Introducing Practice Performance Insights: Key Performance Metric Tool
Published Date: Mon, Jul 27, 2026 NEW
Accessible, affordable, high-quality care is Highmark's north star, and our provider network is fundamental to achieving this mission.
Providers in our high-performance networks ensure our customers and members receive exceptional, high-value care.
These selective networks bring together providers who consistently demonstrate strong performance across quality, care appropriateness, and cost-effectiveness — benefiting your practice through access to a larger patient population, enhanced care coordination, and additional incentives.
What’s New?
You asked for more transparency on how Highmark defines “high-value care.” To address this, we are excited to introduce Practice Performance Insights, a new performance metric tool designed to provide a comprehensive understanding of your practice's alignment in the areas of Quality, Appropriateness of Care, Documentation Quality, and Cost Efficiency.
Starting July 27, 2026, Practice Performance Insights will be distributed quarterly via the Provider Facing Analytics tool in Availity Essentials and will provide you with valuable data on:
- Your practice’s performance relative to your peers, offering a clear benchmark.
- Specific metrics driving your performance, helping you pinpoint areas of strength and opportunity.
- Actionable insights and potential levers to enhance the quality of care you deliver.
Who Has Access?
Practice Performance Insights is available to providers with over 50 commercial and/or 50 Medicare Advantage attributed Highmark members.
Why Is This Important?
Practice Performance Insights is designed to support your success. Practices that consistently do not meet the performance thresholds relative to their peers may impact their eligibility to participate in Highmark’s high-performance network products.
Each year, Highmark will evaluate our network using these metrics and communicate to you with any adjustments regarding your participation in these networks based on these insights.
Access Practice Performance Insights
The tool is available within the Provider Facing Analytics tool via Availity. Visit providers.highmark.com/insights for detailed steps to access.
We’re Here to Help
Our Provider Service team can also help you locate your scorecard and answer questions. Contact us Monday through Friday, 8 a.m. – 5 p.m. EST:
- DE, PA, and WV: 888-601-7089
- NY: 888-601-8785
For more details, visit providers.highmark.com/insights.
Quick Info
Never miss out on what matters. Subscribe to our emails and stay informed.
