Aba Provider Directory Welcome

Total Page:16

File Type:pdf, Size:1020Kb

Aba Provider Directory Welcome ABA PROVIDER DIRECTORY WELCOME Dear Pennsylvania ABA is the cornerstone of treatment in patients with autism and other disabilities. ABA is used to help teach children skills such as communication, social skills and self-help skills and it can help people become more independent which we hope will lead to happier more satisfying lives ABA in PA Initiative is my advocacy organization that was started to help families like yours obtain ABA therapy. The website, abainpa.com is dedicated to public education and from there you can link to Facebook and Twitter and follow us for information I send out regularly to the public. Children can obtain intervention from either private agencies or public agencies (often referred to as BHRS, soon to be called IBHS). Some private agencies are now accepting MA as a means of payment and close monitoring of the provider directory and its updates will be useful to know when an agency becomes an MA provider. We usually update this directory every 2 months so please check back often! If you obtain your ABA from a private practice that only provides ABA, we have found that most providers are well educated and trained. However if you seek ABA from a BHRS agency you should be cautious and stay informed. In Pennsylvania ABA is delivered by people with the following job titles: BSC and TSS. These job titles are in BHRS (Behavioral Health Rehabilitation services, AKA "wrap around".) only and no other state uses these terms. A Behavioral Specialist Consultant (BSC) is a job title that requires a Master’s degree from one of a variety of fields and is used to oversee general behavioral services. A Therapeutic Staff Support (TSS) is a bachelor’s level position and is a paraprofessional who implements a behavior plan. Neither education nor experience in ABA is required for these positions. Having said that, there are BHRS agencies that have pursued qualifications in ABA and may provide quality ABA services. To receive these services, parents should only seek Behavior Analysts or Board-Certified Behavior Analysts trained in ABA, whether in the role of a BCBA or filling the job of a BSC. Simply put, not all BSCs are qualified to provide ABA services and not all TSS are qualified to implement them. BSC and TSS are generic titles like doctor or lawyer, but that doesn’t tell you what kind of medicine or law they are highly qualified to practice. You want to make sure that they are the right type of BSC and right type of TSS. If you are still having trouble, here are suggestions on how to complain: 1) Contact your insurance and tell them you have not been able to find an ABA provider (behavior analyst or BCBA) and that you need their help. See what they recommend. Ask if you can go out of network to get your child services faster. 2) At the same time, contact the government by email at [email protected] and copy Rachel Mann at [email protected] at the Disability Rights PA and tell them what is going on, so they can follow your case to make sure your child gets the services he or she needs. 1 The ABA in PA Initiative | www.ABAinPA.com All too often families think they are getting what they need or think ABA "doesn't work" because they had one or two experiences in the past with providers that didn't understand the differences between what they provided, what ABA was and how it could help. Thank you for taking the time to review our directory, Cheryl Tierney-Aves, MD, MPH Section Chief, Behavior and Developmental Pediatrics ABA in PA Initiative President 2 The ABA in PA Initiative | www.ABAinPA.com ITEMS REGARDING THE DIRECTORY - There have been a couple of changes to The Directory for this update. First, Tables #1 and #2 from previous versions of The Directory have now been combined into one table titled, “Table #1: ABA Providers.” Second, as a result of the first change, Table #3 (Social Skills Groups) from previous versions of The Directory is now “Table #2: Social Skills Groups.” - Please note Tables #1 and #2 are not exhaustive lists of providers. - We welcome feedback via Facebook or our website if you are aware of additional agencies