- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
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.
Read more: http://bit.ly/1BuFf2n
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.
Listen
New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
Listen
Supplemental Dental, Vision Benefits May Not Justify MA Payments for VA-Covered Veterans
May 22nd 2025Veterans primarily receiving care through the Department of Veterans Affairs (VA) similarly used dental and vision services under Medicare Advantage (MA) and traditional Medicare, challenging the justification for full MA capitated payments based on supplemental benefits.
Read More
