Gastroenterologists and Anesthesiologists in Massachusetts: Take action to oppose BCBSMA anesthesia policy

Starting Jan. 1, 2024, Blue Cross Blue Shield of Massachusetts will begin enforcing their Policy 154 (Monitored Anesthesia Care).

What this means: BCBSMA will reject payment for many claims for propofol/MAC as not medically necessary for gastrointestinal endoscopy, colonoscopy and other numerous GI procedures.

What our societies are doing: GI leaders and our counterparts from anesthesiology and surgery met with BCBSMA this week to forcefully urge them to change course since we believe that this policy will increase barriers to screening colonoscopy while creating inefficiency in practices. BCBSMA declined. We launched a grassroots campaign to fight the policy implementation.

What you can do:

  • Urge your state legislators to tell the Massachusetts Commissioner of Insurance to investigate enforcement of BCBSMA Policy 154.
  • Join our social media campaign #Noto154 – and encourage everyone in your professional network to do the same. 
  • Contact local media outlets and tell them how this policy undermines patient choice and health care in your community.
  • Empower and inform your patients who are insured by BCBSMA by letting them know what’s transpiring.

We believe that we can protect our patients and overturn Blue Cross Blue Shield of Massachusetts’ horrible Policy 154 – but we need your help, and we need it today!


About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with almost 16,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit Asge.org and ValueOfColonoscopy.org for more information and to find a qualified doctor in your area.

 

American Society for Gastrointestinal Endoscopy
3300 Woodcreek Drive Downers Grove, IL 60515
P (630) 573-0600
F (630) 963-8332

Media Contact

Andrea Lee
Director of Marketing and Communications
630.570.5603
ALee@asge.org