delivering quality ABA programming in Pennsylvania. - Also, we are looking for feedback on your experience with the ABA providers. Remember, quality ABA programs consist of a variety to components including 1) BCBAs to oversee your child’s care utilizing an evidence based treatment program such as Verbal Behavior and 2) data collection which should be taken and reviewed with you ROUTINELY. If you are not experiencing these components please take the time to report your concerns to us via the www.abainpa.com website “Contact Us” form and follow the instructions listed under the “ABA THERAPY IN PA” tab (http://abainpa.com/call-to-action-how-to-get-aba-therapy-in-pennsylvania) - WHAT TO DO IF YOUR CHILD IS ENROLLED IN MEDICAL ASSISTANCE AND YOU HAVE CONCERNS ABOUT APPLIED BEHAVIORAL ANALYSIS? If you are having a problem getting Applied Behavioral Analysis (ABA) for your child that you have not been able to resolve with your Behavioral Health Managed Care Organization or the county, you may contact Jill Weaver at (717) 409-3791 or [email protected]. - In addition we offer free legal support for you and your child through Disability Rights of PA. Their website is https://disabilityrightspa.org/. You can contact Rachel Mann at [email protected]. Her team can help assist you free of charge as well. 3 The ABA in PA Initiative | www.ABAinPA.com TABLE #1: ABA PROVIDERS AGENCY/COMPANY CONTACT INFORMATION SERVICES AND STAFF QUALIFICATIONS COUNTY/COUNTIES SERVICED ACCEPTED PAYMENT METHODS (MA, PRIVATE INSURANCE, PRIVATE/SELF-PAY, ETC…) ABA Beginnings, LLC 8 S. Stoner Road Services Adams, Cumberland, Dauphin, Please contact this provider for Shiremanstown, PA 17011 Consultation (ABA, IEPs, research based strategies within Lancaster and York specific information regarding Phone: (717) 799-9117 the field of autism), Training Services to Service payment options. Providers, and In-Home Program Set-Up and Director: Management Pam Keene, BCBA Email: [email protected] Home/Community/School Based (Y/N) Y Center/Clinic Based (Y/N) N Works with other ABA agencies? (Y/N) N Works with BHRS collaboratively? (Y/N) Y Staff Qualifications Board Certified Behavior Analysts (BCBAs) ABA Connections of PA, 221 Belmont Avenue Services Montgomery and Philadelphia LLC Oreland, PA 19075 Individualized treatment and behavior plans, parent Phone: (610) 420-8811 training and support, Functional Behavior Assessments (FBAs), and Positive Behavior Support Plans (PBSPs) Website: www.abaconnectionspa.com Email: [email protected] Home/Community/School Based (Y/N) Y Center/Clinic Based (Y/N) N Works with other ABA agencies? (Y/N) Works with BHRS collaboratively? (Y/N) Staff Qualifications Board Certified Behavior Analysts (BCBAs) ABA Support Services, Trolley Station Mall, Suite 22A Services Berks, Bradford, Bucks, Carbon, Medical Assistance (MA) LCC 224 Nazareth Pike Functional Behavior Assessments (FBAs), initial/ongoing Chester, Columbia, Cumberland, Bethlehem, PA 18120 assessment of behavior problems and behavior skill Dauphin, Franklin, Lackawanna, Private Insurance: United Behavior Phone: (610) 365-8373 development, development of behavior analytic Lancaster, Lehigh, Luzerne, Lycoming, Health, Magellan Health Services, Fax: (610) 365-2522 strategies and procedures, instruction/consultation to Monroe, Montgomery, Northampton, Cigna Behavioral Health, Blue caregivers and patient’s support system, observation of Philadelphia, Pike, Schuylkill, Tioga, Cross/Blue Shield, MH Net, Aetna, Website: www.abasupportservices.com patient and caregivers/ support system, ABLLS and VB- Wayne, Wyoming and York AmeriHealth, Independence Blue Email: [email protected] MAPP Assessments, and social skills assessments Cross, and United Healthcare President: Social Skills Groups: Collaboration with Autism Society of Private/Self-Pay Amy Gable Berks County. Available at no cost; requires year-long Email: [email protected] commitment. Open to participants with autism who are School Contracts high functioning, verbal, and residents of Berks County. 