Anthem Reverses Anesthesia Coverage Cap Amid Public Backlash and CEO Shooting Incident
December 5, 2024
- 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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Sources

The Verge • Dec 6, 2024
Anthem BCBS is reversing its anesthesia policy after online outrage
NBC News • Dec 5, 2024
Anthem Blue Cross Blue Shield wants to put time limits on anesthesia for surgeries
AP News • Dec 5, 2024
Anthem Blue Cross Blue Shield reverses decision to put a time limit on anesthesia

