Aspirus Network, Inc. (ANI) is a Clinically Integrated Network of leading primary and specialty care physicians, hospitals and allied health care professionals. Aspirus Network negotiates contracts on behalf of its members with employers and health plans. ANI works closely with Aspirus’ health plan, Aspirus Arise, to help deliver direct access to high-value, personalized health care that aims to improve your health and well-being through all of your health care needs.
ANI aligns all elements of the care continuum to advance quality and improvement efforts that produce better clinical outcomes, enhanced patient experiences and controlled costs. Provider members of Aspirus Network have the opportunity to help identify and drive quality improvement initiatives, serve as advocates for healthier communities, and provide ongoing feedback on the network’s strategic direction
We understand patients have a choice – select the best health care providers knowing the benefits are:
- 24/7 access to care
- Collaboration on the best care
- Continuous quality improvement for the best outcomes
- Providers credentialed to the highest standards
- Best patient experience
Contact Us
Phone: (715) 847-2232
Address:
3000 Westhill Drive, Suite 300
Wausau, WI 54401
E-mail:
Vision
Aspirus Network delivers compelling value to the marketplace by collaborating with our members to leverage our unique perspective to improve cost and quality for our communities.
Governance Structure
Board of Directors
Aspirus Network, Inc. (ANI) is governed by a Board of Directors that consists of 9 elected members. Aspirus Network has four governing committees that report up to the Board. The Board has regularly scheduled monthly meetings with the right to hold a special meeting at the discretion of the Chairman or Executive Director.
Board Members
- Christopher Young, MD – Chair
- Christopher Peterson, MD – Vice Chair
- Sid Sczygelski – Secretary/Treasurer
- Aaron Anderson, MD
- Matthew Heywood
- Christian Lee, MD
- Michael McGrail, MD
- Jeremy Russell, DO
- Renee Smith, MD (Ex-Officio)
- David Tange, MD
Physicians Leadership Council
The Physician Leadership Council is comprised of physician leaders collaborating to provide oversight for the Clinical Value program and support of quality or improvement efforts of Aspirus Network's Clinically Integrated Network (CIN). PLC has has regularly scheduled monthly meetings.
Members
- Chad Radke, DO – Chair
- Nathan Grabher, MD - Vice Chair
- David Edmonson, DO
- Mike Frangiskakis, MD, PhD
- Maria Gulan
- Michael McGrail, MD
- Christopher Pogliano, MD
- Ruth Risley-Gray, RN
- Jeremy Russell, DO
- Susan Schneider, MD
- Brian Smith, MD
- Renee Smith, MD (Ex-Officio)
Credentialing Committee
The Credentialing Committee has oversight of our credentialing policy and participation requirements for network membership. The Credentialing Committee evaluates provider applications, reapplications and supporting documentation regarding approvals, denials, terminations or other actions as it relates to payor credentialing. The Committee has regularly scheduled monthly meetings.
Members
- Michele Montgomery, MD – Chair
- Laura Sherrill, MD – Vice Chair
- Jennine Larson, MD
- Christopher Pogliano, MD
- Renee Smith, MD (Ex-Officio)
- Patricia Gillette, LPC
Payor Contracting Committee
The Payor Contracting Committee (PCC) has oversight of the interpretation and evalution of Payor (or network) & employer market based reimbursement strategies and related contracts. PCC has regularly scheduled monthly meetings.
Members
- Lori Peck – Chair
- Jennifer Hinker - Vice Chair
- Roger Dillon
- Terry Lawrence
- Sara Lusignan
- Mike Murphy
Network Engagement Committee
The Network Engagement Committee is responsible for investigating and evaluating mechanisms for engaging provider members in participation of Aspirus Network's Clinically Integrated Network (CIN). The Committee has regularly scheduled monthly meetings.
Members
- Sherry Evenson – Chair
- Debbie Hoffman – Vice Chair
- Maria Gulan
- Connie Koutouzos
- Shane Melenbacker
- John Monks
- Cathy Rohling
- Bob Smith
- Michelle Theiler
Why Join Aspirus Network?
