Highmark http://wesa.fm en UPMC and Highmark, A Confusing Truce http://wesa.fm/post/upmc-and-highmark-confusing-truce <p>The announcement of a five-year consent decree brokered by state officials seems to be bringing a truce between Highmark and UPMC. What exactly will the agreement mean for policy holders? State Insurance Commissioner Michael Consedine highlights some of the major aspects of the decree to policyholders who may be experiencing some confusion with these “out of network” hospitals.</p><p>Some of UPMC’s most prominent hospitals are not in the network, included Magee Women’s Hospital. Commissioner Consedine says the largest issues surrounding the agreement are not which specialty hospitals will remain open in the network, but rather contingency of those already being treated by UPMC doctors, oncology care, and emergency services. Tue, 01 Jul 2014 19:27:51 +0000 Essential Pittsburgh 31887 at http://wesa.fm UPMC and Highmark, A Confusing Truce Corbett Creates Team to Facilitate UPMC-Highmark Dispute http://wesa.fm/post/corbett-creates-team-facilitate-upmc-highmark-dispute <p>Gov. Tom Corbett is calling on UPMC and Highmark to put their patients first.</p><p>The contract between UPMC and Highmark is set to expire by December 31<sup>st</sup>, 2014.</p><p>UPMC said that it does not intend to extend the contract, which means that Highmark patients will not receive in-network rates for UPMC services.</p> Tue, 03 Jun 2014 14:58:20 +0000 Jessica Nath 30288 at http://wesa.fm It's Spring! Here Are Some Ideas For Getting Outdoors This Weekend http://wesa.fm/post/its-spring-here-are-some-ideas-getting-outdoors-weekend <p>With high temperatures in the 90s this week, it’s hard to believe Pittsburgh saw snow less than two months ago.</p><p>Thankfully, the Steel City has finally shrugged off winter just in time for a slew of outdoor events in and around downtown Pittsburgh.</p><p><strong>Venture Outdoors Festival</strong></p><p>Point State Park is the location for the 14<sup>th</sup> annual <a href="http://www.ventureoutdoors.org/vofest.aspx">Venture Outdoors Festival</a>, which takes place at Point State Park and runs from 11 a.m. to 6 p.m. on Saturday.</p> Thu, 15 May 2014 16:44:32 +0000 Liz Reid 29201 at http://wesa.fm It's Spring! Here Are Some Ideas For Getting Outdoors This Weekend Allegheny County Commits to Highmark Through 2015 http://wesa.fm/post/allegheny-county-commits-highmark-through-2015 <p>Allegheny County employees no longer have to wonder about their health care options for 2015.</p><p>Allegheny County Executive Rich Fitzgerald announced Tuesday that the county will exclusively retain Highmark for health care coverage through December 31<sup>st</sup>, 2015 - even if Highmark and UPMC are unable to reach an agreement.</p> Tue, 15 Apr 2014 18:48:23 +0000 Jessica Nath 27611 at http://wesa.fm UPMC, Highmark Testify at PA House Health Committee Hearing http://wesa.fm/post/upmc-highmark-testify-pa-house-health-committee-hearing <p></p><p><span style="line-height: 1.5;">At the end of next year, the contract between the University of Pittsburgh Medical Center and Highmark Health Plan will expire, and many Western Pennsylvanians are worried about losing access to the doctors and hospitals they have patronized for years.</span></p> Wed, 18 Dec 2013 22:15:22 +0000 Liz Reid 21622 at http://wesa.fm Ground Broken on Braddock Urgent Care Clinic http://wesa.fm/post/ground-broken-braddock-urgent-care-clinic <p>After more than three years without a hospital, Braddock is set to get another medical facility.</p><p>On Friday, ground was broken on a new commercial development that will include a Highmark and Allegheny Health Network full service urgent care center, to serve the more than 2,100 people who live in the borough.</p><p>“They’ll have access to health care services as well as good, positive development on the main drag of Braddock,” said Allegheny County Executive Rich Fitzgerald.</p><p>UPMC Braddock closed its doors in early 2010.</p> Fri, 06 Dec 2013 21:24:15 +0000 Deanna Garcia 20964 at http://wesa.fm Bills Forcing Highmark and UPMC to Open Networks Introduced http://wesa.fm/post/bills-forcing-highmark-and-upmc-open-networks-introduced <p>Confusion continues to swirl around the coming split of Highmark and UPMC, and a pair of western Pennsylvania state representatives is hoping to calm the fears of many in the region.</p><p>Reps. Jim Christiana (R-Beaver) and Dan Frankel (D-Allegheny) this week introduced a pair of bills (HB 1621 and HB 1622) that would force all not-for-profit health care insurers and health care providers to open their services to all insurance holders, not just their own.</p> Thu, 03 Oct 2013 17:56:36 +0000 Mark Nootbaar 17584 at http://wesa.fm West Penn Allegheny Lays Off 262 Workers http://wesa.fm/post/west-penn-allegheny-lays-262-workers <p>West Penn Allegheny hospitals laid off 262 employees Friday, and another 200 vacant positions are being eliminated.</p><p>“This action is extremely difficult but is an essential step in our efforts to right-size the organization for the patient volume that we currently have and to strongly position it for future growth and success as a leading healthcare provider in this region,” said Dan Laurent, a spokesman for Highmark’s Allegheny Health Network.</p><p>West Penn Allegheny will now have 10,300 employees and the Allegheny Health Network as a whole, 17,000.</p> Fri, 26 Jul 2013 21:03:51 +0000 Kevin Gavin 13818 at http://wesa.fm New Highmark Insurance Plan Channels Patients to Specific Hospitals http://wesa.fm/post/new-highmark-insurance-plan-channels-patients-specific-hospitals <p>A new insurance plan from Highmark allows employers to nudge their employees toward particular hospitals when they need risky surgeries.</p><p>Employers using the "Blue Distinction" program can give incentives, such as waived deductibles and co-pays, to employees who choose hospitals that have proven track records for certain surgeries.</p><p>The company can also choose to increase co-pays or even “carve out” coverage for any other hospital when the specialty surgery is needed, according to Highmark Vice President of Regional Sales Eric Hays.</p> Sun, 14 Apr 2013 12:44:24 +0000 Noah Brode 7809 at http://wesa.fm