Highmark has identified issues with the billing and referral practices of several surgeons affiliated with the Rothman Institute, including deliberate abuses...
Learn MoreHighmark wants to ensure our members get safe and cost-effective treatment options. We regularly review the most current research and make necessary adjustments
Learn MoreThe Centers for Medicare & Medicaid Services (CMS) approved a Managed Care Organization (MCO) tax that was requested by the New York Department of Health (DOH).
Learn MoreSection 204 of the Consolidated Appropriations Act (CAA) of 2021 mandates that data be submitted to the Centers for Medicare & Medicaid Services (CMS)...
Learn MoreOn Monday, June 23, 2025, health insurance plans announced a series of commitments to streamline, simplify, and reduce prior authorizations – a critical safeguard to ensure member care is safe, effective, evidence-based, and affordable.
Learn MoreWeekly Capitol Hill Report: Issues for the week ending May 30, 2025
Learn MoreHighmark continues to review and evaluate its coverage for weight loss medications, and we need to communicate some important updates for our ASO clients.
Learn MoreWeekly Capitol Hill Report: Issues for the week ending May 9, 2025
Learn MoreRegister now and join us for our Q2 all-agency webinar!
Learn MoreHighmark has announced Sophia Torielli as its new National Segment President. Ms. Torielli brings extensive experience in health insurance and healthcare...
Learn MoreJoin us for our first quarter producer webinar
Learn MoreHighmark is informing you that Main Line Health, a health system in southeastern Pennsylvania, is no longer in network for Medicare Advantage members...
Learn MoreHappy Holidays!
Learn MoreThe latest edition of Weekly Capitol Hill Report.
Learn MoreHighmark wants to inform you about a situation that impacted how we handle billing for Advanced Radiology and Cardiac Imaging authorizations...
Learn MoreHighmark would like to notify you about a change to their Medicare Advantage network in Western New York. Buffalo Medical Group (BMG), a large provider...
Learn MorePlease join us on October 17
Learn MoreAttached is the latest edition of Weekly Capitol Hill Report.
Learn MoreSmall Group renewal rates for September 2024 are now available on the Producer Portal.
Learn MoreIssues for the week ending June 14, 2024
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