Ritter Insurance Marketing, Craig Ritter

Highmark Will Stay in ACA Marketplace

Highmark recently announced it has no plans to leave the ACA Marketplace. Unlike other carriers who have dropped out or scaled back coverage for 2017, Highmark plans on sticking with the exchange in Pennsylvania, Delaware, and West Virginia. The announcement came alongside the company’s financial results for the first half of 2016. During the…

30 Sep 16
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Highmark MA Members Retain Access to UPMC

More than 182,000 seniors in Western Pennsylvania can breathe a sigh of relief. The Pennsylvania Supreme Court has issued a ruling that Highmark Medicare Advantage members will have in-network access to all UPMC hospitals until 2019. With less than a week left in the Medicare Annual Enrollment Period, the timing couldn’t be better for…

3 Dec 15
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Highmark 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 182,000 MA members and entice new members as their rival, UPMC, expands its insurance business. Tim Lightner, vice president of product and marketing…

28 Oct 15
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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 Western Pennsylvania. Legal representatives for both companies debated a small section of their consent decree (see figure at right)…

6 Oct 15
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Highmark 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 $171 million over the first six months of this year.

5 Oct 15
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State Rules in Highmark v. UPMC Dispute

A state judge ruled May 29 that UPMC must accept Highmark’s Medicare Advantage members on an in-network basis through the duration of the five-year consent decree signed last summer.

10 Jun 15
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PA Department of Insurance Warns Insurance Agents Not to Sell Highmark Community Blue Medicare Advantage HMO

I don’t think I’ve seen this one yet.  The state Department of Insurance put out a “Notice” this past Friday (see notice below), warning insurance agents that, “. . .producers offering this product [Highmark Community Blue Medicare Advantage HMO], which may be inconsistent with the Consent Decree, may run the risk of violating Pennsylvania’s Unfair…

14 Oct 14
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Highmark Replaces CEO

This just came out this morning from the Pittsburgh Tribune:    

21 May 14
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Blue Cross of Northeastern PA to Merge into Highmark

Currently, there are 4 Blue Cross Blue Shield affiliates in Pennsylvania.  Assuming the closing of this recently announced merger, there will be 3.  Blue Cross of Northeastern PA (BCNEPA) has about 500,000 insurance subscribers and about $750 million in annual revenue.  Their stated surplus is $258 million at the end of 2012. As a part…

20 Feb 14
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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 Jefferson, valued at $350 million, gives Highmark an anchor hospital in the South Hills of Pittsburgh.  Highmark is also trying to finalize…

2 Mar 13
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