AAHKS Writes BCBS on Policy for Out-of-Network Physicians

Last week, AAHKS joined the AMA and more than 80 professional and state societies to express our concerns about and urge immediate rescinding of Anthem Blue Cross and Blue Shield’s recently announced Facility Administrative Policy, Use of a Nonparticipating Care Provider. Under this new policy, being rolled out in 11 states starting Jan. 1, 2026, plans will begin penalizing hospitals with a 10%–reimbursement cut when out-of-network physicians are used in the provision of care. In addition, BCBS will also consider terminating hospitals from Anthem networks for continued use of nonparticipating physicians. For more, read the letter.