Anthem Reverses Anesthesia Coverage Cap Amid Public Backlash and CEO Shooting Incident
December 5, 2024Anthem 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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Sources
The Verge • Dec 6, 2024
Anthem BCBS is reversing its anesthesia policy after online outrageNBC News • Dec 5, 2024
Anthem Blue Cross Blue Shield wants to put time limits on anesthesia for surgeriesAP News • Dec 5, 2024
Anthem Blue Cross Blue Shield reverses decision to put a time limit on anesthesia