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 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.
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.
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.
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.
Pittsburgh-based UPMC must continue to provide in-network services to members of Highmark's Medicare Advantage plans, the Pennsylvania Supreme Court has ruled.
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.
UPMC has won a key legal victory that could ultimately award the health system more than $188 million in back payments from insurance giant Highmark.
Pittsburgh-based UPMC will soon get another day in court to challenge a ruling that it must continue to provide in-network services to members of Highmark's Medicare Advantage plans.
Until recently, insurers and providers did not have good ways of measuring the cost-effectiveness of post-acute care providers, and patients lacked clarity on what to expect after they were discharged. NaviHealth is trying to change that.
Hospital communication failure cited in review of care for Ebola patient Thomas Eric Duncan, and other news
The Texas hospital that treated the first person diagnosed in the U.S. with Ebola stumbled because of communication failures, an independent review released last week found.
Medicare Advantage has been held up as a source of solid growth for health insurers. Humana's reach and expertise in the market attracted Aetna's $37 billion buyout bid. But not all Advantage plans are benefiting from the enrollment wave.