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Pennsylvania Pace/PaceNET announces Part D Partners for 2011
The state-run Pace/PaceNET program will be accepting the following Part D plans: WellCare Classic, MemberHealth CCRX Basic, CIGNA Medicare Rx and AARP Medicare Rx Preferred. Here is a link to their...
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Long Term Care – Calls/Trainings/Webinars/Workshops
4 Hour Refresher Mandatory LTC Training Target Insurance Services of PA will be hosting the required 4 hour Refresher Mandatory Training (course #117190). There are two dates to choose from, May10th...
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Ritter Weekly Forum Updates
Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into...
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Long Term Care – News/Webinars/Trainings
PA LTC Partnership Classes Initial Mandatory Training (8 hr CE) Refresher Mandatory Training Course (4 hr CE) Are you LTCi CE partnership compliant? Target Insurance Services of PA will be hosting a...
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Highmark Sues UPMC over Ad Campaign
The story is from the Pittsburgh Tribune-Review. Highmark is looking for injunctive relief to block University of Pittsburgh Medical Centers (UPMC) from airing ads which talk about the termination of...
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Ritter’s Weekly Forum Updates
Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into...
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Ritter Insurance Marketing Weekly Forum Updates
Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into...
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Highmark Agrees to Sell Medicare Claims Processing Business to a Unit of BCBS...
Highmark is selling off their Medicare claims processing business in order to clear a regulatory path regarding their acquisition of West Penn Allegheny. It appears that Highmark is more interested in...
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Pennsylvania Gov. Tom Corbett Opposes Medicaid Expansion; Opens Door for...
In unveiling his budget, PA Governor Tom Corbett revealed that PA will not participate in Medicaid expansion in its current form, but seemed open to compromise on this issue. Here is the story for the...
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Highmark Closes on Jefferson Regional Medical Center
Here is the story from the Pittsburgh Tribune-Review. Highmark is the largest health insurer in Pennsylvania and an affiliate of the BlueCross and BlueShield Association. The closing of the deal with...
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Health Partners Plans to Enter Medicare Market
Here is a link to the article from Philly.com. Health Partners Plans (formerly Health Partners of Philadelphia Inc.) operated Medicare advantage plans 6 years ago which were sold to Elder Health...
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Crozer-Keystone Health System and Cigna-HealthSpring May Cut Medicare...
The current provider contract between Cigna-HealthSpring and Crozer-Keystone Health System (CKHS) is set to expire on April 30th, 2014 and it appears that the sides are fairly far apart in their...
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Pennsylvania to Expand Medicaid Eligibility Following Agreement with HHS
Here is the story from ABC 27 News, a local affiliate in Harrisburg, PA. The expansion will make 500,000 more residents in PA eligible for Medicaid.
View ArticleGov. Wolf to Drop Exchange Proposal
Earlier this month, Gov. Tom Wolf proposed setting up a state-based health insurance exchange, hoping to be prepared if the Supreme Court were to strike down subsidies to residents in states without...
View ArticleCMS to Begin Trial of Value-Based Insurance Design for MA
Beginning January 1, 2017, CMS will begin testing value-based insurance design (VBID) models to encourage using “high-value” clinical services to improve quality and reduce costs. “High-value” services...
View ArticleMore Improvements for PA’s CHIP
Effective December 1, 2015, all Children’s Health Insurance Program (CHIP) policies will offer more benefits important to children’s health. The addition of these enhanced benefits ensures that all...
View ArticleHighmark Takes Huge Financial Hit on ACA Exchange Plans
The federal health exchange hasn’t been kind to Highmark Health. After losing $318 million on health plans sold to exchange consumers, the Pittsburgh-based company reported a total operating loss of...
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Highmark v. UPMC Dispute Heard by Pa. Supreme Court
UPMC has kept Highmark Medicare Advantage members in-network, as ordered by a Pennsylvania Commonwealth Court judge on May 29, but an appeal to the state’s Supreme Court could still shift the market in...
View ArticleUnitedHealthcare MA Members to Have Access to UPMC
UnitedHealthcare Medicare Advantage members will now have in-network access to care at all UPMC facilities. The new access will shuffle the Medicare market in Western Pennsylvania. While...
View ArticleHighmark Decreasing 2016 MA Plan Premiums
Highmark is decreasing premiums for seven of their nine 2016 Medicare Advantage (MA) plans, according to the Pittsburgh Tribune-Review. The move is part of their attempt to hang onto their existing...
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