Quality & Patient Safety

Aetna of New Jersey faces physician opposition on anesthesia use

Patient Safety Monitor Alert, February 6, 2008

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Aetna of New Jersey is dropping coverage of Propofol, a type of anesthesia, used during colonoscopies. Propofol must be administered by an anesthesiologist, driving the price of a colonoscopy up between $200 and $1,000 more than it costs when using moderate sedation. Using moderate sedation does not require use of an anesthesiologist for administration.

A physician group has opposed this move, reports The Associated Press. It says that not only does using Propofol make for a comfortable colonoscopy, but by not employing the use of an anesthesiologist, some patients may neglect to get colonoscopies. Colonoscopies are the leading way to find if a patient has colorectal cancer. As of April 1, the insurer will limit the number of colonoscopies performed with the help of an anesthesiologist.



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