Highmark says members won't have access to new UPMC East
When UPMC opens its new $240 million hospital in Monroeville in July, it will be closed to Highmark Inc. members.
But that's not by UPMC's choice.
Highmark, which for months has called on the region's dominant hospital system to restart negotiations on long-term comprehensive contracts, turned the tables on UPMC today, stating that it has refused a request by UPMC to sign a one-year deal giving Highmark members access to UPMC East.
"We don't think talking about one facility makes any sense without a long-term contract," said Deborah Rice, a Highmark senior vice president.
UPMC responded that Highmark was limiting access for Medicare members, despite a December joint statement issued by the two health care giants that said people with government insurance would continue to have full in-network access at all UPMC facilities.
"UPMC offered Highmark Medicare contracts to UPMC East identical to those that are in place with UPMC's other facilities, but Highmark declined," UPMC said in a statement.
Rice said the joint statement only covered UPMC facilities that were open and operational at that time.
The 156-bed UPMC East is under construction about a mile away from Forbes Regional Hospital, which is owned by West Penn Allegheny Health System. Highmark is trying to buy West Penn Allegheny and is spending $20 million to upgrade Forbes.
Add Alex Nixon to your Google+ circles.
Show commenting policy
TribLive commenting policy
You are solely responsible for your comments and by using TribLive.com you agree to our Terms of Service.
We moderate comments. Our goal is to provide substantive commentary for a general readership. By screening submissions, we provide a space where readers can share intelligent and informed commentary that enhances the quality of our news and information.
While most comments will be posted if they are on-topic and not abusive, moderating decisions are subjective. We will make them as carefully and consistently as we can. Because of the volume of reader comments, we cannot review individual moderation decisions with readers.
We value thoughtful comments representing a range of views that make their point quickly and politely. We make an effort to protect discussions from repeated comments either by the same reader or different readers.
We follow the same standards for taste as the daily newspaper. A few things we won't tolerate: personal attacks, obscenity, vulgarity, profanity (including expletives and letters followed by dashes), commercial promotion, impersonations, incoherence, proselytizing and SHOUTING. Don't include URLs to Web sites.
We do not edit comments. They are either approved or deleted. We reserve the right to edit a comment that is quoted or excerpted in an article. In this case, we may fix spelling and punctuation.
We welcome strong opinions and criticism of our work, but we don't want comments to become bogged down with discussions of our policies and we will moderate accordingly.
We appreciate it when readers and people quoted in articles or blog posts point out errors of fact or emphasis and will investigate all assertions. But these suggestions should be sent via e-mail. To avoid distracting other readers, we won't publish comments that suggest a correction. Instead, corrections will be made in a blog post or in an article.
- Steelers’ Pouncey investigated in alleged assault
- Senate leader Reid steers push to turn Nevada into renewable energy mecca
- Starkey: The oldest living Pirate
- McCutchen homers twice in Pirates’ extra-inning win
- Google emulates Microsoft with ‘Android everywhere’ effort
- Despite challenges, ride-sharing operations flourish
- Love for shoes an ‘affair that never ends’
- Increase in insured, aging patients could overwhelm health care providers
- Hampton advisor earns national honor
- Effort continues to crack down on blight in Sharpsburg
- LaBar: Kurt Angle preparing for WWE return