After receiving significant feedback, Anthem Blue Cross Blue Shield announced Thursday it would no longer move forward with a proposed policy tying anesthesia payments to surgery length. The insurer clarified that the policy was misunderstood and emphasized it had no intention of denying coverage for medically necessary anesthesia. The policy, based on physician work time values from the Centers for Medicare and Medicaid Services (CMS), faced criticism for its perceived risks and lack of transparency.
The American Society for Anesthesiologists (ASA) expressed strong opposition, raising concerns that the policy oversimplified the complexities of surgical procedures. Critics highlighted potential risks to patient care and safety. Public concern gained traction on social media, prompting calls for residents in affected states to reach out to legislators. Intervention by New York Gov. Kathy Hochul and Connecticut Comptroller Sean Scanlon ensured the policy would not take effect in their states.
The ASA welcomed Anthem’s decision, describing it as a positive step for healthcare. Anthem reassured patients that anesthesia services would remain fully covered and reiterated its commitment to clinically appropriate care. The decision provides clarity for patients and healthcare providers, addressing concerns about the potential impact of the policy on surgical care.
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