Anthem Blue Cross Blue Shield Reverses Anesthesia Policy Following Widespread Backlash

The original policy, revealed in recent weeks, would have impacted Anthem's plans in Connecticut, New York, and Missouri. Under this policy, Anthem would have covered anesthesia treatments only based on the estimated time required for a procedure, determined by the Centers for Medicare and Medicaid Services' physician work time values. Claims for anesthesia exceeding the established time limits would have been denied.

Key aspects of the proposed policy included the exclusion of individuals under 22 years old and maternity care, reliance on CMS Physician Work Time values for determining anesthesia duration limits, and a process for disputing claim denials that required supporting documentation.

The policy faced immediate and intense backlash from various sectors. Medical professionals, particularly the American Society of Anesthesiologists, raised serious concerns about the ramifications of this change. They highlighted that anesthesiologists provide personalized care tailored to each patient’s specific needs, considering pre-existing conditions and ensuring patient comfort throughout procedures.

Lawmakers also expressed their disapproval. Connecticut Senator Chris Murphy labeled the plan as appalling and urged for its immediate reversal. New York Governor Kathy Hochul shared her outrage on social media, calling the policy outrageous.