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The conflict included a lawsuit by Highmark against UPMC alleging that UPMC over-billed it by $300 million for cancer drugs, [9] [10] arbitrators ordered Highmark to pay $188 million. [ 11 ] [ 12 ] In 2014, a gay couple criticized Highmark for not providing family coverage to same-sex couples under the Affordable Care Act. [ 13 ]
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States–based federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.
HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.
AHN Wexford is a 160-bed, $313 million, 345,000-square-foot hospital built along Route 19, north of Pittsburgh. [11] Opened in the fall of 2021, AHN Wexford is the network's newest full-service hospital, and includes a 24-bed emergency department, operating rooms with minimally invasive robotic surgery capabilities; a cardiac catheterization lab and hybrid OR for advanced surgical procedures ...
The logo of Anthem Blue Cross Blue Shield. Elevance Health, Inc. is an American for-profit health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc. [2]
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .
The Colorado Department of Health Care Policy and Financing (HCPF) is the principal department of the Colorado state government [2] responsible for administering the Health First Colorado and Child Health Plan Plus programs as well as a variety of other programs for Colorado's low-income families, the elderly, and persons with disabilities.