Innovations: Using big data to optimize post-acute care

Innovations: Using big data to optimize post-acute care

By Beth Kutscher  |  September 05, 2015

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.

Some Advantage plans lose members

Some Advantage plans lose members

By Bob Herman  |  August 29, 2015

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.

UPMC adds insurance members as Highmark tensions build

By Beth Kutscher  |  August 28, 2015

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.

UPMC says results unscathed by Highmark contract loss

By Melanie Evans  |  May 15, 2015

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.

Highmark Health reports larger operating loss for 2014

By Melanie Evans  |  April 01, 2015

Highmark Health, the company formed to operate the insurer Highmark and a Pittsburgh health system, reported an operating loss of $178 million last year as health plan enrollment stalled and the system's turnaround continued.

UPMC, Highmark say 'bah, humbug' to mediated agreement

By Lisa Schencker  |  December 24, 2014

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.

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