Please share your experiences of the Anthem imaging policy impacting care and encourage your patients to do so.
Regardless of whether you practice in an office setting or hospital, ACR urges you to oppose a new Anthem Blue Cross Blue Shield outpatient imaging policy which makes imaging a commodity to be performed by the lowest bidder.
Anthem has stopped covering patients in 9 states1 for MRI and CT scans performed in hospital outpatient settings - unless the exam qualifies for an “exception.”
On Nov. 15, Anthem will start retroactive reviews of MRI and/or CT services done in emergency departments in Missouri, Ohio and Kentucky. Anthem will deny imaging claims if it decides the case was not truly an emergency.
Below are ACR resources that you can use to express to lawmakers, regulators, government officials and the media how these policies can adversely affect patients.
Sample Letter to Your Governor or State legislator
Sample Letter to Your State’s Insurance Commissioner
Sample Letter to The Editor
Medical Society Statements on Anthem Policy
ACR Statement - New Anthem Imaging Coverage Policy Will Harm Patient Access to Imaging Care
AMA Letter to Anthem on Outpatient Imaging Policy
Patient Advocacy Group Statements on Anthem Policy
Lung Cancer Alliance Letter to Anthem on Outpatient Imaging Policy
ACR Advocacy In Action Articles on Anthem Policy
Sept, 29 - Concerns Grow for Anthem MRI/CT Payment Policy
Sept. 15 - Anthem Restrictive Imaging Policy Raises Concerns
Anthem Policy In the News
Augusta News leader - By Saving Relative Nickels and Dimes, Anthem Would Gut Local Health Care
Patient Daily - Anthem Ban on Hospital Outpatient Scans Provokes Criticism
Richmond Times-Dispatch - Arbitrary and Unwise': Medical Professionals Respond to Anthem's Plan to Change Imaging Reimbursement Guidelines
Kaiser Health News - Need An MRI? Anthem Directs Most Outpatients To Independent Centers
Indianapolis Star - No More Hospital MRIs or CT scans If You Have A Non-urgent Need, Anthem Says
Modern Healthcare - Anthem's New Outpatient Imaging Policy Likely To Hit Hospitals' Bottom Line
1 - The program has begun in Colorado, Indiana, Kentucky, Missouri, Wisconsin, Ohio, Nevada, Georgia and New York. It may soon be applied to all 14 states where Anthem operates.