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.
Highmark Health reported an operating loss of $171 million during the first six months of the year as losses soared for health plans sold in Affordable Care Act exchanges.
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.
The UPMC Health System, which has spent the past two years feuding with its largest commercial insurer, improved its financial standing in its fiscal 2015 by adding members to its own health plan.
Health insurers are trying to figure out what makes consumers tick as the market increasingly becomes a direct-to-consumer business. But new surveys suggest that some of the previous ideas have been misguided.
State court rules UPMC must continue to provide in-network services to Highmark’s Medicare Advantage plans, and other news
Pittsburgh-based UPMC must continue to provide in-network services to members of Highmark’s Medicare Advantage plans, a Pennsylvania judge ruled.
Pittsburgh-based UPMC must continue to provide in-network services to members of Highmark's Medicare Advantage plans per the terms of an earlier agreement signed by the two feuding organizations, a Pennsylvania judge ruled Friday.
Pittsburgh's largest health system did not suffer greatly from its rancorous split last December from Highmark, the region's dominant health insurer. UPMC reported almost no change to patient revenue during the quarter that ended March 31 compared with the first three months of the prior year.
The long-running feud between insurer Highmark and healthcare giant UPMC continues with news that they've been unable to reach a mediated agreement regarding UPMC doctors treating Highmark's senior members, according to the Pittsburgh Business Times.