PA: Community HealthChoices MCOs

CHC was developed for Pennsylvanians who are eligible for Medicare and Medicaid, or eligible for Medicaid-funded LTSS. This new initiative is a managed care program by the departments of Human Services (DHS) and Aging (PDA) to: (1) enhance access to and improve coordination of physical health care and; (2) create a person-driven, long-term support system Read more about PA: Community HealthChoices MCOs[…]

PAMS: Office of Long-Term Living (OLTL) Service Coordinators and Providers Mandatory Protective Services Training

OLTL Service Coordinators and Direct Service Providers are required to participate in trainings mandated by OLTL.  As entities providing services and supports to Home and Community-Based Services waiver participants, protecting the health and welfare of participants is your responsibility. In addition, you are required by two state laws to report suspected abuse, neglect, exploitation or Read more about PAMS: Office of Long-Term Living (OLTL) Service Coordinators and Providers Mandatory Protective Services Training[…]

Highmark layoffs hit Harrisburg area and Pittsburgh

Highmark Health Solutions laid off 52 people this week, with 21 occurring at the Higmark operation in East Pennsboro Township in Cumberland County, and a similar amount occurring in Pittsburgh. The remainder affect Highmark locations elsewhere in Pennsylvania and in Delaware and West Virginia. Most of the affected employees will lose their jobs in early Read more about Highmark layoffs hit Harrisburg area and Pittsburgh[…]

Allegheny Health Network expands infusion business with acquisition

The Allegheny Health Network, in Pennsylvania, is expanding its home health business by purchasing a Pittsburgh pharmacy that specializes in home infusion medicines. The North Shore-based nonprofit hospital system, which is owned by Highmark Health, said its Healthcare@Home division acquired the home infusion pharmacy in Sharpsburg from Infusion Partners, a subsidiary of Elmsford, N.Y.-based BioScrip Read more about Allegheny Health Network expands infusion business with acquisition[…]

Highmark to cut doctors’ payments for ACA plans

Citing an estimated $500 million loss last year on health insurance plans sold on the Affordable Care Act marketplace, Highmark Inc. said Friday it plans to reduce what it pays doctors who treat patients with the plans. Highmark plans to reduce payments to the physicians by 4.5 percent starting April 1 as part of a Read more about Highmark to cut doctors’ payments for ACA plans[…]

UPMC analysis contends Highmark no longer top insurer in Western Pa.

More people in Western Pennsylvania now have health insurance from UPMC than from Highmark Inc., according to a UPMC analysis, marking a potential milestone in the rivalry between the nonprofits. Highmark, which for decades has dominated the region’s health insurance market, declined to say Thursday whether it has arrived at the same conclusion. “Highmark will Read more about UPMC analysis contends Highmark no longer top insurer in Western Pa.[…]

Genesis Medical Associates of PA resists buyout offers, cultivates independence

As UPMC and Highmark Health fight for dominance of the health care market in Western Pennsylvania, it can be easy to forget that some physician practices are independent and want to stay that way. Genesis Medical Associates Inc., a practice of 20 physicians based in Ross, is forging its own path through the market that’s Read more about Genesis Medical Associates of PA resists buyout offers, cultivates independence[…]

UPMC board Chairman Beckwith cheers on CEO Romoff

Almost every day, UPMC President and CEO Jeffrey Romoff exchanges emails with the only person with enough power to fire him. Romoff, arguably one of the region’s most influential and polarizing leaders, reads every word that comes from Nicholas Beckwith, the businessman who chairs UPMC’s board of directors. “I try not to be bossy,” Beckwith, Read more about UPMC board Chairman Beckwith cheers on CEO Romoff[…]