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UPMC Demands Increased Cancer Payments From Highmark
UPMC is threatening to lock Highmark's Medicare Advantage customers out of its hospitals, a move Governor Tom Wolf calls "unacceptable."
The University of Pittsburgh Medical Center (UPMC) is threatening to lock Highmark’s Medicare Advantage customers out of its hospitals and clinics starting Jan. 1, a move Pennsylvania’s governor calls an “unacceptable” violation of UPMC’s commitment to keep senior citizens out of the crossfire between the 2 Pittsburgh health rivals.
UPMC, Pittsburgh’s largest hospital and physician network, has told the state it will make good on the threat unless Highmark, the state’s largest health insurer, agrees to increase cancer payments to the hospital system, and agrees to drop a lawsuit related to those oncology payments. About 182,000 Western Pennsylvania seniors have a Highmark Medicare Advantage policy, and if the dispute isn’t resolved in the next eight months, those seniors could lose in-network access to UPMC — unless they leave Highmark in favor of another insurance carrier.
Read the complete report by Pittsburgh Post-Gazette: http://bit.ly/1Ps6ZLM
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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FDA Approves Danziten for Chronic Myeloid Leukemia Without Mealtime Restrictions
November 14th 2024The FDA has granted approval to Azurity Pharmaceuticals' nilotinib tablets (Danziten), a novel version of the tyrosine kinase inhibitor for chronic myeloid leukemia that can be taken without mealtime restrictions.
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Bridging Cancer Care Gaps and Overcoming Medical Mistrust
November 13th 2024In this clip from our interview with Oscar B. Lahoud, MD, cochair of our Institute for Value-Based Medicine® evening hosted with NYU Langone Health, he addressed medical mistrust in underrepresented communities.
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