True Performance Programs
True Performance is the cornerstone of Highmark's provider value-based reimbursement (VBR) strategy.
Training and Educational Resources
Training and educational resources are available to help ensure a smooth transition into the True Performance Program. Program participants should log into Availity and select Quality Blue to view program documentation and receive updates.
True Performance (TP) Programs
TP and TP Lite Primary Care Programs
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These programs support and reward primary care physicians for providing high-value preventive care and effectively managing chronic illness. The programs reinforce and enhance quality, reduce overall care costs, and enrich member experience.
TP Home Health Pay-For-Value Program
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This program enables and rewards home health providers for improving quality, enriching member experience, and lowering care costs through innovative care delivery models that focus on efficient care and high-quality outcomes.
TP Home Health Episodic Bundled Value-Based Payment Program
- cpa/ sepa
- wpa/ nepa
This program reduces administrative burden for providers to encourage innovation, enhance patient management, improve quality, and reduce cost. Providers can earn higher reimbursements through quality outcomes.
TP Physical and Occupational Therapy Pay-For-Value Program
- cpa/ sepa
- wpa/ nepa
This program gives PT and OT providers the flexibility to deliver care that provides high-quality outcomes and value for Highmark members and rewards them with the potential for additional value-based reimbursement.
TP Skilled Nursing Facility Pay-For-Value Program
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This program empowers skilled nursing facility providers to improve quality and outcomes, enrich member experience, reduce administrative burden, and lower care costs through innovative care delivery models. Providers can earn significant value-based reimbursement through the program.
TP Skilled Nursing Facility Episodic Value-Based Bundled Payment Program
- cpa/ sepa
- wpa/ nepa
This program reduces administrative burden for providers and incentivizes them to manage patient episodes through innovative techniques that improve quality and reduce cost. Providers can earn higher reimbursements based on quality outcomes.
Provider Service Center
Can't find an answer? Call us: 8 a.m. to 5 p.m. EST, Monday through Friday.
Clinical Services
Still have questions? Call us: 8:30 a.m. to 7 p.m. Monday through Friday, 8:30 a.m. to 4:30 p.m. Saturday and Sunday.
