Anthem’s reversal


A major health insurance company is backing off of a controversial plan to limit coverage of anesthesia, according to public officials.

Why it matters: 

Anthem Blue Cross Blue Shield recently decided to “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,” according to the American Society of Anesthesiologists, which opposed the decision.

  • The decision was based on surgery time metrics from federal health data, NPR reported.
  • The policy applied to plans in Connecticut, New York and Missouri.

The latest: 

“After hearing from people across the state about this concerning policy, my office reached out to Anthem, and I’m pleased to share this policy will no longer be going into effect here in Connecticut,” Connecticut Comptroller Sean Scanlon said Thursday on X.

  • Shortly afterward, New York Gov. Kathy Hochul issued a statement saying, “We pushed Anthem to reverse course and today they will be announcing a full reversal of this misguided policy.”

What they’re saying: 

The initial coverage decision was very unusual for a major health insurer, said Marianne Udow-Phillips, who teaches insurance classes at the University of Michigan School of Public Health and formerly made coverage decisions at Blue Cross Blue Shield of Michigan.

The big picture: 

Anthem’s initial decision was controversial at the time — but outrage erupted this week after the murder of UnitedHealthcare CEO Brian Thompson in New York City cast a spotlight on divisive insurance decisions.

  • On social media, critics of health insurers drew a direct line from controversial coverage decisions to the death of Thompson.

Leave a comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.