UPMC, Highmark Agree On New Long-Term, In-Network Contract
By: Paul Wood
UPMC today announced that with Attorney General Josh Shapiro’s support and facilitation, it has reached an agreement with Highmark to enter into a long-term contract to provide Highmark members with the in-network access to the UPMC physicians and facilities they desire—not only in greater Pittsburgh and Erie, but across western Pennsylvania. This agreement includes an extension of the UPMC Children’s and UPMC Western Psychiatric agreements and provides for UPMC in-network access at the highest benefits levels.
Over the past decade, the insurance market in western Pennsylvania has transformed into a highly competitive, multi-insurer, pro-consumer market with some of the lowest costs in the nation. In that same time, UPMC continued to invest in the world-class medicine and research that makes UPMC the indispensable provider of health care throughout Pennsylvania.
Following the June 14 Commonwealth Court decision, UPMC held a productive, congenial meeting with Highmark to outline its offer to provide in-network access to the UPMC Hillman Cancer Center for Highmark members with a suspected or confirmed cancer or hematologic diagnosis. Highmark recognized—as do all—that the UPMC Hillman Cancer Center is as essential to the region’s well-being as specialty hospitals UPMC Children’s and UPMC Western Psychiatric. Those discussions then quickly expanded to other areas, and an agreement in the best interests of the patients and communities we serve was reached.
UPMC believes in the importance of informed consumer choice and has always sought to ensure that when UPMC is part of any insurance network, those members have full access to UPMC without contractual terms used to discourage or limit the use of UPMC’s physicians and facilities. This important consumer issue was resolved in a collaborative fashion and UPMC’s network will now be available to Highmark members. UPMC appreciates that we were able to reach this agreement with Highmark on a long-term, in-network contract.
UPMC is grateful for the Attorney General’s leadership as the agreement announced today was built on a foundation of trust, compromise and collaboration. As always, UPMC remains committed to exceptionally serving the health care needs of the citizens of Pennsylvania.
For more background on the facts behind this issue, read here.
