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upmc how many medicare beneficiaries?

by Elfrieda Orn Jr. Published 2 years ago Updated 1 year ago

Full Answer

Is UPMC for life covered by Medicare?

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal.

Who is UPMC Health Plan owned by?

It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider. As part of an integrated health care delivery system, UPMC Health Plan is committed to providing its members better health, more financial security, and the peace of mind they deserve.

What does my UPMC Health Plan include?

As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and wellness programs, travel coverage, and many more benefits and services. Manage the nuts and bolts of your plan from right here, or log in to your personalized member portal.

How much does UPMC contribute to the community?

In the most recent fiscal year, UPMC contributed $1.7 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $900 million in federal, state and local taxes.

How many centers does UPMC have?

More than 200 psychiatrists and psychologists provide mental health and addiction services across UPMC, with more than 19,000 admissions ...

What is UPMC in Pittsburgh?

A $23 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates more than 92,000 employees, 40 hospitals, 800 doctors’ offices and outpatient sites, and more than 4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.7 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $900 million in federal, state and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. For more information, go to UPMC.com.

What countries does UPMC have a presence in?

UPMC has one of the largest international footprints of any U.S.-based medical center, including established partnerships in Italy, Ireland, China and Kazakhstan.

How much is Community Benefits 2020?

Community Benefits (as of FY2020) $1.7 billion, including: $509 million in charity care and unreimbursed amounts from programs for the poor. $558 million in health and wellness programs and charitable contributions. $599 million in support for medical research and education.

How much does UPMC contribute to the community?

Annually, UPMC contributes more than $1 billion to make our communities healthier. This amounts to more than 18 percent of UPMC's net patient revenue — a level substantially higher than most peers regionally, statewide, and nationally.

What is UPMC health plan?

UPMC Health Plan is among the nation's fastest-growing health plans, serving more than 4 million members. It offers coverage to individual and group health plan members; seniors; low-income individuals and families; as well as those with disabilities. Products include UPMC for Life, UPMC for You, UPMC for Kids — Pennsylvania’s largest CHIP program, ...

What is UPMC in Pittsburgh?

A $23 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates more than 92,000 employees, 40 hospitals, 800 doctors’ offices and outpatient sites, and more than 4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.7 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $900 million in federal, state and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals. For more information, go to UPMC.com.

How many programs does UPMC have?

UPMC is deeply rooted in its communities, and provides more than 3,000 established programs focused on prevention and healthy living, chronic disease management, and navigating resources. UPMC continues to extend its outstanding health care services to many diverse communities throughout Pennsylvania.

How much did UPMC cost in 2019?

UPMC's impact on the region's economy nearly doubled in five years, from $26 billion in 2014 to $42 billion in 2019.

Is UPMC a nonprofit?

Since its introduction in 1996, UPMC for You has become the fastest-growing Medicaid program in Pennsylvania. It is also the largest Medicaid plan in Pennsylvania. The plan is honored to be one of the nation’s leading nonprofit Medicaid organizations. UPMC Health Plan is the largest provider-led integrated delivery and finance system in ...

What is the number to call for UPMC?

Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations.

Why did Diane and Bob choose UPMC for life?

They chose UPMC for Life for their Medicare coverage because it gives them access to the doctors and hospitals they know and trust, plus additional benefits like a free gym membership.

Does UPMC have a contract with Medicare?

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal.

What does UPMC mean?

UPMC. for Life. means more than great insurance. It means access to your doctor and high-quality coverage for your health care when you need it. UPMC for Life works together with your doctors to give you the health care and coverage you need to be at your best health. Learn about our care and coverage.

What is the number to call for UPMC?

Call 1-866-400-5077 (TTY: 711) for more information. Out-of-network/noncontracted providers are under no obligation to treat UPMC for Life members, except in emergency situations.

What is the phone number for UPMC for life?

This information is available for free in other languages. Please call our customer service number at 1-877-539-3080 ( TTY: 711 ). UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans.

How many bathroom safety products can you use with UPMC?

Take advantage of benefits that can help you live safely and independently. UPMC for Life members can choose up to three bathroom safety products and have a yearly in-home safety visit—all at no additional cost.

Does UPMC have a contract with Medicare?

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal.

Does UPMC cover labs?

Shots, lab tests, screenings, and an annual wellness visit are all services you can receive at no additional cost. UPMC for Life members can even earn a reward for completing their annual wellness visit.

