Modern Healthcare

Pennsylvan­ia blood feud prompts employer to drop Highmark

- —Bob Herman

Erie Indemnity Co., an Erie, Pa.based company that provides automobile, home and life insurance, has decided to drop Highmark as the health plan for its 4,600 employees because of the ongoing blood feud between insurer Highmark and hospital giant UPMC. Its decision could be a harbinger of what other Western Pennsylvan­ia employers will do next year as they seek to find shelter from the fallout of the battle.

Erie will switch to United Healthcare, the largest health insurer in the country. Becky Dudenhoeff­er, vice president of company benefits, said in a memo the change will go into effect Jan. 1. “The ongoing UPMC-Highmark dispute in western PA has concerned many of our employees,” according to the memo. “As members of the United Health care network, employees will no longer have to worry that they would be restricted to either Highmark or UPMC providers.”

This month, Highmark and UPMC outlined terms of a government-brokered agreement. Effective Jan. 1, the contract between UPMC and Highmark expires. Although seven UPMC hospitals and thousands of employed specialist­s will still be considered in-network for Highmark members, UPMC’s six major hospitals and doctors who perform procedures there will be out of network.

Erie is not the first employer to drop Highmark recently. Last year, Westinghou­se Electric Co., based in Cranberry Township, Pa., just north of Pittsburgh, switched from Highmark to Aetna.

 ??  ?? New terms for Highmark’s contract
with UPMC take effect Jan. 1.
New terms for Highmark’s contract with UPMC take effect Jan. 1.

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