Fri
Dec 6 2024
08:44 pm
One of the country's largest health insurers has reversed its decision to no longer pay for anesthesia care in certain states if the surgery or procedure goes beyond a particular time limit. The original move by Anthem Blue Cross Blue Shield, which would have started next year, alarmed doctors and policymakers.
Hard to believe someone even said that out loud in a meeting much less that it made it that far.
Along same lines, private equity groups need to be forbidden by the feds from controlling emergency rooms.
Anthem reverses plans to put time limits on anesthesia coverage
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Medicare Advantage plans at times deny seniors access to medical
Medicare Advantage plans at times deny seniors access to medical care, federal watchdog finds
I wonder what types of
(in reply to jbr)
I wonder what types of Medicare Advantage plans were reviewed, e.g. HMO, HMO-POS, PPO, PFFS. I wonder if it makes a difference if you pick one over another. There is no PFFS available in our zip code.
One of the most ridiculous
One of the most ridiculous things I have heard from a health care insurance company in a while.
I mean, really, you're having surgery and the surgery goes a little long and the insurance company decides to not cover the extra anesthesia? What were they thinking? However, under the new administration maybe they will get a law passed to allow this abomination.
private equity groups need to be forbidden by the feds from controlling emergency rooms.
I agree. It's getting out of hand. Also, when you sign in at a hospital for a procedure they have you sign a form acknowledging that some of the doctors, etc. may not actually work for the hospital, thus would have to be checked out separately to see if your insurance covers their practice. How are you going to do that at the last minute when you are checking in? How do you find out who each of your caregivers work for?
For profit health care will always prioritize profit
and until we have medicare for all, this is what we will get. The insurance companies are just doing their job...making money for investors and CEOs
This dropped this morning......
This video only posts on group pages. I can't share it on my account. Can any computer savvy people tell me why? (link...)
Update.
(in reply to fischbobber)
It can post now.
UnitedHealth Strategically Limiting Access to Critical Treatment
UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism