Highmark vs Rothman Orthopaedics

Active — Negotiating
Carrier
State(s)
Contract End Date
September 30, 2026
Last Updated
September 10, 2026

September 10, 2026

Highmark plans to end its Pennsylvania contract with Rothman Institute on September 30, 2026, according to a letter to members. The dispute does not affect New Jersey patients.

The dispute centers on the use of out-of-network physician assistants by Rothman surgeons who do not have residents or fellows working for them and need help caring for patients, Rothman president Alexander Vaccaro said in an interview.

Highmark’s said 10,100 Highmark members had used Rothman services in the past year. Highmark said it will help patients in Pennsylvania find alternate sites of care.

Source: Philadelphia Inquirer