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Highmark commits to federal ACA lawsuit and exchanges

By Bob Herman  |  September 23, 2016

Highmark Health, the Blue Cross and Blue Shield affiliate and hospital system based in Pittsburgh, is still losing money on its Affordable Care Act business. And the company will continue to pursue litigation of the law's risk-corridor funding despite the government's willingness to settle.

UPMC's health plan swells in aftermath of Highmark spat

UPMC's health plan swells in aftermath of Highmark spat

By Bob Herman  |  August 26, 2016

Membership in UPMC's health insurance division grew 8% in the past year, according to financial documents released Friday, giving UPMC a bigger foothold as it tries to operate peacefully with its rival Highmark Health.

Changes loom as most-popular Medigap plans face extinction

By Bob Herman  |  June 25, 2016

A provision within the new Medicare physician payment law eliminates the most popular types of Medigap plans and therefore will lead to future Medigap enrollees paying more out of pocket for their medical care.

Florida Blues reports $471 million profit on ACA plans in 2015

By Bob Herman  |  June 18, 2016

The Affordable Care Act's exchanges have not been a bust for every health insurer. Florida's Blue Cross and Blue Shield affiliate made a profit of almost a half-billion dollars on the ACA's new individual plans last year.

To pay or not to pay: Some not-for-profit systems give board members big pay

By Bob Herman  |  June 04, 2016

Over the past two decades, especially in the years since the ACA passed, there has been a gradual movement toward paying board members at national or regional hospital systems, integrated provider-payer organizations and insurers. And some of the payouts are quite substantial.

Highmark sues feds over ACA payments

Highmark sues feds over ACA payments

By Bob Herman  |  May 17, 2016

Health insurer Highmark is suing the federal government to recover money owed under the risk-corridor program for plans sold on the Affordable Care Act's insurance exchanges. Republicans in Congress, calling the program a bailout for insurers, stymied HHS' ability to cover the obligations.

Highmark's ACA plans lose $590 million

By Bob Herman  |  April 01, 2016

Highmark Health lost $590 million on its health plans sold on the Affordable Care Act exchanges in 2015, joining the ranks of other large multistate companies that covered marketplace patients who desperately needed and used care.

Piedmont Atlanta Hospital names Battey CEO

Piedmont Atlanta Hospital names Battey CEO

By Modern Healthcare  |  January 30, 2016

Dr. Patrick Battey has been named CEO of Piedmont Atlanta Hospital after serving as co-CEO with Les Donahue the previous year. He is the first physician to serve as CEO since the hospital opened in 1905.

Former Cleveland Clinic exec to join Allegheny Health Network

Former Cleveland Clinic exec to join Allegheny Health Network

By Michael Sandler  |  January 26, 2016

Cynthia Hundorfean has served as chief administrative officer at the Cleveland Clinic since 2005. She will take over as CEO of Highmark's provider network in February as her predecessor, John Paul, becomes special adviser to Highmark Health CEO David Holmberg.

'We're in the 5th inning' of the ACA exchange ballgame

'We're in the 5th inning' of the ACA exchange ballgame

By Modern Healthcare  |  January 02, 2016

David Holmberg, president and CEO of Pittsburgh-based not-for-profit Highmark Health, recently spoke with Modern Healthcare about the feud with rival UPMC, the future of the Affordable Care Act exchange business and the value of high-deductible health plans.

Video: Highmark CEO says Pittsburgh's sharp elbows spur innovation

Video: Highmark CEO says Pittsburgh's sharp elbows spur innovation

By Modern Healthcare  |  November 29, 2015

Will Highmark and UPMC ever bury the hatchet? David Holmberg, CEO of Pittsburgh-based health insurer and integrated delivery system Highmark Health, weighs in on its fierce battle with UPMC for the region's healthcare market.

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