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January 20, 2022
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VIDEO: Financial barriers to CRC screening reduced, thanks to new guidelines

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In a Healio video exclusive, John Inadomi, MD, president of the American Gastroenterological Association, outlined the Biden administration’s new guidance requiring private insurers to cover the cost of follow-up colonoscopy.

The updated guidelines apply to colonoscopy needed as a follow-up to non-invasive colorectal cancer screening tests and aim to prevent patients from receiving surprise bills after a positive result from a stool-based test. The coverage guidance expands upon the requirement for plans to provide the screening benefit to patients aged 45 years and older for policies beginning on or after May 31, 2022.

“I think in this particular case, we now can say that the financial barriers to colon cancer screening have been greatly reduced. We hope that these particular interventions will help reduce disparities and health care outcomes based on race or ethnicity,” Inadomi said. “We really do hope that now we can focus on, instead of who pays for it, how we get everybody who's eligible to get colon cancer screening.”

Reference:

U.S. Department of Labor. FAQs about affordable care act implementation part 51, families first coronavirus response act and coronavirus aid, relief, and economic security act implementation. Available at: https://www.dol.gov/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/faqs/aca-part-51.pdf. Published Jan. 10, 2022. Accessed: Jan. 19, 2022.