Becker's Healthcare December 30, 2024
In 2024, major developments in insurance and healthcare policies have sparked significant changes affecting ASCs and physicians.
From shifts in anesthesia coverage to adjustments in Medicare Advantage plans and physician pay, here are five payer moves that shifted the industry in 2024:
1. As of Jan. 1, Blue Cross Blue Shield Massachusetts no longer covers the use of monitored anesthesia for certain gastrointestinal patients undergoing endoscopic, bronchoscopic or interventional pain procedures.
Now that the policy has officially gone into effect, monitored anesthesia is no longer considered “medically necessary” for these procedures by the insurer, unless a patient receives documentation by the operating physician or anesthesiologist/certified registered nurse anesthetist that specific risk factors or significant medical conditions are present....