Managed Care


Pa. Internists Fight To Block Blues' Merger

MANAGED CARE October 1998. © MediMedia USA
State Initiatives

Pa. Internists Fight To Block Blues' Merger

MANAGED CARE October 1998. ©1998 Stezzi Communications

As part of an effort to overturn the merger of Pennsylvania Blue Shield and Blue Cross of Western Pennsylvania, internists have filed a court complaint against the state insurance department, seeking a ruling on whether the physicians have a legal basis for fighting the merger.

The legal skirmish comes as a Dec. 6 deadline approaches, when limits on the merged company's operations, imposed by the insurance department at the time of the merger, expire. After that, the merged plans, which operate as Highmark Inc., will be legally able to convert to for-profit status. The company says it has no plans to convert.

The Pennsylvania Society of Internal Medicine went to court to seek a prompt resolution of an issue that has been before the insurance department since January, when it held a hearing and said it would rule promptly on the internists' attempt to block the merger.


Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014