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True Performance Program

True Performance is the foundational program of Highmark's physician value-based reimbursement (VBR) strategy. The program evaluates PCPs’ ability to deliver the right care at the right time and in the most appropriate setting through its intense focus on care coordination and population health management principles. PCPs are rewarded for their performance on quality and cost/utilization metrics and may be eligible to earn monthly care coordination reimbursement and quarterly or annual lump sum reimbursement. PCP entities with 250 or more members are eligible to participate in the program.

Training modules and educational resources are available to help ensure a smooth transition into the True Performance Program. Please continue to visit NaviNet® Plan Central and the Quality Blue link to the User Interface regularly to receive program updates.

If you have any questions or need additional assistance, please contact your Provider Account Liaison or Clinical Transformation Consultant.

Program participants should log in to NaviNet and select the Quality Blue link to view program documentation and receive program updates.

Last updated on 11/18/2022 3:42:44 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.