The Middletown Press (Middletown, CT)

Anthem should rethink its breast pump reimbursem­ent reduction

-

At what price our children’s future? That’s what some mothers and advocates of breastfeed­ing may be wondering after Anthem Blue Cross Blue Shield Connecticu­t announced it would be lowering reimbursem­ent rates to health insurers for breast milk pumps.

It is obviously a move to save money, but also a move that is a bit puzzling.

There is no argument that right out of the womb, the nutrients and immunity protection that babies receive go a long way in determinin­g their future health, both physically and mentally. And there is no disputing the scientific fact that the best milk for newborns is the milk that comes directly from his or her mother’s breast.

The reasons couldn’t be more clear: Breast milk contains all the vitamins and nutrients that babies need for their first six months of life and as an added bonus is packed with antibodies that will fight off diseases and protect babies from illness.

That is a whole lot of nourishmen­t and protection packed in a mother’s breast and the Centers for Disease Control and Prevention reports breastfeed­ing rates are going up.

About 81 percent of mothers across the nation now report breastfeed­ing at some point in their newborns’ lives. The American Academy of Pediatrics recommends exclusivel­y breastfeed­ing for six months and the World Health Organizati­on recommends breastfeed­ing for two years.

That’s how important mothers, pediatrici­ans and medical experts believe breast milk is to a newborn’s developmen­t.

So why is Anthem trying to shortchang­e motherhood and possibly circumvent the health of newborn babies?

Under the Affordable Care Act — better known as Obamacare — breast milk pumps and other breastfeed­ing supports have been a no-cost health benefit since the law was passed in 2010.

But as of April 1, Anthem will reduce its reimbursem­ent rate for breast milk pumps by 44 percent, from $169.15 to $95, according to the Connecticu­t Breastfeed­ing Coalition.

That’s a hefty reduction. And mothers like Branford’s Akimi Nelken are concerned a cut in the rate will translate into some mothers receiving lower-quality equipment.

Sarah Yeager, an Anthem spokeswoma­n, said the reduction is in the negotiated rate Anthem pays medical equipment companies that supply the pumps — and the quality of pumps the insurer offers will not decline.

Maybe so, but given the penchant of health care providers to increase prices and slash crucial services for consumers, some mothers are worried how it will affect their children’s future.

In the business world where decisions like this are made across a boardroom table, what Anthem is doing may be reasonable and make sense. But to mothers sitting at home feeding their newborns, the decision carries the possibilit­y their child may not be getting the nutrients he or she needs due to second-rate equipment.

Whatever Anthem’s reasoning — it is only the babies who will possibly pay the price.

So what price our children’s future?

That question is best answered by Anthem.

Newspapers in English

Newspapers from United States