4 The ABA in PA Initiative | www.ABAinPA.com AGENCY/COMPANY CONTACT INFORMATION SERVICES AND STAFF QUALIFICATIONS COUNTY/COUNTIES SERVICED ACCEPTED PAYMENT METHODS (MA, PRIVATE INSURANCE, PRIVATE/SELF-PAY, ETC…) Home/Community/School Based (Y/N) Y Center/Clinic Based (Y/N) Y Works with other ABA agencies? (Y/N) Y Works with BHRS collaboratively? (Y/N) Y Staff Qualifications Board Certified Behavior Analysts (BCBAs) Registered Behavior Technicians (RBTs) ABA Therapy Services, 109 Plaza Drive Services Carbon, Monroe and Pike (if using Medical Assistance (MA) LLC Pocono Summit, PA 18346 Functional Behavior Assessments (FBA), assessment of MA) Phone: (570) 216-3900 behavior challenges, development of positive behavioral Private Insurances Fax: (570) 507-5705 strategies and interventions; parent skills training and support; verbal behavioral development, toileting, eating Website: http://researchdir1.wixsite.com/bcba and sleeping programs; social skills groups Beth Raiola (MS, LBS, BCBA) Home/Community/School Based (Y/N) Y Email: [email protected] Center/Clinic Based (Y/N) Y Works with other ABA agencies? (Y/N) N Works with BHRS collaboratively? (Y/N) Y Staff Qualifications Board Certified Behavior Analyst (BCBA) ABA Therapy Solutions 155 Hickory View Drive Services Beaver, Lawrence and Mercer Private Insurance: Aetna and New Castle, PA 16102 Individualized programming
Recommended publications
  • Changing Lives: Engaging People, Places and Systems to Improve Health Outcomes, 2014
    Changing Lives Engaging People, Places and Systems to Improve Health Outcomes 2014 Highmark Foundation Giving Report www.highmarkfoundation.org The image on the cover of this report is meant to represent positive change and improvement, and speaks directly to the positive impact the Foundation has on the people and communities it serves. 1 Changing Lives: Engaging People, Places and Systems to Improve Health Outcomes Mission The Highmark Foundation is a private, charitable organization of Highmark Inc. that supports initiatives and programs aimed at improving community health. The Foundation’s mission is to improve the health, well-being and quality of life for individuals who reside in the communities served by Highmark Inc. The Foundation strives to support evidence-based programs that impact multiple counties and work collaboratively to leverage additional funding to achieve replicable models. For more information, visit www.highmarkfoundation.org. Contents Board Members and Officers 3 Introduction to the Highmark Foundation 4 Highmark Foundation Grants 8 Highmark Foundation in the News 18 2014 Highmark Foundation Giving Report 1 The Highmark Foundation was established in 2000 to improve The initiatives funded by the Foundation fall within four the health and well-being of people living in the diverse categories: chronic disease, family health, service delivery communities served by Highmark Inc. We do this by awarding systems and healthy communities. These are the areas where high-impact grants to charitable organizations, hospitals and we have seen the greatest needs and remain our primary schools that develop programs to advance community health. areas of focus. The Foundation’s greatest successes are strong partnerships As we look ahead to 2015 and beyond, the Foundation with regional, national and global organizations with similar remains committed to improving the health and well-being missions, working to raise awareness of community health of communities throughout Pennsylvania and West Virginia.
    [Show full text]
  • 2002 Opinions
    ERIE COUNTY LEGAL JOURNAL (Published by the Committee on Publications of the Erie County Legal Journal and the Erie County Bar Association) Reports of Cases Decided in the Several Courts of Erie County for the Year 2002 LXXXV ERIE, PA JUDGES of the Courts of Erie County during the period covered by this volume of reports COURTS OF COMMON PLEAS HONORABLE WILLIAM R. CUNNINGHAM -------- President Judge HONORABLE GEORGE LEVIN ---------------------------- Senior Judge HONORABLE ROGER M. FISCHER ----------------------- Senior Judge HONORABLE FRED P. ANTHONY --------------------------------- Judge HONORABLE SHAD A. CONNELLY ------------------------------- Judge HONORABLE JOHN A. BOZZA ------------------------------------ Judge HONORABLE STEPHANIE DOMITROVICH --------------------- Judge HONORABLE ERNEST