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> "To be clear, it never was and never will be the policy of Anthem Blue Cross Blue Shield to not pay for medically necessary anesthesia services. The proposed

> "To be clear, it never was and never will be the policy of Anthem Blue Cross Blue Shield to not pay for medically necessary anesthesia services. The proposed update to the policy was only designed to clarify the appropriateness of anesthesia consistent with well-established clinical guidelines." Additionally, according to Vox, > Critically, contrary to Sen. Murphy’s claims, this policy would not have saddled patients with surprise bills, if their operations went over time. The burden of this cost control would have fallen on participating anesthesiologists https://www.vox.com/policy/390031/anthem-blue-cross-blue-shield-anesthesia-limits-insurance https://www.vox.com/policy/390031/anthem-blue-cross-blue-shi...

lr1970 2y ago
An Anesthesiologist does not determine the duration of an operation. It depends on the type of operation, how sick the patient is and how fast or slow is the surgeon. Anesthesiologist provides anesthesia for the full duration of the surgery. You cannot blame an anesthesiologist for a surgery than runs extra two hours because surgeons need extra time. It makes no sense.
- tzs 2y ago
  They were going to still pay for longer than normal procedures. It was just that it would have to be shown than the overtime was medically necessary. The time they were going to allow before justification was required is the same time the Medicare uses for deciding how much to pay.
  - lr1970 2y ago
    > was just that it would have to be shown than the overtime was medically necessary. And then the insurance paid medical adjudicators will find it "not medically necessary". And the vicious cycle continues -- deny, delay, defend.
ImPostingOnHN 2y ago
"don't worry, we were going to screw over a different innocent victim, not you, so we're cool right?"
- lotsofpulp 2y ago
  This type of post is better suited for Reddit.

lr1970 2y ago

An Anesthesiologist does not determine the duration of an operation. It depends on the type of operation, how sick the patient is and how fast or slow is the surgeon. Anesthesiologist provides anesthesia for the full duration of the surgery. You cannot blame an anesthesiologist for a surgery than runs extra two hours because surgeons need extra time. It makes no sense.

tzs 2y ago
They were going to still pay for longer than normal procedures. It was just that it would have to be shown than the overtime was medically necessary. The time they were going to allow before justification was required is the same time the Medicare uses for deciding how much to pay.
- lr1970 2y ago
  > was just that it would have to be shown than the overtime was medically necessary. And then the insurance paid medical adjudicators will find it "not medically necessary". And the vicious cycle continues -- deny, delay, defend.

ImPostingOnHN 2y ago

"don't worry, we were going to screw over a different innocent victim, not you, so we're cool right?"

lotsofpulp 2y ago
This type of post is better suited for Reddit.