Additions to Cancer Therapy Pathways

Our Cancer Pathways program now includes pathways for colorectal and melanoma cancers. Check UHCprovider.com for the current list of regimens included in the program; pathways for lung cancer will be coming soon.

Find Your Path

Cancer Therapy Pathways will be available through our Cancer Guidance program tool on Link when you submit an authorization request for chemotherapy and related cancer therapies. Selection of a pathway regimen is not required to receive a prior authorization for therapy. Our criteria for coverage determinations for cancer therapies will not change as a result of this program.*

Participating Membership Plans

Cancer Therapy Pathways will be available for the following health plans:

  • UnitedHealthcare commercial (excluding UnitedHealthcare Oxford commercial plans)
  • UnitedHealthcare Community
  • UnitedHealthcare Medicare Advantage

Earn Rewards

You will have the opportunity to earn rewards, through a financial incentive, for consistently selecting a cancer therapy that is part of this program.*

  • Eligibility: A clinical pathway must be selected a minimum of 75% of the time during the performance measurement period, which is six months. For eligible commercial plans only, additional criteria and exclusions may apply.
  • Distribution: Rewards will be assessed and distributed bi-annually.

Training and Additional Information

Live training sessions about this program will be available later this month. Learn about how to earn rewards, pathway development, see demonstrations and a question and answer session. The schedule for the trainings will soon be available on UHCprovider.com.

Questions?

Visit uhc.provider.com or email unitedoncology@uhc.com.

* Cancer Therapy Pathways is not a substitute for the experience and judgment of a physician or other health care professional. Any clinician participating in the program must use independent medical judgment in the context of individual clinical circumstances to determine any patient’s care or treatment. Care decisions are between the physician and the patient. We do not make decisions about the kind of care that should or should not be received.