The financial pressures associated with the seismic change taking hold in the healthcare industry may be behind high-profile disputes between healthcare organizations and insurance companies, according to Becker's Hospital Review.
This FierceHealthPayer special report explains the basics of bundled payment agreements, identifies some of the most successful use cases for bundled payments, examines the positive impact that bundled payments can have on care delivery and discusses what it will take for bundled payments to spread beyond today's use cases.
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.
Some of Highmark's trendsetting actions have put the Pittsburgh-based insurer in the national spotlight this year.
The National Labor Relations Board has charged UPMC (University of Pittsburgh Medical Center) with harassing and intimidating workers who are trying to form a union at several of its hospitals, the Pittsburgh Business Times reports.
A high-pitched battle between rival Pittsburgh healthcare organizations took another turn for the worse this week when University of Pittsburgh Medical Center, the region's largest healthcare system, sued Highmark for false advertising.
Payers sift through and analyze millions of provider claims, working to prevent fraud and cut costs. They rightly consider these claims as valuable points of information that help identify...
The American Hospital Association and 11 other associations urged Congress to protect tax-exempt bond financing for public and private nonprofit hospitals, colleges and universities as part of the tax reform working group process.
Four prominent orthopaedic surgeons will join UPMC in January, bringing the number of specialists who left West Penn for rival UPMC in the past two months up to eight.
Even though UPMC is the largest property owner by value in Allegheny County, Pa., its nonprofit status makes 86 percent of its property tax-free.