Medicare Advantage Member and Provider Programs

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Medicare Advantage Member and Provider Programs

Last Updated: Thursday, April 30, 2026

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Medicare Advantage Stars Primary Care Incentive Program

The Medicare Advantage Stars Primary Care Incentive Program recognizes and financially rewards primary care physicians (PCPs) who work collaboratively with Highmark to improve quality for Medicare Advantage members.

2025

Provider Programs and Materials

In addition to timely and actionable data reporting from Highmark, this section includes helpful guides to assist our network providers and to help provide guidance for participation in Highmark’s value-based reimbursement programs.

  • 2026 Measure Guide
    • This document contains information on Medicare Advantage Stars metrics, including steps for closing care gaps, advanced illness and frailty exclusions, the preventive schedule, and more.
  • 2026 CPT II Guide

Additional Resources

The links below apply to many resources that are available to assist providers with other pertinent information that may be reflected in Highmark’s value-based reimbursement programs.

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