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Court Validates Highmark Medicare Plan that Excludes UPMC
Highmark Inc. won a court ruling Thursday allowing it to exclude UPMC hospitals and doctors from some plans it sells to seniors.
Highmark Inc. won a court ruling Thursday allowing it to exclude University of Pittsburgh Medical Center (UPMC) hospitals and doctors from some plans it sells to seniors.
Commonwealth Court President Judge Dan Pellegrini denied a request by Attorney General Kathleen Kane and Gov. Tom Corbett's administration to hold Highmark in contempt of a consent decree the state's largest health insurer signed this summer.
Highmark said it will continue selling the Community Blue Medicare Advantage plans, which are less expensive alternatives to broad-network Highmark plans for seniors that include full in-network access to UPMC, the biggest hospital network in Western Pennsylvania.
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Laundromats as a New Frontier in Community Health, Medicaid Outreach
May 29th 2025Lindsey Leininger, PhD, and Allister Chang, MPA, highlight the potential of laundromats as accessible, community-based settings to support Medicaid outreach, foster trust, and connect families with essential health and social services.
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Contributor: Why US Health Care Is Ripe for Change
September 2nd 2025Why is health care so staggeringly difficult to use? How do we fix it? To move forward, we first must look back, because the system we have today was not really designed, it evolved, notes Ariela Simerman, Turquoise Health.
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Interhospital Transfers Occur Less Frequently for Uninsured Patients
August 27th 2025Patients with acute respiratory failure who’ve been placed on a mechanical ventilator are less likely to be transferred to high-volume centers if they are uninsured, thus increasing their odds of mortality.
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