Are You Eligible for High-Performance Networks?

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Are You Eligible for High-Performance Networks?

For: Professional and Facility Providers

Review Your Practice Performance Insights

Highmark is committed to helping providers deliver accessible, affordable, high-quality care to our members. One way we do that is through our high-performance network products, which connect members with providers who consistently deliver high-value care, resulting in better health outcomes, enhanced care coordination, and more affordable care.

To support this approach, Highmark regularly evaluates provider performance across key measures of quality, care appropriateness, documentation quality, and cost efficiency when determining participation in high-performance networks.

Practice Performance Insights provides transparency into those measures, allowing providers to see how their practice is performing relative to peers and better understand the factors that contribute to high-value care.

Why It Matters

Practice Performance Insights is more than a reporting tool. It plays an important role in Highmark's evaluation of provider participation in certain high-performance networks. Practices that consistently do not meet performance thresholds relative to their peers may impact their eligibility to participate in these networks.

Next month, Highmark will communicate with providers whose participation in high-performance networks will change for 2027. Now is an ideal time to review Practice Performance Insights, to understand how your practice is doing across key measures and identify opportunities for improvement. 

Access Your Scorecard Today

Practice Performance Insights is available through the Provider Facing Analytics tool in Availity Essentials. For access instructions, resources, and additional information, visit providers.highmark.com/insights.

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