And Health Care CEO's Wonder Why?

Zeedox

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Dec 1, 2020
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Anthem Blue Cross Blue Shield announced that early next year in certain states, it will "target the number of minutes reported for anesthesia services." That means they'll cut off paying for anesthesia if your surgery runs long.

"Claims submitted with reported time above the established number of minutes will only pay up to the CMS established amount," the company states outright.


In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or procedure goes beyond an arbitrary time limit, regardless of how long the surgical procedure takes. The American Society of Anesthesiologists calls on Anthem to reverse this proposal immediately.


RETRACTED: Anesthesia billed time units update beginning February 2025​

This article was retracted on December 5, 2024. Please access the updated communication here.


Based on feedback received and misinterpretation of our policy change, it is evident that our communication regarding this policy was not clear, and as a result,

I'm going to bet a health care CEO shit his pants after this was announced and the shooting earlier this week. Now it's rolled back.
 
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Yep.

My wife is well familiar with their practices dealing with them over me all these years and all these surgeries. She's made United Health Care her bitch twice, and Humana her bitch once over it all.

She's convinced there's not a jury in America that's going to convict that man.
 
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"It’s, you know, claim denied on my prayers there," Sparks said, with a tongue-in-cheek reference to health insurance industry lingo.
 
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I'm sure he got a talking to for that one, but worth it.

I'm willing to bet when it all went down he stuck his head in the captains door and said, "So, captain...how hard you really wanna look for this guy?"
 
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