Anthem Reverses Anesthesia Coverage Cap Amid Public Backlash and CEO Shooting Incident

December 5, 2024
Anthem Reverses Anesthesia Coverage Cap Amid Public Backlash and CEO Shooting Incident
  • Anthem Blue Cross Blue Shield has reversed a controversial policy that would have limited coverage for anesthesia services in Connecticut, Missouri, and New York.

  • Connecticut officials successfully campaigned against the policy, with State Comptroller Sean Scanlon announcing its cancellation after receiving public feedback.

  • Critics, including Governor Kathy Hochul, expressed concerns that the policy would jeopardize patient care, particularly in complex surgeries.

  • The controversy began when Anthem announced plans to cap anesthesia coverage, which many interpreted as a refusal to pay for lengthy procedures.

  • Public outcry included social media campaigns urging legislative action against the policy, with concerns that it could lead to overcharging patients.

  • Experts criticized Anthem's claims of combating anesthesia over-billing, arguing that anesthesia start and stop times are accurately recorded.

  • Lorenz's comments on the issue prompted calls for violence against insurance leaders, which she later clarified was not her intention.

  • Dr. Gal characterized the policy change as unprecedented and a blatant money grab by Anthem, emphasizing the need for patient care over profit.

  • The policy reversal coincided with the tragic shooting of UnitedHealthcare's CEO, Brian Thompson, leading to increased scrutiny of health insurers.

  • Despite the timing of the reversal, Anthem attributed it to 'significant widespread misinformation' rather than the ongoing investigation into Thompson's shooting.

  • Anthem serves nearly 6 million members in the region, including 4.8 million in New York and 1.1 million in Connecticut.

  • Anesthesiologists are compensated based on time spent with patients, making time limits particularly detrimental for complex cases or sicker patients.

Summary based on 16 sources


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