Anthem Negotiations With Aspirus Health
What Our Employer-Sponsored, Marketplace, and Medicare Advantage Members Need to Know
We’re working to improve access to affordable healthcare in Wisconsin. Our current contract with Aspirus Health expires on December 31, 2025, and we are working to keep them in our network beyond that date.
What’s Happening?
Anthem’s contract with Aspirus Health is scheduled to end on December 31, 2025. This contract sets the prices Aspirus Health charges to its patients covered by Anthem employer-based, individual, Medicaid, and Medicare Advantage health plans. Our goal is to maintain and improve healthcare affordability for the patients, employers, and taxpayers that pay for healthcare.
Our Commitment to Affordability
Anthem is dedicated to improving access to high-quality, affordable healthcare for all Wisconsinites. Here’s why:
- Wisconsin’s healthcare costs are the most expensive in the Midwest and 5th highest in the country (RAND)
- Half of U.S. adults say it’s difficult to afford healthcare costs and, alarmingly, one in four adults delayed needed care because of high costs (KFF). When hospitals raise prices, patients pay more—through higher copayments, deductibles, and insurance premiums.
- Our high healthcare costs are harming Wisconsin’s economy (WMC Foundation).
That’s why we negotiate on behalf of our members and Wisconsin employers to secure affordable care at Aspirus Health and all our provider partners.
Commitment to Keeping Aspirus Health in Our Network
Anthem is working closely with Aspirus Health to reach a long-term agreement. We’re committed to keeping Aspirus Health in our network and are optimistic about reaching a new agreement.