Navigate Up

Highmark, isn't it time to set the record straight?

Myth 1: Highmark says that with a systemwide contract its subscribers will have affordable in-network access to all local UPMC doctors and hospitals.

 
Not True. Highmark will put UPMC in its most expensive “tier,” as it did with central Pennsylvania's Geisinger Health System, and then heap increased co-pays, higher deductibles, and all kinds of other extra charges on patients who would prefer to use UPMC instead of Allegheny Health Network. Highmark won’t let anyone have affordable in-network access to UPMC after 2014. Not even its own members.

Myth 2: Highmark says UPMC will deny access to millions of patients who are Highmark subscribers.

 
Incorrect. Access and affordability for seniors, children, and patients with Medicaid, Medicare, and CHIP will not be affected by changes in the commercial contracts between UPMC and Highmark. And every day, more companies are offering employees new options for their health insurance — giving them the power to choose the UPMC doctors and hospitals they want. By 2015, everyone in western Pennsylvania will be able to choose affordable access to UPMC.

Myth 3: A systemwide contract between UPMC and Highmark is good for the community.

 
False. Highmark’s own studies indicated that the already failing West Penn Allegheny Health System would be further damaged with a UPMC contract after 2014. While abandoning its plan to save WPAHS, Highmark also wants a UPMC contract to create a combination that will result in its complete control of all health care in western Pennsylvania — insurance, hospitals, and physicians. This will not survive anti-trust scrutiny.
 
Everyone will be harmed by Highmark’s plan with little choice and competition, making double-digit increases in health insurance premiums inevitable.

Myth 4: State government should intevene in the UPMC/Highmark contract dispute.

 
Bad Idea. Increased government intrusion and control in the western Pennsylvania health care marketplace would stifle competition and choice, while raising costs for us all. Haven't we all seen the problems caused by more government intervention into our health care?

©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
Supplemental content provided by A.D.A.M. Health Solutions. All rights reserved.

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.

© UPMC
Pittsburgh, PA, USA UPMC.com