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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PA MLTSS Contracts Awarded to AmeriHealth Caritas, Centene, & UPMC

Pennsylvania’s Department of Human Services has granted AmeriHealth Caritas, Centene Corp., and UPMC contracts for its new Medicaid program. Community HealthChoices, Pennsylvania’s first-ever program for providing managed long-term services and supports (MLTSS), is scheduled to go live July 1, 2017, in the state’s southwestern region. It will continue to be implemented in zone-based…

16 Sep 16
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State Attorney General Joins FTC in Hospital Merger Opposition

Pennsylvania State Attorney General Kathleen Kane is joining the Federal Trade Commission in a legal block against the proposed merger between Penn State Milton S. Hershey Medical Center and PinnacleHealth System. After reviewing the merger request, the FTC determined that a union of the two largest health systems in Harrisburg area would inflate health costs…

17 Dec 15
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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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More 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 CHIP plans meet the minimum essential coverage requirements set forth by the Affordable Care Act (ACA). It also provides all 148,000 children using CHIP…

21 Sep 15
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Gov. 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 their own exchanges.

In light of today’s news — a 6-3 vote upholding subsidies for qualified residents in all 50 states — Wolf’s proposal will be tossed.

25 Jun 15
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KSKJ Life Medicare Supplement (Medigap) Premium Rate Increase Effective 12/1/2009 for the State of Pennsylvania (PA)

KSKJ will be increasing their Medicare Supplement rates in the state of Pennsylvania effective 12/1/2009.  To access important information on the rate increase and the new rate sheet, please visit our Resource Center and enter the following:

  • Company = KSKJ Medicare
  • Product = Medicare Supplement
  • State = PA
21 Nov 09
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