Posted on 12/05/2024 7:51:57 AM PST by EBH
ROCHESTER, N.Y. (WROC) — Those who use Anthem Blue Cross Blue Shield insurance will likely soon have to pay out of pocket for anesthesia services should their surgeries fall outside a specific time limit. This applies to patients in New York State, Missouri and Connecticut.
Officials with BCBS announced that this would begin with claims processed on or after Feb. 1, 2025. According to BCBS, “We will utilize the CMS Physician Work Time values to target the number of minutes reported for anesthesia services.” Any surgery that goes beyond the set limit, will no longer be covered.
(Excerpt) Read more at news10.com ...
She'll probably offer free state paid euthanasia services to the elderly, kinda like what Cuomo did to seniors.
if coverage runs out mid surgery, sux to be you
When the largest payor decides to cap their costs, Hooray we all cheer!
So this shifts costs to everyone else.
Nice.
How often does that happen? Are we talking about something that rarely happens?
Everyone else will copy this, all costs shift to us.
I don’t know how often it happens, but I could see it being a non-exceptional event in say...
heart attack
accidents
stroke
cancer surgery
They wouldn’t be capping it, if they didn’t feel it is being abused in some way.
“Everyone else will copy this, all costs shift to us.”
We already cover all costs, the insurance companies are just administrative middlemen.
Good question. And this comes back to Trump's push for an itemized cost per service listing BEFORE you agree to the procedure.
True, healthcare is a form of socialism, it's just a little better being organized on the private side rather than government side.
Once is too many. This new policy is evil.
This isn’t about Obamacare. This is about insurance companies being cheap.
This does seem rather odd.
Hospitals bill by operating room time I believe and at a far higher rate than Dr. Gas.
Crap like this is possibly why an insurance company CEO was shot to death.
This is the long-end unforeseen consequence of government mandated care required by insurance to provide. This kind of stuff happens under socialized medicine.
Capping care is the end result.
My, you're a trusting soul.
You must not know these people the way I do.
I don’t want to incentivize surgeons to HURRY UP.
As usual, the article leaves out significant information. Is there an industry trend where anesthesiologists are overbilling? who knows, there is near zero information.
A procedure could conceivably take longer than expected if for instance multiple dense adhesions were found, or an involvement of surrounding tissues that somehow didn’t show on CT or MRI. I couldn’t say how often, but surgical schedules to get backed up and it isn’t because the surgeons are playing 9 holes.
Orthopedic cases can sometimes take longer and any problems with the patient during the procedure....blood pressure, heartrate etc would require the determination to continue to finish or stop and close.
With the shell casings having notes on them, whether a hired hit or a DIY, I think we are in that territory.
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