Highmark-UPMC 'continuity of care' dispute could end up in mediation

A dispute between Pittsburgh-based UPMC and health insurer Highmark Health could end up being resolved through legal means if the Pennsylvania Department of Health decides to refer it to mediation, according to a Pittsburgh Business Times report.

Last week, the department of health sent a letter to the CEOs of UPMC and Highmark Health in an attempt to resolve continuity of care issues for Highmark customers. However, the parties failed to reach a resolution by the department's Jan. 9 deadline, according to the report.

The dispute centers around the definition of "continuity of care" under a consent decree executed in summer 2014.

More articles on payer issues:

Emergency narrow network regulations issued in California

Aetna boosts incomes of lowest paid employees to $16

Excellus Health Plan to refund 'excessive' co-payments

 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Top 40 articles from the past 6 months