Cigna Corp. And Anthem Inc. Offices As Insurers Face Off Against U.S. To Save $48 Billion Deal
Beginning in February, health insurer Anthem Blue Cross Blue Shield was planning to set a time limit for anesthesia coverage during surgeries and procedures. Now, following days of widespread outrage at the health insurance industry generally, Anthem is walking that policy back, the insurer announced on Thursday.
In mid-November, the American Society of Anesthesiologists issued a press release about the policy, which was set to take effect in February in states like Connecticut, New York, and Missouri.
“If an anesthesiologist submits a bill where the actual time of care is longer than Anthem’s limit, Anthem will deny payment for the anesthesiologist’s care,” they group writes. “With this new policy, Anthem will not pay anesthesiologists for delivering safe and effective anesthesia care to patients who may need extra attention because their surgery is difficult, unusual or because a complication arises.”
The letter appears to have garnered little public attention until this week when several posts on social media about the policy change began circulating. The posts gained traction after the CEO of UnitedHealthcare, Brian Thompson, was shot and killed in New York on Wednesday in what police say was a targeted attack.
A spokesperson for Anthem’s parent company, Elevance Health, told The New York Times that “misinformation” about the plan contributed to Anthem’s reversal.
“We realized, based on all the feedback we’ve been receiving the last 24 hours, that our communication about the policy was unclear, which is why we’re pulling back,” Janey Kiryluik, staff vice president for corporate communications, is quoted as saying.
Thompson’s shooting shocked the public, but it also ignited discussions about the havoc wreaked by the US healthcare system and insurers like UnitedHealthcare. United specifically has been the subject of investigations by outlets like Stat, which found the company uses algorithms to cut off payments and deny rehabilitation care for patients. The rate at which insurers deny patient claims is a closely guarded secret, but ProPublica last year followed one chronically ill patient’s fight to get coverage from United. In some online forums, there was little sympathy for the company and Thompson’s death: Americans carry at least $220 billion in medical debt, which upends lives as insurance companies profit.
The shooter’s motives are not yet clear, but shell casings discovered at the scene were found to have the words “delay” and “deny” written on them. Following the murder, healthcare companies like CVS Health began taking down webpages about corporate leadership.