J. DISANTIS, JR. ------------------------- Judge HONORABLE MICHAEL E. DUNLAVEY -------------------------- Judge HONORABLE ELIZABETH K. KELLY ----------------------------- Judge HONORABLE JOHN J. TRUCILLA --------------------------------- Judge Volume 85 TABLE OF CASES -A- Ager, et al. v. Steris Corporation ------------------------------------------------ 54 Alessi, et al. v. Millcreek Township Zoning Hearing Bd. and Sheetz, et al. 77 Altadonna; Commonwealth v. --------------------------------------------------- 90 American Manufacturers Mutual Insurance Co.; Odom v. ----------------- 232 Azzarello; Washam v. ------------------------------------------------------------ 181 -B- Beaton, et. al.; Brown v. ------------------------------------------------------------
    [Show full text]
  • Pennsylvania's Largest Employers (At Least 1,000 Employees)
    Pennsylvania's Largest Employers (At Least 1,000 Employees) 1st Quarter, 2018 Combined Government Ownerships Center for Workforce Information & Analysis (877) 4WF-DATA • www.workstats.dli.pa.gov • [email protected] September 2018 Rank Employer Rank Employer 1 Federal Government 51 ACME Markets Inc 2 State Government 52 Aerotek Inc 3 Wal-Mart Associates Inc 53 Geisinger Medical Center 4 Trustees of the University of PA 54 Reading Hospital 5 City of Philadelphia 55 Dolgencorp LLC 6 Pennsylvania State University 56 Carnegie Mellon University 7 Giant Food Stores LLC 57 Abington Memorial Hospital 8 School District of Philadelphia 58 FedEx Ground Package System Inc 9 UPMC Presbyterian Shadyside 59 Highmark Inc 10 United Parcel Service Inc 60 Kohl's Department Stores Inc 11 PNC Bank NA 61 Rite Aid of Pennsylvania Inc 12 University of Pittsburgh 62 Marmaxx Operating Corporation 13 Lowe's Home Centers LLC 63 The Hershey Company 14 Weis Markets Inc 64 Wells Fargo NA 15 The Children's Hospital of Philadelphia 65 Temple University Hospital Inc 16 Comcast Cablevision Corp (PA) 66 York Hospital 17 Home Depot USA Inc 67 SmithKline Beecham Corporation 18 PA State System of Higher Education 68 Starbucks Corporation 19 Giant Eagle Inc 69 Boscov's Department Store LLC 20 Amazon.com DEDC LLC 70 School District of Pittsburgh 21 The Vanguard Group Inc 71 UPMC Pinnacle Hospitals 22 Target Corporation 72 Geisinger Clinic 23 Merck Sharp & Dohme Corporation 73 Dick's Sporting Goods Inc 24 Western Penn Allegheny Health 74 Hershey Entertainment & Resorts Co 25
    [Show full text]
  • The H1B Records Below List the Companies That Have Submitted the Greatest Number of H1B Visa Petitions for This Location
    The H1B records below list the companies that have submitted the greatest number of H1B visa petitions for this location. This information was gathered directly from Department of Labor (DOL) records, which is the government agency responsible for all H1B submissions. Every quarter, DOL makes available a listing of all companies who have submitted H1B visa applications for the most recent 3 months for which records are available. The records contained in Going Global's H1B Plus database contains the most recent 12-month period of records available. Sort by Company | Petitions MASTECH, INC., A MASTECH HOLDINGS, 4339 INC. COMPANY MASTECH RESOURCING, INC. 1393 MASTECH ALLIANCE, INC., A MASTECH 1040 HOLDINGS COMPANY NESS USA, INC. 693 UNIVERSITY OF PITTSBURGH 169 UHCP D/B/A UPMC MEP 144 COGENT INFOTECH CORPORATION 131 SDLC MANAGEMENT, INC. 123 FIRST CONSULTING GROUP, LLC 104 ANSYS, INC. 100 COMPUTER ENTERPRISES, INC. 97 CARNEGIE MELLON UNIVERSITY 96 INTELLECT DESIGN ARENA INC. 95 ACCION LABS US, INC. 63 HM HEALTH SOLUTIONS INC. 57 UNIVERSITY OF PITTSBURGH PHYSICIANS 44 H.J. HEINZ COMPANY 40 CV CONSULTING INC 36 THE BANK OF NEW YORK MELLON 36 INFOYUGA TECHNOLOGIES, INC. 36 BAYER BUSINESS AND TECHNOLOGY 31 SERVICES, LLC UPMC EMERGENCY MEDICINE, INC. 28 GALAX-ESYSTEMS CORPORATION 26 HIGHMARK, INC. 25 SEVEN HILLS SOFTWARE TECHNOLOGIES 25 INC VELAGA ASSOCIATES, INC 24 UPMC PRESBYTERIAN SHADYSIDE 22 DVI TECHNOLOGES, INC. 21 ALLEGHENY CLINIC 20 GENCO I. INC. 17 SRI MOONLIGHT SOFTWARE SOLUTIONS 17 LLC BAYER MATERIALSCIENCE, LLC 16 BAYER HEALTHCARE PHARMACEUTICALS, 16 INC. VISVERO, INC. 16 CYBYTE, INC. 15 BOMBARDIER TRANSPORTATION 15 (HOLDINGS) USA, INC.
