2019s program will undoubtedly cause delays of care for high-risk individuals. The Center for Consumer Information and Insurance Oversight (CCIIO) states that \u201cIdentification of \u2018high-risk\u2019 individuals is determined by clinical expertise.\u201d[3] If a medical provider determines that a patient is high-risk for colorectal cancer, and a U.S. Preventive Services Task Force recommendation applies to that high-risk population, that service is required to be covered in accordance with the requirements of the interim final regulations, without cost-sharing. However, United will require those patients to wait to receive approval via its prior authorization process before they can receive treatment even though they have been deemed at \u2018high risk\u2019 for colorectal cancer by a physician. \n\nUnited will require prior authorization for nearly half of all GI endoscopic procedures, many of which are low volume procedures and are performed for patients who are bleeding, not able to swallow, vomiting, or having pain. For those patients whose treatment requires prior authorization, 94% of physicians report delays in access to medically necessary care.[2] \n\nUnited has not provided any substantive information on coding requirements for the program. For example, how will screening colonoscopy be identified? Will United require the use of the modifier 33 and will all endoscopic procedures reported with the 33 modifier be exempt from prior authorization if multiple procedures are required during a colonoscopy that started out as a screening? If a GI endoscopy procedure is approved for prior authorization, but upon examination another procedure is performed instead or in addition to the procedure that was authorized, will all procedures performed be allowed? Months before a program this complex is launched, physicians should have information on every aspect of the coding and practice requirements, and we do not have even the most basic information aside from the impacted CPT codes. \n\nAccording to studies by the American Medical Association, the average practice completes 45 prior authorizations per week per physician, resulting in 14 hours of paperwork per week. Over a third of physicians have staff that work exclusively on prior authorization alone.[2] Physicians and staff are already overburdened with insurance program requirements. 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