Anthem BCBS Reverses Anesthesia Coverage Policy

Anthem Blue Cross Blue Shield has reversed its controversial plan to cap anesthesia coverage in Connecticut, New York, and Missouri following widespread backlash from the public, anesthesiologists, and lawmakers. The proposed policy, set to take effect in February 2025, would have limited coverage for anesthesia based on predetermined time limits, potentially leaving patients responsible for costs if procedures exceeded those limits. Anthem clarified that its intent was to align with clinical guidelines and that it would always cover medically necessary anesthesia services. New York Governor Kathy Hochul and other officials were vocal in their opposition, pushing Anthem to reconsider the policy. The American Association of Nurse Anesthesiology praised the reversal but noted ongoing concerns regarding provider discrimination in anesthesia reimbursement practices. This incident highlights the ongoing tensions between insurance policies and patient care in the healthcare system.