- Access to collective contract negotiations leveraging our network of providers and population health management for highly competitive payor reimbursement
- Integrated delivery of care
- Streamlined Payor credentialing process
- Dedicated service representatives to assist with Payor issues
- Growth in access to covered lives through patient steerage and narrow network product offerings
- Prestige in joining a comprehensive network of world-class providers
- Preparation for shift from volume based reimbursement (fee -for-service) to value based reimbursement (pay-for-performance)
Provider Membership Options
There are currently two membership options offered by Aspirus Network:
- Clinically Integrated Network (CIN) - Participation with ALL Aspirus Network contracted Payors, including eligibility for participation in our Wisconsin Medicaid HMO plans, if desired. There are general requirements that must be met in order to join our Clinically Integrated Network.
- Affiliate Network - Participation ONLY with our local employer sponsored Payors, which offer benefit steerage to Aspirus Network providers.
If you would like to learn more about becoming an Aspirus Network provider member, please contact us at (715) 847-2232 or email CustomerService-ANI@aspirus.org.
Information for Members
Through our Member Secure Website, ANI members have access to:
- Credentialing (including a full ANI CIN roster for provider information)
- Clinical Value Program (CVP)
- Contracted Payor information
- Forms
- Provide ideas for future Member Meetings
ANI Commercial payors can access roster/semi-annual report/provider changes through our Payor Secure website.
Aspirus Network Resources
Participating Payors & Plans
Aspirus Network contracts with most Payors in the region. These Payors include health maintenance organizations (HMOs), preferred provider organizations (PPOs), and network only or "broker" arrangements. We also contract directly with employers and community business coalitions.
Please note coverage limitations are dependent on individuals and/or employer group contracts. To verify participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.
Aspirus Network Contracted Commercial Health Insurance Payors & Plans
- Aspirus Arise Health Plan of Wisconsin
- AboutHealth Network
- Aetna PPO
- The Alliance Employer Cooperative (Madison, WI)
- Anthem Blue Cross/Blue Shield of Wisconsin
- Arise Health Plan HMO / POS / Standard Network
- AspirusArise Health Plan of Wisconsin
- ChoiceCare PPO / POS / EPO
- CIGNA Healthcare PPO and Open Access Plus
- Direct Employers (contact ANI for participating employer groups)
- Group Health Cooperative of Eau Claire HMO
- HealthEOS PPO
- HealthPartners PPO (Bloomington, MN)
- Humana HMO / PPO / POS / EPO / Traditional (Indemnity)
- Interplan Health Group / HealthSmart PPO
- Multiplan PPO (includes PHCS and Beech Street PPO)
- Northcentral Employers Healthcare Alliance (NEHA) fka North Central Healthcare Alliance (contact ANI for participating employer groups)
- Security Health Plan HMO
- UnitedHealthcare HMO / PPO / POS / EPO
- Wisconsin Educators Association
- Wisconsin Physicians Service
Affordable Care Act (ACA) on/off Exchange Payors & Plans
- Anthem Blue Cross/Blue Shield of Wisconsin Blue Priority
- Arise Health Plan AspirusArise
- Security Health Plan Classic / Tradition / Independence
- UnitedHealthcare Compass
Medicare Advantage Payors & Plans
- Anthem Blue Cross/Blue Shield of Wisconsin Medicare Advantage HMO / PPO
- Humana
- Medicare Advantage HMO / PPO / POS
- Medicare Network PFFS
- Security Health Plan Medicare Advantage HMO
- UnitedHealthcare Medicare Advantage HMO / PPO
Medicaid HMO BadgerCare Plus / Medicaid SSI Payors & Plans
- Anthem Blue Cross/Blue Shield of Wisconsin
- Group Health Cooperative of Eau Claire (including Compcare)
- Molina Health Plan
- UnitedHealthcare (Community Plan)