Highmark ACA Exchange Plans Fee Schedule Reduction

highmarkAs you are aware, Highmark has announced a cut of approximately 4% effective April 1 in the fee schedules for patients insured by ACA Exchange products as part of their efforts to offset massive losses in those plans.

ACMS has expressed our disagreement with this action in a letter to Highmark CEO David Holmberg, and has received a response from Mr. Holmberg.

ACMS has also, in collaboration with the Pennsylvania Medical Society, participated in two conference calls with Highmark senior management, to express ongoing dissatisfaction with the limited approach which places significant financial burdens on physicians as Highmark seeks to stabilize and sustain these plans in the exchange market.

ACMS will participate, with PA Med, in further discussion with Highmark as the evaluate and develop new payment strategies in response to Medicare payment requirements and changing market conditions but we remain disappointed with their action, which will negatively impact the physicians being relied on to care for these patients.

Please contact me directly with any additional comments or questions.


John G. Krah

Executive Director

Background Information




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Allegheny County Medical Society
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Pittsburgh, PA  15212
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