Pennsylvania to probe how Highmark-UPMC split will affect consumers

Pennsylvania Attorney General Josh Shapiro is reviewing the split between Pittsburgh-based Highmark and UPMC and how it will affect Highmark insurance customers who will be left out of network at UPMC facilities, according to the Pittsburgh Post-Gazette.

Advertisement

The split will go into effect July 1, and among those affected are 175,000 Highmark Medicare Advantage plan members. The relationship between UPMC and Highmark first soured in 2011 over reimbursement rates and Highmark’s acquisition of Allegheny Health Network, a competing regional provider.

The attorney general’s investigation has created a consumer telephone line and online complaint form for patients to communicate how they will be affected by the move.

More articles on payer issues:

Payer-provider partnerships and market trends
9 ‘Best in KLAS’ value-based care consultants
Companies like LexisNexis are selling patient ‘risk scores’ to hospitals, insurers

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Legal & Regulatory Issues

Advertisement

Comments are closed.