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Health Plan Options

Trump Administration, in Reversal, Will Resume Risk Payments to Health Insurers

The Trump administration, in an abrupt reversal, said Tuesday that it would restart a program that pays billions of dollars to insurers to stabilize health insurance markets under the Affordable Care Act. Read more.

Leg Reg Review #24 - 07/23/2018

Again, the Joint Underwriting Association (JUA), the insurer of last resort for medical malpractice insurance, received yet another stay of execution thanks to a July 18 preliminary injunction issued by U.S. District Judge Christopher Conner. Read more.

CPAHU Legislative Updates

Agency Meetings and Notices, PA Bulletin, Programs, House 2018 Fall Session Schedule, Senate 2018 Fall Session Schedule, Committee Schedule for the Week of July 16, Floor Schedule for the Week of July 16, Legislative Floor Action for the Week of July 9. Read more.

Aetna | New AFA application

Just in time for high 4th quarter volumes, we have a new application and updated paperless process that will simplify your sold case submissions. Read more.

Highmark Update: Pennsylvania Supreme Court rules on Pittsburgh and Erie area Highmark Medicare Advantage hospital contracts with UPMC

Today, the Pennsylvania Supreme Court reversed the Pennsylvania Commonwealth Court’s ruling that supported Highmark Medicare Advantage Security Blue HMO and Freedom Blue PPO members’ in-network access to UPMC hospital in Pittsburgh and Erie through 2019. Read more.

UPMC Health Plan | Important information regarding Highmark Medicare-eligible patients

In a unanimous decision last week, the Pennsylvania Supreme Court confirmed that calendar year 2018 will be the last full year that most UPMC hospitals and physicians in western Pennsylvania will be in-network for Highmark Medicare Advantage members. Read more.

UPMC Health Plan | Updates to group billing process

We have made a change to our billing process. Instead of billing employer groups on the second Sunday of each month, we now bill Employer Groups on the 10th of the month. Read more.

Get better acquainted with UPMC Health Plan

Please join us for an informative meeting about UPMC Health Plan’s products and services. Read more.

Employer Mandate compliance is confusing

PrimePay's ACA Compliance Navigator simplifies it. Read more.

Relief for your Employer Mandate Confusion

Ensure your compliance with ACA when you sign up with PrimePay's ACA Compliance Navigator. Our industry-leading compliance service includes access to our ACA portal. Read more.

Health insurance outlook improves in 2019, Pennsylvania says

Gov. Tom Wolf's administration says Pennsylvania's health insurance market is improving, with health insurers offering individual market policies for 2019 with an average statewide rate increase of less than 1 percent. Read more.

House Dems want answers on cuts to ObamaCare outreach groups

A pair of House Democrats want answers from the Trump administration about the decision to significantly slash funding for outreach groups that help people enroll in ObamaCare coverage. Read more.

Trump Administration Preparing Fix for Obamacare Risk Payments

The Trump administration is preparing a regulation that would allow the resumption of billions of dollars in payments to health insurers in Obamacare. Read more.

Trump's Drug Plan Picks Up Momentum as Merck Lowers Some Prices

The Trump administration moved swiftly in the past 24 hours to implement pieces of its plan to bring down drug prices, preparing several significant steps as one of the biggest U.S. drugmakers said it would bring down the cost of some medicines. Read more.

Coming Soon | Learn About the Marketplace Registration/Training Enhancements for 2019

Registration for plan year 2019 is coming soon! This year, when you sign in to complete registration and training, you will notice a few changes to the Marketplace Learning Management System (MLMS). Read more.

9/5 2019 AEP Medicare Connections Conference

Join us on September 5th 2018 for our 2019 AEP Medicare Connections Conference at the Hershey Lodge. You can expect an exciting day of networking with fellow top brokers, all while learning invaluable sales tips from the leading insurance carriers in the market! Register now.

9/13 Save the Date: CPAHU Medicare Summit

Watch for updates coming soon! Read more.

Health Care Reform Webinar

Since the passage of the ACA in 2010 and the recent passage of the AHCA through the House and the failed Senate votes on the BCRA and the HCFA (Skinny Repeal), it's important to stay informed so you can better serve your clients in the group health and under 65 individual markets.  The weekly Health Care Reform Webinars are your resource to stay close to the proposed law and to ask questions that may be important to your livelihood and to your clients. Join us each week to learn more and get your questions answered. Register now.

Health Care Reform Webinar Archives

Click here to view the archived videos of the Health Care Reform Webinars.