<?xml version="1.0" encoding="UTF-8"?>
<feed xmlns="http://www.w3.org/2005/Atom">
  <title>Rubrica — Policy Update Digest</title>
  <subtitle>Monthly summaries of payor coverage changes affecting interventional spine, pain management, ortho spine, and orthopedics.</subtitle>
  <link href="https://rubricamedical.com/blog/feed.xml" rel="self"/>
  <link href="https://rubricamedical.com/blog/"/>
  <id>https://rubricamedical.com/blog/</id>
  <updated>2026-05-10T00:00:00Z</updated>
  <author>
    <name>Rubrica Medical</name>
  </author>

  <entry>
    <title>May 2026 Policy Update Digest: Oscar tightens RFA threshold to ≥80%, TRICARE adds basivertebral nerve ablation, UHC expands vertebroplasty coverage</title>
    <link href="https://rubricamedical.com/blog/2026-05-policy-update-digest/"/>
    <id>https://rubricamedical.com/blog/2026-05-policy-update-digest/</id>
    <published>2026-05-10T00:00:00Z</published>
    <updated>2026-05-10T00:00:00Z</updated>
    <summary>Three substantive payor changes captured in the 2026-05-03 to 2026-05-10 weekly swarm. Oscar Health CG047 v9 raises the RFA diagnostic-block relief threshold from 50% to 80%. TRICARE adds CPT 64628 basivertebral nerve ablation per TPM Change 48. UHC Community Plan vertebroplasty/kyphoplasty (22510-22515) becomes effective 2026-05-01. Plus an administrative announcement: UHC plans to eliminate prior auth for ~30% additional services by end of 2026.</summary>
    <category term="Interventional Spine"/>
    <category term="Pain Management"/>
    <category term="Ortho Spine"/>
    <category term="RFA"/>
    <category term="Oscar Health"/>
    <category term="TRICARE"/>
    <category term="UnitedHealthcare"/>
  </entry>

</feed>
