Anesthesia Reimbursement

Anthem Reverses Anesthesia Policy After CEO Backlash

Anthem Blue Cross Blue Shield reversed a new policy that would have limited anesthesia reimbursements based on insurer-set time limits, following significant backlash. The policy, initially implemented in Connecticut, New York, and Missouri, sparked outrage from the American Society of Anesthesiologists and intervention from state officials. Anthem cited efforts to curb overbilling, intending to utilize CMS Physical Work Time values for reimbursement calculations, a methodology heavily criticized for its lack of transparency and established precedent. The reversal came after public outcry and pressure from state governors and officials in Connecticut and New York.

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