Anthem Denial Policy Noted After UnitedHC CEO Killing

By Stacy M. Brown
Senior National Correspondent
@StacyBrownMedia
NNPA Newswire

The assassination of UnitedHealthcare CEO Brian Thompson on a busy Midtown Manhattan Street on Dec. 4 has intensified scrutiny of a new policy from healthcare provider Anthem Blue Cross Blue Shield.

Anthem’s controversial new anesthesia reimbursement policy is set to roll out next year in several states and will limit reimbursement for anesthesia services during surgeries. If an anesthesiologist’s care exceeds Anthem’s allowed time, Anthem will deny payment for the additional time, according to notices issued to providers in states including New York, Connecticut, Missouri, and Colorado.

“With this new policy, Anthem will arbitrarily predetermine the time allowed for anesthesia care during a surgery or procedure,” the American Society of Anesthesiologists (ASA) said in a statement.

Dr. Donald E. Arnold, ASA president, condemned the policy in a strongly worded open letter to Anthem’s parent company, Elevance Health Inc. “The Anthem policy provides no justification for paying for anesthesia services for only a portion of a patient’s surgery,” Arnold wrote, calling the policy “inappropriate and misguided.” 

He emphasized the potential dangers for patients, especially those requiring extended or complex surgical procedures.

“This egregious policy breaks the trust between Anthem and its policyholders who expect their health insurer to pay physicians for the entirety of the care they need,” Arnold added.

Fallout From UnitedHealthcare CEO’s Assassination

Thompson’s targeted killing has cast a shadow over the healthcare industry. The 7 a.m. attack unfolded outside the Hilton Midtown as Thompson prepared to attend his company’s annual investor conference. Surveillance footage shows the gunman, a masked figure in a hooded jacket, shooting Thompson multiple times, even clearing weapon jams with apparent ease before fleeing. Investigators have since linked the attack to potential grievances within the healthcare system.

A shell casing found at the scene bore the word “depose,” and a live round ejected during the incident was inscribed with “delay.” Police are investigating whether these cryptic messages reference the industry phrase “delay, deny, defend,” often associated with controversial insurance practices.

The NYPD has released photos of a person of interest who was captured smiling at the front desk of a nearby hostel. Law enforcement officials described the suspect as a “light-skinned male” wearing a cream-colored jacket, Black face mask, and a distinctive gray backpack. They have offered a $10,000 reward for information leading to the suspect’s arrest.

Thompson’s widow, Paulette, revealed to NBC News that her husband had received threats before his death. “There had been some threats … a lack of coverage? I don’t know details,” she said. “I just know that he said there were some people that had been threatening him.”

Growing Pushback From Policymakers

Meanwhile, Anthem’s policy has already been halted in Connecticut following public outcry. “After hearing from people across the state about this concerning policy, my office reached out to Anthem, and I’m pleased to share this policy will no longer be going into effect here in Connecticut,” Comptroller Sean Scanlon announced.

New York Governor Kathy Hochul also criticized the policy, calling it “outrageous.” She posted on X, “I’m going to make sure New Yorkers are protected.”

Patient Safety In Jeopardy

Critics argue that Anthem’s policy prioritizes profit over patient care. “The proposed Anthem policy reflects a significant disconnect between Anthem, its patients, and their needs,” said Arnold, who warned that the policy could jeopardize patient safety during more prolonged or complex surgeries.

Medical professionals said anesthesia care should be tailored to the specific needs of each patient. “The length of surgery is a function of the surgeon, not the anesthesiologist,” explained Dr. Dhivya Srinivasa, founder of the Institute for Advanced Breast Reconstruction. “The anesthesiologist is at the mercy of the surgeon for however long they need to take to do the surgery well.”

Update

On Monday Dec. 9, police arrested a suspect in Pennsylvania after he was spotted in a restaurant in Altoona. The suspect was identified as 26-year-old Luigi Nicholas Mangione. He was charged with weapons, forgery and other charges.