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Magazine
Aetna drops Delaware Medicaid plan
By Bob Herman | October 18, 2014 | Print Magazine Print Magazine Subscription Details
Aetna will shut down its Delaware Medicaid plan by year-end after the insurer and the state couldn't agree on new managed-care rates.
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News
Delaware's Medicaid program dumps Aetna for Highmark
By Bob Herman | October 17, 2014 | Basic Web Basic Web Subscription Details
Aetna will shut down its Medicaid plan in Delaware by the end of this year because the publicly traded insurer and the state couldn't agree on new managed-care rates.
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Information
Highmark-UPMC split raises concerns over health records
Pittsburgh Post-Gazette | October 14, 2014
Here's one more thing to worry about when Highmark's commercial insurance customers lose full access to the UPMC hospital network Jan. 1: Will UPMC be able to send the patient records of Highmark customers to new specialists and primary-care physicians in a timely fashion? Perhaps predictably, the...
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Magazine
UPMC-Highmark feud prompts company to drop insurer
Bob Herman | September 27, 2014 | Print Magazine Print Magazine Subscription Details
Erie Indemnity Co., an Erie, Pa.-based company that provides automobile, home and life insurance, has decided to drop Highmark as the health plan for its 4,600 employees because of the ongoing blood feud between insurer Highmark and hospital giant UPMC. Its decision could be a harbinger of what...
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News
UPMC-Highmark feud prompts employer to ditch Highmark, others may follow
Bob Herman | September 23, 2014 | Basic Web Basic Web Subscription Details
Erie Indemnity Co., an Erie, Pa.-based company that provides automobile, home and life insurance, has decided to drop Highmark as the health plan for its 4,600 employees, due in large part to the ongoing blood feud between insurer Highmark and hospital giant UPMC. Its decision could be a harbinger...
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News
Highmark alleges UPMC overcharged for cancer care
Bob Herman | September 05, 2014 | Basic Web Basic Web Subscription Details
As one fight between Pittsburgh's two healthcare giants simmers, another has begun. Insurer Highmark filed a fresh lawsuit against UPMC alleging the hospital system has charged exorbitant prices for cancer drugs and services. Highmark said UPMC's billing strategy has resulted in $300 million in...
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News
Highmark unveils details of UPMC breakup plan
Bob Herman | September 03, 2014 | Basic Web Basic Web Subscription Details
Health insurer Highmark has released its final breakup plan with provider giant UPMC, a plan that largely falls in line with terms outlined earlier this summer and winds down a heated feud, although barbs continue to fly between the two sides.
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News
UPMC sees fiscal 2014 volume gains, compromise with Highmark
Beth Kutscher | August 21, 2014 | Basic Web Basic Web Subscription Details
UPMC ended fiscal 2014 with a higher operating surplus as hospital admissions rose 8% and health plan membership increased 9%. The Pittsburgh-based system also booked operating revenue that was 12% higher than in its previous fiscal year, which ended June 30.
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Information
Health insurer to stop covering uterine procedure
Wall Street Journal | August 05, 2014
A health insurer with 5.2 million customers in Pennsylvania, West Virginia and Delaware said it would stop covering a procedure done with a gynecological surgical tool that can spread cancer. Highmark, which is one of the largest Blue Cross and Blue Shield plans in the country, said that it would...
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Magazine
'It's not pretty': Could UPMC, Highmark feud be an omen for markets entering consolidation?
Melanie Evans | July 12, 2014 | Print Magazine Print Magazine Subscription Details
Pittsburgh's two healthcare giants, UPMC and Highmark, have brawled for two years about the end of an agreement that gave many patients access to both of them, a fight for market share that offers a glimpse of possible healthcare disruptions to come.
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