Where things stand
Premera Blue Cross Blue Shield of Alaska has paused its Multiple Procedure Payment Reduction (MPPR) policy, which was scheduled to begin December 4, 2026. Provider feedback led to the pause. However, the policy has not been withdrawn, and no final decision has been made. Premera has committed to giving at least 90 days’ notice before any implementation.
If implemented, MPPR would reduce payment on 97124, 97140, and other physical medicine codes when more than one procedure is performed on the same day. For some offices, payment could fall below what they pay their therapists.
Attend a town hall
The Alaska Division of Insurance is hosting and moderating two virtual town halls with Premera. Providers and stakeholders are invited to share concerns and ask questions.
| Monday, Nov. 9 | Tuesday, Nov. 10 |
| 9:00–10:00 AM AKST | 2:30–3:30 PM AKST |
| Register for Monday’s Town Hall | Register for Tuesday’s Town Hall |
Download the Division of Insurance Town Hall Flyer
How to prepare
- Read the policy documents below.
- Write down your questions.
- Be ready to explain how MPPR would affect your patients’ care, your practice’s finances, and your ability to stay in business.
Your voice matters. Regulators and Premera need to hear directly from the providers this policy would affect. Be prepared for additional action if it becomes necessary.
Documents
- Premera: Update on MPPR Policy (pause announcement)
- Premera Alaska: Payment Policy Updates, September 3, 2026 (original announcement)
- Premera Payment Policy: Physical Medicine and Rehabilitation Services (full PDF)
Questions? Email the Alaska Chiropractic Society at admin@akchiro.org.