ASCP Calls on Anthem to Reverse Controversial Out-of-Network Policy

• ASCP is calling on Anthem Blue Cross Blue Shield to abandon a new policy that would penalize hospitals for using out-of-network physicians

ASCP has joined the American Medical Association (AMA) and more than 90 other medical societies in calling on Anthem Blue Cross Blue Shield (BCBS) to reverse a new out-of-network policy. The policy would reduce payment to participating hospitals when they use out-of-network physicians to provide patient care. The policy imposes unfair pressure on physicians to accept Anthem contracts.

Beginning Jan. 1, 2026, Anthem BCBS (Elevance Health) will penalize hospitals with a 10 percent reimbursement cut when out-of-network physicians are used. Anthem may also terminate hospitals from its networks for continued violation of its new policy.

In the letter, ASCP expressed concern that Anthem’s policy bypasses the federal No Suprises Act, which protects patients from surprise medical bills from out-of-network providers at in-network facilities. This law sets up an appeals process specifically intended to resolve payment differences between payers and providers. ASCP is concerned that Anthem’s policy could undermine patient access to care as well as the stability of pathology practices and clinical laboratories, especially in rural and underserved areas.