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Started By
Message
The story about anesthesia insurance coverage is a lot more complicated than it looks
Posted on 12/5/24 at 8:32 pm
Posted on 12/5/24 at 8:32 pm
Advocates against surprise-billing had been targeting bcbs to adopt Medicare rules for anesthesia: aka cap the amount that can be billed. Medicare, Medicaid, and many other insurance firms restrict the amount of time that anesthesiologists can bill to insurance, as studies have found that they are the number 1 culprit behind surprise billing.
The anesthesiologist association used yesterday’s news cycle to get their way and have bcbs reverse the change.
Community notes- which is twitter’s fact checking service, is now posting this under every post that shares the story:
The head of “Americans against surprise billing” is pissed off
Twitter Link
Tl/dr: bcbs was working with surprise billing reformers to put tighter (Medicare-style) regulations on anesthesiologists. Populists misunderstood the regulation, stirred up rage, and killed the reform. Now surprise-billing reformers are pissed off
The anesthesiologist association used yesterday’s news cycle to get their way and have bcbs reverse the change.
Community notes- which is twitter’s fact checking service, is now posting this under every post that shares the story:
Loading Twitter/X Embed...
If tweet fails to load, click here. The head of “Americans against surprise billing” is pissed off
Twitter Link
Tl/dr: bcbs was working with surprise billing reformers to put tighter (Medicare-style) regulations on anesthesiologists. Populists misunderstood the regulation, stirred up rage, and killed the reform. Now surprise-billing reformers are pissed off
This post was edited on 12/5/24 at 8:35 pm
18
Posted on 12/5/24 at 8:35 pm to HailHailtoMichigan!
I’d rather wake up to a surprise bill than in the middle of open heart surgery, honestly.
Posted on 12/5/24 at 8:36 pm to HailHailtoMichigan!
Average salary for anesthesiologist in America: 403,000/year
Posted on 12/5/24 at 8:38 pm to Riverside
you will need a heart doctor after you see the surprise bill
Posted on 12/5/24 at 8:39 pm to Riverside
quote:
I’d rather wake up to a surprise bill than in the middle of open heart surgery, honestly.
Medicare, Medicaid, and many major private insurers have been regulating anesthesia time for years, and there is no evidence that people covered under these plans are given inadequate anesthesia
Posted on 12/5/24 at 8:39 pm to Riverside
quote:
I’d rather wake up to a surprise bill than in the middle of open heart surgery, honestly.
I'd venture to guess that there is a 0.000000000000000000% chance of this happening because of this change by BCBS. They are simply adopting basically the same rules that Medicare has, and people aren't waking up from their open heart surgeries... or any other surgeries... that are covered by Medicare.
Posted on 12/5/24 at 8:40 pm to HailHailtoMichigan!
When my toddler had tubes put in his ears, the anesthesiologist administered laughing gas, once. Billed twice, because it was two ears. I reported this to my ins co for overbilling, the ins co said no, this is fine.
ETA- it was $750 per ear. Just for the anesthesiologist. To administer laughing gas.
ETA- it was $750 per ear. Just for the anesthesiologist. To administer laughing gas.
This post was edited on 12/5/24 at 8:56 pm
Posted on 12/5/24 at 8:42 pm to deeprig9
Another healthcare analyst is likewise pissed off at populists for killing the bcbs reform
Loading Twitter/X Embed...
If tweet fails to load, click here.
Posted on 12/5/24 at 8:45 pm to HailHailtoMichigan!
You mean there was another side to the story???
Posted on 12/5/24 at 8:47 pm to HailHailtoMichigan!
Do [DON’T] trust the experts!!
Posted on 12/5/24 at 8:49 pm to HailHailtoMichigan!
quote:
Average salary for anesthesiologist in America: 403,000/year
What does this have to do with anything?
Posted on 12/5/24 at 8:53 pm to Jizzy08
quote:
What does this have to do with anything?
HHTM is obviously mad because people who are more educated than him make substantially more money than he does...
Posted on 12/5/24 at 8:53 pm to HailHailtoMichigan!
I don’t want single payer. I want government completely fricking out of medical care all together.
Posted on 12/5/24 at 8:55 pm to Jizzy08
quote:
Average salary for anesthesiologist in America: 403,000/year
What does this have to do with anything?
If they would still work for $300k/yr, for example, who other than the companies that are effectively paying their salary would be in a position to leverage them down and save the consumer unnecessarily high premiums?
Posted on 12/5/24 at 8:58 pm to HailHailtoMichigan!
Posted on 12/5/24 at 9:02 pm to Jack Bauers HnK
so you'd prefer to pay premiums that create billions of dollars of profits to an insurance company than to pay an actual medical care provider what the market deems is an appropriate salary?
Posted on 12/5/24 at 9:02 pm to HailHailtoMichigan!
quote:
surprise billing.
Something in a hospital that is 6X the amount it should be, but between Medicare and Medicaid it doesn’t matter because the government that oversees those programs also take care of the world with our taxpayer money. The same government that will spend $1000 on something that could be picked up at Ace Hardware for $20. Maybe government waste is the problem.
Posted on 12/5/24 at 9:09 pm to pussywillows
quote:
so you'd prefer to pay premiums that create billions of dollars of profits to an insurance company than to pay an actual medical care provider what the market deems is an appropriate salary?
The provider salaries/costs are what drives the insurance costs. It's not a one-way street.
Posted on 12/5/24 at 9:09 pm to HailHailtoMichigan!
quote:
Average salary for anesthesiologist in America: 403,000/year
Now do the insurance companies.
Anesthesiologist salaries have nothing to do with this policy.
Posted on 12/5/24 at 9:11 pm to Pintail
quote:
Now do the insurance companies.
Anesthesiologist salaries have nothing to do with this policy.
Yes, they do. Insurance #1 expense is paying the medical providers. #1 expense.
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