Upmc Small Business Advantage – UPMC Health Plan is the health insurance division of the University of Pittsburgh Medical Center (UPMC). UPMC operates a health system of 40 hospitals throughout Pennsylvania and the Appalachian regions of New York and Maryland, as well as locations around the world. Its health plans serve members with a wide range of insurance products, including Pennsylvania’s managed Medicaid program and Affordable Care Act exchanges. It is now the third largest insurance company in the state. Cigna Corp.’s Express Scripts. is the operator of UPMC’s first prescription drug products, Accredo Health Group, Inc. UPMC administers its own behavioral health benefits.
More than half of UPMC’s members are enrolled in a public plan, with Medicaid acting as the largest segment of the insurer’s business at 41% of total enrollment. Medicaid enrollment at UPMC has increased amid the COVID-19 pandemic, more than 23% from the second quarter of 2020 to date. Before the epidemic, Medicaid accounted for 35% of UPMC’s enrollment.
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UPMC is facing many financial problems due to the pandemic. The health system projects $1.1 billion in 2021, with an increase of 5.5% from 2020. “UPMC’s well-integrated provider insurance model allows our organization the flexibility to meet our mission to always deliver the best, value. care, even in challenging times,” said Diane Holder, president and CEO of UPMC Health Plan, in a news release. Among UPMC’s cost management strategies for health plan members including its housing investments, aimed at helping Medicaid recipients with homelessness and housing, and a food pilot launched just months before the pandemic began. UPMC told AIS Health Plans reported last week that it saw a 36% reduction in the cost of care and a 31% reduction in emergency room use within six months of the service. Together with the hospital, UPMC is working to minimize the impact of the lack of care for COVID by launching its own mobile staffing agencies.
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Carina is a journalist at AIS, specializing in public sector data research, trend analysis and photography. He holds a Bachelor of Science in Literature from Ohio University and joined AIS shortly after graduating in 2014.
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Other unspecified cookies are those that have been analyzed and have not yet been classified into a category. focused on population health, today announced that UPMC Health Plan (upmchealthplan.com) has joined the organization as a member. UPMC Health Plan offers a variety of health insurance products that support the needs of their more than 3.9 million members across Pennsylvania. Benefits include Medicare, Special Needs, Medical Assistance, CHIP, and behavioral health coverage, as well as workers’ compensation, and workers’ compensation benefits offered nationally through partners.
As part of UPMC’s integrated health care delivery system, UPMC Health Plan is committed to giving its members access to the better health, increased financial security, and peace of mind they deserve. UPMC Health Plan and UPMC partner with social network providers to create a combination of knowledge and expertise
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