For the past year, Highmark and UPMC have been embroiled in a heated dispute over ending their contractual relationship.
Regarding members not seeking care at UPMC facilities, a Highmark spokesman told the Pittsburgh Business Times, “We have a new world that has been created by UPMC’s decision not to contract with Highmark, and everybody is navigating that new world.”
However, UPMC is disputing Highmark’s claims. A UPMC spokesperson told the Pittsburgh Business Times the 984 Highmark member requests to transfer medical records to Pittsburgh-based Allegheny Health Network — a subsidiary of Highmark — since the first week in October 2014 is right on target and “typical of other years,” according to the report.
More articles on payer issues:
Anthem’s profit increases on higher enrollment
Carolinas HealthCare, UnitedHealthcare contract to soon expire
Highmark-UPMC ‘continuity of care’ dispute could end up in mediation
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