Condition Management Programs
Simplify patient care and reduce administrative burden.
Condition Management Programs
Please recommend that your eligible patients enroll in these programs, designed to help them manage their care between office visits.
Behavioral Health
Easy-to-access and effective Behavioral Health tools to support your patients’ well-being, covering a broad spectrum of ages and conditions.
Cardiopulmonary
Helping members manage symptoms and take control of their CHF and/or COPD with personalized health coaching.
Diabetes Management
Virtual diabetes management includes digital tools, coaching, and clinical support to help patients manage their Type 2 Diabetes.
Kidney Care Management
Industry-leading kidney health management program aimed at improving health outcomes for patients with Chronic Kidney Disease/End-Stage Renal Disease.
Musculoskeletal Care
A virtual musculoskeletal (MSK) program offered by Highmark to free people from chronic, acute, and post-surgical pain.
Telemedicine
Virtual health solutions for on-demand member access to urgent care and behavioral and mental health support.
Population Health University
Reference Guide to Member Programs
Gain a comprehensive understanding of the programs offered to Highmark members in all service areas and for all lines of business.
MCG Clinical Criteria
Highmark's incorporation of MCG Health evidence-based clinical guidelines more fully support our Living Health strategy.
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.
