June 27, 2014
Governor Corbett, Attorney General Kane Announce Highmark and UPMC Agreement to Key Conditions Protecting Patients and Consumers
Terms in Consent Decree Will Put Patients First in Western PA
Harrisburg - Governor Tom Corbett and Attorney General Kathleen Kane announced today that Highmark and UPMC have reached a comprehensive transition agreement that covers how and where patients can receive health care after the contract between the two organizations expires in 2015.
"For some time, the people of western Pennsylvania have been concerned about where and how they will receive their health care come Jan. 1, 2015," Corbett said. "We listened to all parties, and through a shared commitment to protecting patients and insurance consumers, designed the framework for a transition plan that focuses on putting them first."
"Ensuring greater access to care and transparency for Western Pennsylvania patients has been a top priority since I took office," Kane said "For all of us, patients must always come first. The joint effort of this office and the Governor's team proves that when we work together, we can accomplish a lot."
The plan is a result of ongoing work from Attorney General Kathleen Kane's Office and coordination of that office with Governor Corbett's Leadership Team led by Insurance Commissioner Mike Consedine and Health Secretary Michael Wolf. It addresses key areas of critical concern to patients and policyholders, including:
The agreement indicates that UPMC and Highmark will each contribute $2 million for the Commonwealth to use for outreach and education during the transition and to cover the state agencies' costs in reaching these agreements.
Highmark and UPMC have also both agreed to not engage in any advertising that is unclear or misleading in fact or by implication to consumers.
"Working together as a team to represent the interests of our consumers, this agreement puts the needs of patients and consumers first," Corbett concluded. "The team of the Insurance Department, Department of Health and the Office of Attorney General have worked together to represent the best interest of Pennsylvania's consumers ? this is government at its finest."
The agreement also incorporated the considerable input and constituent-focused advocacy of western Pennsylvania legislators who have also been integral in working toward a solution on the issue.
"This will help many families whose health care and pocketbooks were in jeopardy for far too long," Kane added. "Today's agreement is the first step in what will be a long process, and I will ensure that we will not waver in our commitment to patients and the region."
The transition agreement is significant in terms of both its scope and duration.
While this is not a contract extension between the two parties at this time, today's agreement offers a framework for the transition plan that will be filed by Highmark with the Pennsylvania Insurance Department on July 31, 2014.
The agreements between Highmark and UPMC are part of consent decree filings with Commonwealth Court.