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UPMC also offers consumer-directed health plans like health savings accounts and health reimbursement arrangements. [52] UPMC's provider networks total more than 138 hospitals and more than 16,500 physicians across Pennsylvania and has around three million members making it the largest insurer in Western Pennsylvania.
The Knox-Keene Health Care Service Plan Act of 1975 is a set of Californian laws that regulate Healthcare Service Plans. Under these laws, pharmacy benefit managers with contracts to Health care service plans are required by law to be registered with the Department of Managed Health Care to disclose information. [58] SB 966: Pharmacy benefits ...
A formulary is a list of pharmaceutical drugs, often decided upon by a group of people, for various reasons such as insurance coverage or use at a medical facility. [1] Traditionally, a formulary contained a collection of formulas for the compounding and testing of medication (a resource closer to what would be referred to as a pharmacopoeia ...
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The UPMC PPO plan has a provider network, but a person can also use services outside of the network. Generally, it will cost less to go to an in-network provider. UPMC Medicare Advantage costs
Pharmacy and Therapeutics (P&T) is a committee at a hospital or a health insurance plan that decides which drugs will appear on that entity's drug formulary.The committee usually consists of healthcare providers involved in prescribing, dispensing, and administering medications, as well as administrators who evaluate medication use. [1]
Williamsport Regional Medical Center was part of an alliance of three hospitals that formed Susquehanna Health in 1994. [3] Williamsport Regional Medical Center became part of the UPMC network when Susquehanna Health was integrated into the University of Pittsburgh Medical Center (UPMC) on October 18, 2016. [4] [5]
In 1998, Pittsburgh Mercy Health System, Sisters of Providence Health System, and Allegany merged to form Catholic Health East. [5] In 2006, Catholic Health East decided to seek a strategic partner to strengthen and preserve its faith-based care in Pittsburgh and Mercy Hospital of Pittsburgh merged with UPMC to become UPMC Mercy on January 1, 2008.
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