anaesthesia Archives

13 October 2025

Malaysia

Anaesthesiologist Groups, TPA Agree To Maintain Open Communication

At a recent meeting between MediExpress and anaesthesiologist groups MSA and COA, plus doctors' group MMA, MediExpress reportedly clarified that its anaesthesia memo wasn't meant to interfere with clinical management. The meeting ended on a positive note.

9 October 2025

Malaysia

IHH: ‘Clinical Judgement Cannot Be Governed By Cost’

IHH Healthcare Malaysia says payers' anaesthesia and generic-only policies may reduce medicine to compliance rather than care. "When cost becomes the deciding factor, we trade precision for expedience and in doing so, place both patient and principle at risk."

7 October 2025

Malaysia

Health DG Warns Insurers Against Illegal Interference With Clinical Decisions

In an unprecedented warning, the Health DG tells insurers and TPAs that interfering with a medical practitioner’s clinical authority isn't only unacceptable, but may breach Act 586. Setting reimbursement on predetermined clinical choices may be illegal.

6 October 2025

Malaysia

Clinicians’ Anaesthesia Decision Paramount, Private Hospitals Tell TPA

APHM tells a TPA that doctors make the final decision on anaesthesia choice due to patient safety. Private hospitals describe the TPA's memo as requiring comms from the physician for "admin" purposes only, not to be interpreted as "insurer authorisation".

3 October 2025

Malaysia

FPMPAM Demands MOH, MMC Probes Against MediExpress Over Anaesthesia Directive

FPMPAM tells the Health Ministry and the Malaysian Medical Council to investigate MediExpress' anaesthesia directive for interference with clinical decision-making and possible infringement of Act 586. FPMPAM stresses the need for laws to regulate MCOs.

3 October 2025

Letter

We Doctors Answer To Our Patients And MMC, Not TPAs — PMPASKL

PMPASKL urges doctors to remain steadfast and resist any attempts to erode the sanctity of their profession. "The medical profession must speak with one voice: patient care must never be compromised for administrative convenience or cost-cutting measures."

3 October 2025

Letter

Anaesthesia Choice Must Be Based On Medical Necessity, Not Financial Factors — Malaysian Society of Anaesthesiologists & College of Anaesthesiologists, AMM

The Malaysian Society of Anaesthesiologists & College of Anaesthesiologists say while local anaesthesia is appropriate for many procedures, it's not universally safe to be designated the first choice. Anaesthesia choice must be based on medical necessity.

3 October 2025

Malaysia

AMM Condemns ‘Dangerous Precedent’ From TPA’s Anaesthesia Directive

Malaysia's specialist umbrella body, Academy of Medicine of Malaysia, slams the "dangerous precedent" set by a TPA's anaesthesia directive, calling it a significant overreach that directly impinges on the clinical autonomy of surgeons and anaesthesiologists.

3 October 2025

Letter

TPA’s Interference With Anaesthesia Care Sets Dangerous Precedent — Dr P

An anaesthesiologist says MediExpress' LA-first policy exposes patients to unnecessary harm. The choice between local and general anaesthesia is a complex clinical judgment. "If TPAs are permitted to dictate clinical choices, the precedent is dangerous."

3 October 2025

Malaysia

Are Surgeries Cancelled If Anaesthesia Choice Changed? Anaesthesiologist Asks TPA

An anaesthesiologist questions MediExpress if doctors have to cancel a surgery if the choice of local anaesthesia previously "approved" by the TPA needs to be changed to general anaesthesia just before the procedure due to various patient/clinical factors.

Tag: anaesthesia

Anaesthesiologist Groups, TPA Agree To Maintain Open Communication

IHH: ‘Clinical Judgement Cannot Be Governed By Cost’

Health DG Warns Insurers Against Illegal Interference With Clinical Decisions

Clinicians’ Anaesthesia Decision Paramount, Private Hospitals Tell TPA

FPMPAM Demands MOH, MMC Probes Against MediExpress Over Anaesthesia Directive

We Doctors Answer To Our Patients And MMC, Not TPAs — PMPASKL

Anaesthesia Choice Must Be Based On Medical Necessity, Not Financial Factors — Malaysian Society of Anaesthesiologists & College of Anaesthesiologists, AMM

AMM Condemns ‘Dangerous Precedent’ From TPA’s Anaesthesia Directive

TPA’s Interference With Anaesthesia Care Sets Dangerous Precedent — Dr P

Are Surgeries Cancelled If Anaesthesia Choice Changed? Anaesthesiologist Asks TPA

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