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Tag: Pennsylvania

Government

Beaver County woman accused of duping Medicare for $200K

A Beaver County woman forged signatures of doctors and other medical providers to bilk Medicare out of $200,000 in reimbursements, federal prosecutors said. A federal grand jury on Tuesday indicted …

Government / Payor

Pennsylvania proposes alternative to expansion of Medicaid

Pennsylvania Governor Tom Corbett unveiled a plan on Monday to use federal subsidies targeted for an expansion of Medicaid to be used instead to help low-income residents of the state …

Reimbursement

Repair Crisis Deepens Across Pennsylvania and the Nation

Ann Eubank from UsersFirst has advised PAMS that CMS has asked United Spinal Association to take the lead on gathering consumer data on a rapidly degenerating repair access crisis in …

Payor

Highmark expands closed network plans to West Virginia and Delaware

A private insurance exchange is the newest lever for employers trying to get a handle on health care coverage. Highmark Health Services on Friday announced it is expanding its closed …

Payor

Highmark chief discusses health care transformation

A health insurance company CEO addressed the state Chamber of Commerce’s business summit on Thursday at The Greenbrier, where he talked about the need to transform health care but also …

Payor / Provider

UPMC enlists employees in latest Highmark fight

As public criticism grows about its pending divorce from Highmark Health Services, UPMC is asking thousands of its employees to campaign against legislation that could force it to renew reimbursement …

Industry

What is the Future for Offering Repair Service to your Patients

What is the future for offering repair service to your patients? Complying with repair requirements for DME is far more complicated and costly than it needs to be. Be sure …

Payor / Provider

Judge gives Highmark, UPMC a week to file notices regarding settlement agreement

U.S. District Judge Joy Flowers Conti on Tuesday gave Highmark Inc. and UPMC a week to each file a notice as to who they believe has the authority to enforce …

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