Anthem Blue Cross Blue Shield is facing criticism for its plans to impose time limits on anesthesia coverage starting next year in certain states, only paying for the surgery or procedure if it does not exceed a particular time limit. The insurer says it will use CMS metrics for this purpose.
Anthem Blue Cross Blue Shield is under scrutiny for its plans to impose time limits on anesthesia coverage.
"Claims submitted with reported time above the established number of minutes will only pay up to the CMS established amount," itNPR has reached out to Anthem for more information. The ASA says that by"arbitrarily" determining the time allotted for anesthesia care during a procedure, Anthem"will not pay anesthesiologists for delivering safe and effective care to patients who may need extra attention because their surgery is difficult, unusual or because a complication arises."
And this week, as news of Anthem's announcement spread across social media, elected officials in some affected states issued their own calls to action."Does Anthem expect a patient to get up in the middle of a surgery and walk away?" New York State Sen. Mike GianarisSen. Chris Murphy, D-Conn., publicly urged Anthem to reverse course immediately.
Anthem Blue Cross Blue Shield Anesthesia Time Limits Health Insurance Centers For Medicare And Medicaid Services CMS
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