A wave of fraud has been hitting Pennsylvania’s Obamacare marketplace amid an upsurge in suspicious activity in marketplaces nationwide. The state’s market overseer, the Pennsylvania Health
In 1993, state lawmakers passed workers’ comp reforms barring doctors from referring injured workers to a menu of services in which the doctors have a financial stake. What’s on the menu has been the subject of a lengthy legal dispute settled last week by Pennsylvania’s highest court. In a 5-2 ruling, the state Supreme Court […]
The state House gave near-unanimous approval yesterday to a measure that would award tax credits to small businesses that help their employees buy individual health insurance. A small-business lobbyist expressed support for the bill as it moved through a committee vote earlier this month, noting that incremental change is better than no change when it comes […]
Healthcare giant UPMC is firing back at a prominent Central Pennsylvania doctor who claims he was fired after complaining about an alleged conflict of interest involving the health system’s CEO and offensive text messages exchanged between other colleagues. The Pittsburgh-based health system said it fired the physician, Dr. Hemal Gada, for cause “based on deficient clinical performance […]
A state House panel yesterday passed legislation authorizing tax credits for small businesses that help their employees pay for health insurance. The legislation, which was adopted on a party-line vote, is designed to offset higher costs faced by people buying insurance through the Affordable Care Act. How would it work: Under House Bill 2550, businesses with […]
High premiums have squeezed enrollment this year in health insurance plans sold in Pennsylvania under the Affordable Care Act, a federal law designed to make individual health plans easier to afford. The decline has been attributed primarily to the expiration of enhanced federal tax credits that lowered premiums for thousands of people. Other federal credits remain […]
Fewer state residents are enrolling in health plans sold under the Affordable Care Act in Pennsylvania. As of April 9, enrollment in the plans stood at 462,751, down nearly 5% from 486,577 at the end of the open enrollment period on Jan. 31, according to a spokesperson for Pennie, aka the Pennsylvania Health Insurance Exchange Authority. The authority […]
The former head of UPMC‘s heart institute in Harrisburg is suing the health system, claiming he was fired last year after raising concerns about an alleged conflict of interest involving the system’s CEO. The fired executive, Dr. Hemal Gada, also alleges his termination followed his complaints about allegedly racist text messages sent by other leaders at the UPMC […]
After more than seven years on the job, Roxanna Gapstur is planning to retire from her role as president and CEO of WellSpan Health, a regional health system operating a dozen hospitals. Gapstur has not set a date but plans to step down once a leadership transition is complete. WellSpan has hired executive search firm Korn Ferry to […]
Penn Highlands Healthcare, a health system based in DuBois, is joining a regional network formed by WellSpan Health to improve medical care and lower costs for people on Medicare, a network known as an accountable care organization, or ACO. ACOs work to better coordinate treatment for Medicare patients. If they can deliver higher quality care at a […]