this post was submitted on 06 Dec 2024
36 points (100.0% liked)

U.S. News

2260 readers
4 users here now

News about and pertaining to the United States and its people.

Please read what's functionally the mission statement before posting for the first time. We have a narrower definition of news than you might be accustomed to.


Guidelines for submissions:

For World News, see the News community.


This community's icon was made by Aaron Schneider, under the CC-BY-NC-SA 4.0 license.

founded 2 years ago
MODERATORS
 

One of the country's largest health insurers has reversed its decision to no longer pay for anesthesia care in certain states if the surgery or procedure goes beyond a particular time limit. The original move by Anthem Blue Cross Blue Shield, which would have started next year, alarmed doctors and policymakers.

Anthem had said that starting in February it would use metrics — known as Physician Work Time values — from the Centers for Medicare and Medicaid Services (CMS) to "target the number of minutes reported for anesthesia services." "Claims submitted with reported time above the established number of minutes will only pay up to the CMS established amount," it said in a note to New York providers earlier this week.

That would have left patients to shoulder the out-of-pocket costs, which could range from hundreds to thousands of dollars.

top 4 comments
sorted by: hot top controversial new old
[–] rumba@lemmy.zip 14 points 1 month ago

Note, it is only been verified that Connecticut has said this will not happen.

[–] altima_neo@lemmy.zip 9 points 1 month ago

Yeesh sounds like a good idea to walk that back

[–] evilviper 4 points 1 month ago

Surprising considering Anthem is the worst health provider I've ever had the displeasure of using. It should be criminal how bad some of their "plans" are.

[–] Vodulas 3 points 1 month ago

Ope, you were slightly faster than me. Removing my post