Anthem Blue Cross Blue Shield faced significant backlash over a proposed anesthesia policy that would limit payment for anesthesia services based on procedure duration. Following widespread criticism from anesthesiologists and state officials, Anthem has reversed the policy in Connecticut, New York, and Missouri, clarifying that it will continue to cover medically necessary anesthesia services. The American Society of Anesthesiologists condemned the policy as a harmful attempt to cut costs, raising concerns about patient care and financial burdens on providers.
Hospital mergers in small-town Missouri are detrimental, leading to reduced healthcare availability, increased insurance costs, and lower salaries for providers. The recent acquisition of SoutheastHEALTH by Mercy Health exemplifies this trend, as it seeks higher payments from insurers, potentially burdening families with increased healthcare expenses. The federal government must scrutinize these consolidations to prevent further harm to rural communities.
A lawsuit filed against Anthem Blue Cross Blue Shield of New York alleges the existence of a "ghost network" of doctors, leading patients to face delays and high out-of-network costs due to inaccurate provider directories. A secret shopper survey revealed that only 7 out of 100 doctors listed accepted the insurance, highlighting significant barriers to accessing mental healthcare. The findings underscore the financial harm and care abandonment patients experience when unable to find in-network providers.
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