December has been a tumultuous month for anesthesia pay policy, as provider and public outrage has spurred two payers to reverse controversial reimbursement policies.
Anesthesia
Ohio-based health insurance provider Medical Mutual plans to reduce certified registered nurse anesthetist reimbursements to 85% beginning Jan. 24.
ASCs are likely to face continuing anesthesia problems into 2025, but there are potential models and solutions for physicians and centers.
A Louisville, Ky., anesthesiologist was sentenced to one year of probation after pleading guilty to illegal opioid distribution, WDRB reported Dec. 18.
As the landscape of anesthesia continues to shift with new technologies, high demand for services and provider shortages, anesthesia groups are developing new strategies to meet the industry's dynamic needs.
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In light of the recent controversy surrounding Anthem's reversal of proposed policy changes on anesthesia reimbursement, the conversation around compensation and coverage has taken on renewed urgency.
Philadelphia-based Society Hill Anesthesia Consultants has won a malpractice case after a jury determined that a patient's anesthesia team was not liable for the plaintiffs' injuries, according to a Dec. 16 report from Law.com.
After significant pushback from providers and the general public, Anthem Blue Cross Blue Shield has recently reversed its decision on a controversial anesthesia reimbursement policy update that would have introduced a new reimbursement structure based on CMS physician work time…
Kaiser Foundation Health Plan has walked back on an anesthesia pay change that was implemented in Washington state in November.
Anesthesia practices face complex challenges in revenue growth that stem from Medicaid billing, including changing eligibility rules, inconsistent payment rates and state-specific Medicaid plans that do not provide a standardized approach to billing.