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New deal between UPMC, Highmark extends in-network access

New deal between UPMC, Highmark extends in-network access

By Associated Press  |  January 05, 2018

Under a new agreement, Highmark health insurance will retain in-network access to UPMC health system hospitals in Western Pennsylvania. UPMC had planned to cut most business ties with Highmark in June 2019.

Highmark Health braces for divorce from UPMC

Highmark Health braces for divorce from UPMC

By Alex Kacik  |  December 28, 2017

Highmark Health continues to reshape its organization as it gears up for a split with the UPMC health system in 2019. That includes a new partnership with Penn State Health as providers and insurers continue to closely align and scale up to maintain a competitive edge.

Highmark's Allegheny Health Network announces $1B expansion

Highmark's Allegheny Health Network announces $1B expansion

By Associated Press  |  October 18, 2017

Highmark Health will spend $1 billion to expand its Allegheny Health Network hospital chain, including a new 160-bed hospital in Pittsburgh's North Hills suburbs, four smaller neighborhood hospitals and renovations to existing hospitals.

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.

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.

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