Haiii helloo I'm a bit OOTL and I don't live in the States.
I hear this CFO got killed and that the health insurance company was exceptionally awful. But I don't understand the time limit on anesthesia part. What time limits? What's that about? Like "you only get anesthesia for the first day you're hospitalized" time limits?
Basically, BCBS was only going to reimburse the amount of anesthesia that government medical agencies estimate a procedure requires. So, an appendectomy is estimated to take an hour, but your surgery takes an hour and a half, then you're on the hook for the anesthetic costs for the last 30 minutes. There was a lot of backlash to that decision, and I guess they're taking backlash pretty seriously...for some reason.
They were considering putting a time limit on the anesthesia they would pay for during procedures. Have a complication and the surgery runs long? Guess you're going to be in intense pain.
I think it would be the other way around: the doctors don't stop giving you anesthesia if the surgry goes long, but now you wake up to it costing some extra thousands of dollars.
You know how in many industries there is a standard amount of time something takes and that determines the standard cost? Like it takes .5 work hours to change your oil so they charge .5 of labor + cost? Well, as I understand it, the plan was to limit the amount of anesthesia they'd cover based on the standard/expected time a medical procedure would take.
They proposed only paying for a certain amount of anesthesia during surgery, ie you are getting a kidney transplant you only get 45 min of anesthesia the rest wouldn't be covered.