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 …
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. …
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 …
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. …
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 …
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 …
Highmark and Carnegie Mellon, announce research funding
Carnegie Mellon University (CMU), Highmark Health and Allegheny Health Network announced a second round of funded CMU projects poised to ‘disrupt’ health care by identifying key unmet clinical needs and …
UPMC banking on collecting disputed $118M bill from Highmark
UPMC said it is confident it will collect the $118 million it is seeking in a lawsuit against health insurer Highmark Inc. The hospital giant booked $118 million in money …