Show-Me State Times

U.S. Senators Josh Hawley and Richard Blumenthal have addressed a letter to Elevance CEO Gail Koziara Boudreaux, questioning a recent policy by Anthem that limited anesthesia coverage based on time constraints. This policy, affecting states like Missouri and Connecticut, was introduced earlier this year but retracted following public backlash.

The senators emphasized the responsibility of healthcare providers to prioritize patient care without restrictions imposed by insurance companies. "As you are well aware, health care providers are sworn to act in the best interest of their patient and are the only individuals in an operating room singularly focused on providing quality, sometimes life-saving medical care," they stated.

Hawley and Blumenthal are seeking confirmation from Anthem that similar policies will not be implemented in the future. They wrote, "In the interest of patients’ health and safety nationwide, we demand answers regarding this ill-conceived policy and clear, direct assurances that a policy cutting off full anesthesia coverage mid-procedure will not be re-considered or re-imposed."

The letter requests detailed responses from Anthem by December 20, 2024. It includes questions about why such a policy was proposed initially and how it aligns with clinical guidelines.

Anthem had previously announced plans for this uniform approach to anesthesia coverage but faced criticism from patients and healthcare providers who feared increased costs due to necessary medical procedures exceeding arbitrary time limits set by the insurer.

Anthem responded to public concern by stating there was "significant widespread misinformation" about their intentions. However, the senators insist on written assurance that medically necessary anesthesia services will continue to be covered without arbitrary limitations.