Highmark assists Primary Care Physicians during COVID-19 crisis
Wednesday, April 08, 2020
Highmark assists primary care physicians during COVID-19 crisis
Insurer to make advanced payments for True Performance participants
PITTSBURGH (April 8, 2020) — Highmark Inc. has announced that it will assist local Primary Care Physicians (PCPs) by advancing payments made through the True Performance reimbursement program. The reimbursement payments would have been made in June, but will begin going out the week of April 6 as many physician practices are being affected financially by stay-at-home orders and other COVID-19 related issues.
Highmark's True Performance initiative is one of the largest risk- and value-based reimbursement programs for PCPs in the country, and rewards them for meeting nationally-recognized quality measures and for focusing on prevention and wellness initiatives for Highmark members in their care.
"PCPs are important partners for Highmark," said Deborah Rice-Johnson, president, Highmark Inc. "They help to coordinate and better manage care for our members with chronic conditions, and help ensure that members are staying healthy by receiving services like appropriate screenings and vaccinations."
More than 1,700 Primary Care Practices or associated entities in Pennsylvania, West Virginia and Delaware will receive the advanced payments based on achievement in the True Performance program. According to Highmark, more than $30 million in advanced payments will be made during this extremely challenging time.
Over the last three years, Highmark's claims data shows that True Performance providers have helped to avoid more than $1.5 billion in health care costs — which has already been passed back to our clients and members through reduced annual benefit cost increases.
"At this time when we are rightly focused on caring for COVID-19 patients, we also recognize the need for PCPs to continue to care for all of our members," said Rice-Johnson. "Advancing True Performance reimbursement payments will help ensure that they can."
About Highmark Inc. One of America's leading health insurance organizations and an independent licensee of the Blue CrossBlue Shield Association, Highmark Inc. (the Health Plan) and its affiliated health plans (collectively, the Health Plans) work passionately to deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions to customers. As the fourth-largest overall Blue Cross Blue Shield-affiliated organization, Highmark Inc. and its Blue-branded affiliates proudly cover the insurance needs of more than 5.2 million members in Pennsylvania, Delaware, and West Virginia. Its diversified businesses serve group customer and individual needs across the United States through dental insurance and other related businesses. For more information, visit www.highmark.com.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies. This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal. ®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
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