Dive Brief

Insurance membership growth, rebounding patient utilization and strong investment gains drove Pittsburgh-based UPMC to net income of $1.2 billion in the first nine months of 2021.

Dive Insight

UPMC, which has more than 40 hospitals and 800 doctor's office and outpatient sites, reported operating revenue of $18.3 billion in the first nine months of the year, up from $16.9 billion during the same time last year. Management attributed that bump to membership growth in its insurance business, along with an increase in patient utilization.

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Topics covered: M&A, health IT, care delivery, healthcare policy & regulation, health insurance, operations and more.

UPMC Health Services

  • 40 hospitals with 8,800 licensed beds 800 doctors' offices and outpatient sites More than 6,400 affiliated physicians, including more than 5,000 employed by UPMC One of the largest integrated community cancer networks in the United States with more than 70 centers in Pennsylvania, Ohio, New York and Maryland, and more than 2,000 physicians, researc...
See more on upmc.com

UPMC International

  • UPMC has one of the largest international footprints of any U.S.-based medical center, including established partnerships in Italy, Ireland, China and Kazakhstan.
See more on upmc.com

Annual Patient Activity

  • 365,000 inpatient admissions and observation cases 6.1 million outpatient visits 1 million emergency visits 240,000 surgeries 700,000 home care visits
See more on upmc.com

Community Benefits

  • $1.7 billion, including: 1. $509 million in charity care and unreimbursed amounts from programs for the poor 2. $558 million in health and wellness programs and charitable contributions 3. $599 million in support for medical research and education UPMC’s community benefit contributions amount to 18% of its net patient revenue.
See more on upmc.com

Economic Impact

  • The spend and respend cycle that UPMC's activities initiate translates into an economic impact of $46 billion.
See more on upmc.com

Education

  • More than 1,900 medical residents and clinical fellows. More than 330,000 health care professionals participate in our continuing medical education programs each year An average of 700 nurses in training each semester.
See more on upmc.com

Research

  • More than $569 million in National Institutes of Health funding advances medical research at the University of Pittsburgh and UPMC.
See more on upmc.com

Giving Back and Improving Lives

  • $1.7 billion — in IRS-defined community benefits in Fiscal Year 2020 Annually, UPMC contributes more than $1 billionto make our communities healthier. This amounts to more than 18 percent of UPMC's net patient revenue — a level substantially higher than most peers regionally, statewide, and nationally.
See more on upmc.com

UPMC Insurance Services

  1. UPMC Health Plan is among the nation's fastest-growing health plans, serving more than 4 million members. It offers coverage to individual and group health plan members; seniors; low-income individ...
  2. Since its introduction in 1996, UPMC for Youhas become the fastest-growing Medicaid program in Pennsylvania. It is also the largest Medicaid plan in Pennsylvania. The plan is hon…
  1. UPMC Health Plan is among the nation's fastest-growing health plans, serving more than 4 million members. It offers coverage to individual and group health plan members; seniors; low-income individ...
  2. Since its introduction in 1996, UPMC for Youhas become the fastest-growing Medicaid program in Pennsylvania. It is also the largest Medicaid plan in Pennsylvania. The plan is honored to be one of t...
  3. UPMC Health Plan is the largest provider-led integrated delivery and finance system in Pennsylvania.

UPMC Cares For A Disproportionate Share of High-Need Patients

  1. 8 out of 10 substance use patients in Allegheny County
  2. Nearly half of pediatric patients from low-income families in Dauphin County/Harrisburg region
  3. 7 out of 10 babies born to low-income families in the Erie region
  4. 7 out of 10 seniors are cared for in Bedford, Blair and Somerset counties and the Susquehanna region
See more on upmc.com

UPMC Is A Powerful Engine of Progress, Growth, and Prosperity.

  • $42 Billion Economic Impact
    UPMC's operations have a multiplier effect that ripples through local economies. Every dollar directly spent by UPMC results in more than twice as much impact.
See more on upmc.com

UPMC Is Addressing The Needs of Communities and Making Them Stronger

  • UPMC is deeply rooted in its communities, and provides more than 3,000 established programs focused on prevention and healthy living, chronic disease management, and navigating resources. UPMC continues to extend its outstanding health care services to many diverse communities throughout Pennsylvania.
See more on upmc.com

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