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​Helping You Make Informed Health Insurance Choices

Welcome to your home for information on the changing health insurance market in western Pennsylvania.

If you have additional questions or need assistance, please call 1-855-646-UPMC (8762or e-mail KeepYourDoctor@upmc.edu.

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Commonwealth Sides with Patients; Calls on Highmark to Comply with Consent Decree

On March 5, 2015, the Pennsylvania Insurance Department and the state’s Department of Health said they intend to protect local consumers by enforcing the Consent Decrees designed to protect local patients. The statement confirms that Highmark commercial insurance members can continue to see their UPMC doctors, even if they are only being treated for a minor condition. Full details can be found in the Governor’s press release.

We are pleased and grateful that Gov. Tom Wolf, Insurance Commissioner Teresa Miller, and Health Secretary Karen Murphy worked diligently to intervene to enforce this most basic tenet of the Consent Decree; that is, if a patient and their physician (whether independent or UPMC-employed) want to continue in-network treatment at UPMC, it’s their decision. The Commonwealth’s statement today provides needed clarity for patients, subscribers, physicians, brokers, and employers on the definition of continuity of care and ensures those provisions are no longer subject to any restrictive misinterpretations.

Local Media Coverage of the Changing Marketplace

​March 5, 2015 ​Wolf Reverses Corbett, says deal between Highmark, UPMC doesn't limit continuity of care to very ill
​Jan. 28, 2015 Patients struggle to sort out networks and affiliations in a post-UPMC-Highmark world
​Jan. 25, 2015 Pittsburgh insurance customers like Obamacare and the price wars for their business
​Jan. 16, 2015 Highmark, UPMC battle over Magee
​Jan. 5, 2015 Pennsylvania officials: UPMC, Highmark must resolve 'continuity of care' conflict
​Jan. 5, 2015 Highmark, UPMC bicker over 'continuity of care' provision in consent agreement
​Dec. 27, 2014 Patients unsettled as Highmark contract with UPMC ends
​Dec. 13, 2014 UPMC to launch outreach campaign targeting Highmark customers
​Dec. 11, 2014 McKeesport switches employees' health insurer from Highmark to UPMC
​Dec. 11, 2014 Website to help patients in UPMC-Highmark tug-of-war
​Dec. 2, 2014 Highmark limits in-network access, Aetna lawsuit says
​Nov. 11, 2014 UPMC Health Plan slashes insurance marketplace premiums
​Oct. 3, 2014 UPMC drops prices for 4 of 6 Medicare health plans
Sept. 23, 2014​ UPMC-Highmark feud prompts employer to ditch Highmark, others may follow
Sept. 18, 2014​ North Allegheny switches to UnitedHealthcare
Sept. 2, 2014​ Highmark, Pennsylvania Insurance Department issue post-UPMC transition plan
Sept. 2, 2014​ Regulators release details of Highmark's post-UPMC transition plan
Jul. 11, 2014​ Highmark to switch its workers to high-deductible insurance plans
Jun. 25, 2014​ UPMC, Highmark agree on limited basis to continue care for seriously ill
Jun. 16, 2014​ Western Pennsylvania employers look at insurer options in Highmark vs. UPMC
May 8, 2014​ UPMC health plan up 32,300, a 7% gain
Mar. 10, 2014​ Survey of large employers suggest Highmark could suffer without UPMC contract
Feb. 6, 2014​ Renewal of contract with Highmark would cost UPMC $500M
Jan. 3, 2014​ UPMC-Highmark deals enters last year

UPMC's Payer-Provider Model In The Spotlight

Author Bob Brill interviewed UPMC president and CEO Jeffrey Romoff for his new book America's Bitter Pill: Money, Politics, Backroom Deals and the Fight to Fix Our Broken Healthcare System.

Read about the book and his argument for UPMC's visionary model for providing high-quality health care in the Time Magazine cover story.

©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
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