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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsChris Murphy 🟧 @ChrisMurphyCT: This is appalling. Saddling patients
Chris Murphy 🟧
@ChrisMurphyCT
This is appalling. Saddling patients with thousands of dollars in surprise additional medical debt.
And for what? Just to boost corporate profits?
Reverse this decision immediately.
"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."
https://asahq.org/about-asa/newsroom/news-releases/2024/11/anthem-blue-cross-blue-shield-will-not-pay-complete-duration-of-anesthesia-for-surgical-procedures
Link to tweet
More of this, Senator Murphy.
SheltieLover
(59,825 posts)Passages
(1,325 posts)They fear no one in DC.
Hoping for better times soon.
onecaliberal
(36,209 posts)Hassin Bin Sober
(26,753 posts)Instead of count backward I guess you say hey doc, hurry the fuck up the clock is ticking
EastBayGuy
(120 posts)Henry203
(141 posts)By far the biggest.
SWBTATTReg
(24,260 posts)are issues during a surgery that require a longer period of time the patient being knocked out/under the gas?
IcyPeas
(22,682 posts)This HAS to change.
I mean doesn't this affect the actual employees/peons who work for anthem ... who work for BCBS? That's what I don't get.
How can anyone justify this?
Hekate
(95,061 posts)
who are more than happy to tell doctors how to do their jobs even if it means patients literally die in literal agony.
What was that I heard from the GOP about death panels all those years ago?
La Coliniere
(1,000 posts)In most countries its against the law to make a profit for denying care. This is outrageous.
Evolve Dammit
(18,965 posts)La Coliniere
(1,000 posts)with no expiration date. So theyre in a sense immortal until THEY decide when to put an end to themselves. Sickening
Evolve Dammit
(18,965 posts)La Coliniere
(1,000 posts)Its thesis is that if corporations are considered people, they are sociopathic and psychotic people. Their argument is solid.
Evolve Dammit
(18,965 posts)durablend
(8,008 posts)With real feelings. How would you feel if one of them couldn't afford another yacht because said patient wouldn't take a sleeping pill just in case the anesthesia wears off?
paleotn
(19,376 posts)duncang
(3,714 posts)Your surgery didnt finish in time so we wont pay it either.
Will we get to a point in the past so far before anesthesia where doctors were chosen for how fast they could amputate a patients leg?
This is why the accounting department at an insurance company shouldnt be able to set rules.
paleotn
(19,376 posts)dlk
(12,459 posts)Its cruel and inhumane. It will cause more surgical mishaps and worse outcomes.
dalton99a
(84,675 posts)Blue Cross halts controversial colonoscopy changes after backlash from doctors
Updated January 25, 2024
Priyanka Dayal McCluskey
Blue Cross Blue Shield of Massachusetts is putting the brakes on a controversial policy to restrict the use of anesthesia during colonoscopies.
The policy took effect Jan. 1, drawing outrage from doctors who worried it would slow their productivity and discourage patients from getting a potentially life-saving procedure over fears of discomfort and pain. Doctors had lobbied Blue Cross officials to reconsider the changes, WBUR reported earlier this month.
On Wednesday, Blue Cross leaders said they decided to pause enforcement of the policy indefinitely.
It has become clear to us that there is confusion about the policy and the reasons for it, Dr. Sandhya Rao, the companys chief medical officer, said in a statement.
calimary
(84,502 posts)Passages
(1,325 posts)dalton99a
(84,675 posts)NotHardly
(1,291 posts)NutmegYankee
(16,321 posts)Surprise bills are against state law and the hospital and insurer are required to work out the cost to market rate anyhow. Stupid corporate bluster - a true shot to their own foot.
Passages
(1,325 posts)Karasu
(289 posts)In a country where the average person has $8000 in the bank, according to the Federal Reserve. In what universe is this remotely sustainable? Hell, how the fuck hasn't the system collapsed already? I really can't see it surviving 4 years of this shit (and I very much doubt Trump is leaving in 4 years anyhow if he's still breathing, but that's beside the point).
niyad
(120,410 posts)of us are on social security, or just about to be eligible for it.
Karasu
(289 posts)niyad
(120,410 posts)Karasu
(289 posts)his name. LOL
niyad
(120,410 posts)forgotten from whom!
niyad
(120,410 posts)Arazi
(7,001 posts)lapfog_1
(30,225 posts)it's the cost of the anesthesiologist that administers the drug. That person is well trained to give you just enough to stop the awful pain, but not so much you stop breathing.
Arazi
(7,001 posts)Why target just that specialist in the room (when theres usually at least others who presumably make as much or more $$)
lapfog_1
(30,225 posts)everybody depends on them being really really good at their jobs.
Certainly more that most of us make.
Arazi
(7,001 posts)Why not other specialists in the OR?
Its crazy theyve seized on this specialist
lapfog_1
(30,225 posts)Finish the surgery in X time so we don't have to pay for more time. Speed in surgery is what leads to costly mistakes. Sure, sometimes you need to move fast to repair damage from trauma or because of the overall health of the patient. But the faster the surgeon goes that less costly. They are all about reducing cost while increasing premiums.
Arazi
(7,001 posts)Imo.
They went after a specialty they thought they could attack
Maybe NICU pediatricians will be next (you only have 3 hours to save that baby!)
or obstetricians (shes taking too long!)
Pas-de-Calais
(10,012 posts)ShazzieB
(18,856 posts)Oh, wait. Yes, it does.
Freaking greedy parasites!
pansypoo53219
(21,771 posts)irisblue
(34,380 posts)berksdem
(718 posts)I work in the industry. The only priority is growing the EPS on an annual basis for the investors. The CEOs and Execs rake in the cash and stock as they build generational wealth. Anthem/Elevance is nearly as bad as United in terms of claims denied. Meanwhile the rich get richer on the backs of paying members. All the while those members are getting screwed to the point of losing lifesaving healthcare.
Passages
(1,325 posts)But I think we both know better, especially with a master grifter coming back to the White House.