November 13, 2025 

Dear Ms. Boudreaux,

On behalf of the undersigned physician organizations, we write to express our concerns about your recently announced Facility Administrative Policy: Use of a Nonparticipating Care Provider and to urge you to immediately rescind this policy.

It is our understanding that under this new policy, being rolled out in 11 states starting January 1, 2026, Anthem Blue Cross and Blue Shield plans will begin penalizing hospitals with a 10 percent reimbursement cut when out-of-network physicians are used in the provision of care. Moreover, your announcement indicates that you will also consider terminating hospitals from Anthem networks for continued use of nonparticipating physicians.

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