The AASM has posted an updated scorecard for the diagnostic sleep apnea testing policy of UnitedHealthcare, which reflects changes made to the UHC policy effective Dec. 1, 2017. Also available from the AASM are scorecards for the policies of AIM Specialty Health and eviCore, and a dozen more scorecards for other payers are in development.
The scorecards are the first to be developed by the AASM Payer Policy Review Committee, which is responsible for encouraging correct adoption of AASM guidelines by insurers. The Committee carefully reviewed the insurers’ policies and assigned a score based on whether the coverage criteria in these policies align with AASM evidence-based recommendations. The scorecard’s nine criteria correspond to the clinical practice recommendations contained in the AASM’s Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea.