Tag:
Highmark
Latest Headlines
Latest Headlines
Highmark vs. UPMC: The saga continues
"It's like fourth grade," Judge Dan Pellegrini said of a court hearing Wednesday regarding the ongoing dispute between Pittsburgh health giants Highmark and the University of Pittsburgh Medical Center.
Do state officials have authority over Medicare Advantage insurers?
As Pennsylvania officials have attempted to force Highmark into expanding its Medicare Advantage network, Highmark pushed back by claiming that the state lacks authority over the federal program.
End of Highmark-UPMC contract raises concerns about data sharing
The termination of the contract between managed care company Highmark and the University of Pittsburgh Medical Center (UPMC), slated to end Jan. 1, 2015, has called into question whether UPMC will be able to transfer electronic patient health records in a timely manner.
State: Highmark should include UPMC in its Medicare Advantage network
The Pennsylvania Attorney General and the departments of health and insurance want Highmark to expand its Medicare Advantage plans to include the University of Pittsburgh Medical Center within its network.
Highmark, UPMC continue to butt heads
Pennsylvania Attorney General Kathleen Kane told Highmark that the state would seek enforcement in court because the insurer is not complying with the deal it struck with UPMC this past summer.
Highmark could be the industry's next trendsetter
Some of Highmark's trendsetting actions have put the Pittsburgh-based insurer in the national spotlight this year.
Hospitals sue Highmark over Medicare Advantage payments
A group of Pennsylvanian hospitals filed a lawsuit against Highmark Monday, reports the Pittsburgh Business Times
Highmark sues UPMC for $300M 'pricing manipulation'
Highmark filed a lawsuit Wednesday against UPMC for allegedly overbilling the insurer by $300 million for cancer drugs. If Highmark wins, the case could be a "landmark and precedent-setting event" for insurers seeking to block providers from overcharging on procedures, medical billing expert Rebecca Reier told the Pittsburgh Post-Gazette.
Highmark defends its pricing
Highmark Inc. has been taking some heat lately over its pricing in West Virginia, where it has no competitors in the HealthCare.gov marketplace.
4 retail strategies for payer success in the consumer-driven marketplace
Many insurers have recognized the need to implement retail strategies in order to better serve their customers in a consumer-driven market. FierceHealthPayer spoke with three top execs at Capital BlueCross, Humana and Highmark, who shared their tips for best retail consumer practices.
