Highmark Trimming Doctor Reimbursements To Stem ACA Losses

Highmark Health is cutting reimbursement to doctors by 4% effective April 1 for care provided to patients with health insurance bought through the government exchange, the latest effort to trim losses in a market segment that has caused headaches for carriers nationwide. All Pennsylvania doctors who participate in Highmark’s health insurance plans and treat patients with coverage required by the Affordable Care Act will be affected by the reimbursement cut. Reimbursement for Highmark’s commercial plans will remain the same, softening the impact of the reduction on the physician practice revenue to an average of 0.5 percent. Highmark . . .