Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures - eviltoast

CHICAGO – 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, regardless of how long the surgical procedure takes. The American Society of Anesthesiologists calls on Anthem to reverse this proposal immediately.

    • xmunk@sh.itjust.works
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      7 days ago

      It isn’t - it was announced 11/14. As someone who follows healthcare news I really hope to fucking god more people start following it more closely.

        • rumba@lemmy.zip
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          7 days ago

          Unfortunately, those are going to be zoom calls.

          I wonder if there will ever be a participant-run health insurance company.

          • zalgotext@sh.itjust.works
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            7 days ago

            participant-run health insurance company

            How would you envision that working? Like participants get to write their own coverage plans and decide their premiums/fees?

            • xmunk@sh.itjust.works
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              Health insurance was originally participant run - the old form of insurance is just a bunch of folks putting a chunk of money in a pot every so often in case they need it in an emergency. There are still health collectives like that in operation… though most of them are shitty religious people trying to dodge the ACA requirements.

    • peopleproblems@lemmy.world
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      8 days ago

      I bet after this a new book was opened up on the large health care insurance orgs in Vegas.

      I probably can’t buy in, but certainly would be entertaining.

  • BlameThePeacock@lemmy.ca
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    8 days ago

    When the police show up to investigate your murder, and they ask “Is there anyone who would wish to harm your Husband/Wife?” and your spouse just turns over your entire database of your clients, you’re the bad guy/girl.

            • phubarr@lemmy.world
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              7 days ago

              Upon further review, our underwriters determined the claim was to have been declined per the contract document outlining your coverage. Please be patient as we send a corrected summary of benefits which will reflect your updated balance. Please remit payment immediately upon receipt. Failure to do so can result in up to and including termination of benefits, your account being transferred to collections, and civil litigation.

              Thank you for being a valued heathcare subscriber, where you have hypothetical benefits that you can’t use or else you’ll wish you had died instead of the alternate path where you’ll be working for the rest of your pathetic life to pay off this one relatively minor incident, or else your credit will be ruined and you won’t be able to buy nice things, which hopefully ushers you one step closer to homelessness, where it has become illegal in several municipalities and you will be forcibly relocated against your will and possibly beaten by police and have your remaining possessions destroyed for inconveniencing and annoying our most courageous of law enforcement officers*. Welcome to Costco, I love you.

              *I’ve served my county as a firefighter/EMT and have seen this first hand, with my own eyes, more than once, so don’t tell me it doesn’t happen.

  • EleventhHour@lemmy.world
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    8 days ago

    If there’s anything that we should all be aware of when it comes to insurance companies, it’s that they will fuck you as hard, and as often as possible, unless there is a law specifically prohibiting it. Even then, they’ll still try to get away with it, counting on you being too poor to fight them in court.

    Insurance companies are among the most predatory and despicable entities that exist, which is why they should all be nationalized and provided by right to citizens and funded by taxpayer dollars. Specifically, rich people paying taxes.

    • Auli@lemmy.ca
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      7 days ago

      Maybe it is the beginning of eat the rich. I mean something has to be done about it and the governments are not doing shit.

  • solsangraal@lemmy.zip
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    8 days ago

    don’t worry, the people who continually vote this unregulated trainwreck into existence want to repeal obamacare, but want to keep their ACA

    • adarza@lemmy.ca
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      8 days ago

      the term “medicare”, iirc, was first used to describe eisenhower’s dependents medical care act (for military families); and public-funded medical coverage for seniors (social security recipients) was first proposed during his administration (which ultimately passed congress under lbj, along with medicaid).

      just take bernie’s medicare for all bill, that i’m sure he has written, rename it “the dwight d. eisenhower memorial health care act” and send it through.

      • thatKamGuy@sh.itjust.works
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        8 days ago

        The GOP will just think of something snide to call it, Berniecare at best - CommieCare if they’re feeling spicy.

        This is the same group of people who refused to call it the Democratic Party for so long, that “Democrat Party” (emphasis on the rat) has basically been normalised.

    • MutilationWave@lemmy.world
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      8 days ago

      What the actual fuck. I mean the amount of extra money they’ve made these people pay. They have probably caused people to lose their jobs.

      What if I had Anthem and the doctor told me I’m good to go but the insurance hadn’t cleared me for release, and I left? They can’t keep me there against my will. Would they use this to justify denying coverage?

      • Mouselemming@sh.itjust.works
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        7 days ago

        In most of these cases it’s the delay in approval for some kind of continued care (nursing facility, home nurse visits etc.) which the patient needs that’s delaying the hospital discharge. I think if you’re good to walk out, you probably can. Even if the doctor hasn’t cleared it, there’s a form you can sign that basically says you’re taking your legal right to leave.

        • MutilationWave@lemmy.world
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          7 days ago

          Yeah I’ve left against medical advice a couple times. I was just curious about the insurance ramifications. Thanks for the info.

    • RubberDuck@lemmy.world
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      7 days ago

      The law should get a provision that if an insurer does not have his shit in order, another insurer can provide the service and Bill the failed insurer at 150pct.

  • Railcar8095@lemm.ee
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    7 days ago

    Did they see a healthcare CEO dead on the street and thought “this is the right moment to fuck with people”?

      • Snapz@lemmy.world
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        7 days ago

        From 2010 on especially, through gerrymandered redistricting, capturing state houses, voter suppression, education cuts and the evergreen tyranny of the electoral college, they’ve poisoned the ballot - that’s no longer a viable tool. There’s only one care option left that’s covered on your insurance plan…

  • nutsack@lemmy.world
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    8 days ago

    i truly loved living in the united states but damn it seems really easy to go broke simply by getting sick

        • Flying Squid@lemmy.world
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          7 days ago

          Yes for doctors. Because doctors are not the ones getting rich, the medical groups that employ them are the ones getting rich. Doctors have massive medical school debt and they have to deal with shitty insurance just like the rest of us.

          My wife’s cousin is a doctor. He was able to afford to buy a small house- before the housing bubble- and drives a decent, but not luxury, car. Considering he literally saves lives, that’s the least he should be able to afford to do.

    • xmunk@sh.itjust.works
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      7 days ago

      That’s why I fucking left. Good health is more important - it’s literally the most important thing.

  • Rhaedas@fedia.io
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    8 days ago

    The American Society of Anesthesiologists calls on Anthem to reverse this proposal immediately.

    Anthem cackles and croaks, “You have no power here!”

    And there’s no Gandalf present.