    [Show full text]
  • Download Our 2020 Corporate Profile
    HIGHMARK HEALTH 2020 CORPORATE PROFILE 1 Living Health: Together for a Purpose 2020 Corporate Profile HIGHMARK HEALTH 2020 CORPORATE PROFILE 2 Our vision is a world Highmark Health is committed to reinventing the health experience so that everything and everyone works together for the health of those we serve. Boldly challenging unsustainable health care models of the past, we are where everyone building a new model, Living Health, to simplify the customer experience, free up clinicians to focus on care, embraces health. and leverage innovative technology and partnerships to deliver truly individualized health planning. We believe that creating a remarkable health experience will drive better health outcomes and lower total cost of care. Like our work, our financial priorities also serve our social purpose of building stronger communities of Our mission is to healthier people. In 2020, that included more than $750 million invested to support customers, providers, and create a remarkable communities during the pandemic, and another $760 million in capital investments. health experience, A DIVERSE PORTFOLIO OF LEADING HEALTH COMPANIES freeing people to Highmark Health’s diverse portfolio of aliates and subsidiaries meets a broad spectrum of health needs for be their best. consumers, business customers, and government entities. Highmark Inc. and its Blue-branded aliates HM Health Solutions combines technology and (Highmark Health Plans) proudly cover the leading industry knowledge to deliver business insurance needs of millions of individuals, families, solutions to health plan payers so they can run their and seniors, while also oering a variety of health- organizations eciently in a competitive and ever- related products and services.
    [Show full text]
  • 2019 Highmark Health Annual Report: Corporate Profile
    HIGHMARK HEALTH 2019 CORPORATE PROFILE 1 Embracing Health in Remarkable Ways GLORIA, AHN PATIENT ▶ 2019 Corporate Profile HIGHMARK HEALTH 2019 CORPORATE PROFILE 2 Our vision is a world Highmark Health is committed to reinventing the health experience so that everything and everyone works together seamlessly for the health of those we serve. Boldly challenging unsustainable health care models of where everyone the past, we are simplifying the customer experience, freeing up clinicians to focus on care, and leveraging embraces health. innovative technology and partnerships to deliver truly individualized health planning. We believe that creating a remarkable health experience is also the path to better health outcomes and lower total cost of care. Like our work, our organizational giving — totaling $206.5 million in 2019 — centers on our larger social purpose of Our mission is to building stronger communities of healthier people. create a remarkable A DIVERSE PORTFOLIO OF LEADING HEALTH CARE COMPANIES health experience, Highmark Health’s strong and diverse portfolio of businesses meets a broad spectrum of health needs for freeing people to consumers, business customers, and government entities. be their best. Highmark Inc. and its Blue-branded affiliates (Health HM Home & Community Services specializes Plan) proudly cover the insurance needs of millions of in population health management solutions that individuals, families and seniors, while also offering a benefit payers, providers, and customers. variety of health-related products and services. HM Insurance Group works to protect businesses Allegheny Health Network (AHN) has more and their employees from the financial risks than 250 clinical facilities, including hospitals associated with catastrophic health care costs.
    [Show full text]
  • Highmark Inc. Company Overview
    Highmark Inc. Company Overview Vision A world where everyone embraces health Mission To create a remarkable health experience, freeing people to be their best Key Statistics • Founded Mid 1930s • Number of employees 6,000 • 5.6 million members are covered by Highmark Inc. • Highmark Health had $18 Billion in Operating Revenue in 2019 • Highmark Inc., together with its Blue-branded affiliates, collectively comprise the fourth-largest overall Blue Cross Blue Shield-affiliated organization in the country based on membership. Company Headquarters • Pittsburgh, Pa. Community Support • In 2019, the Health Plans' corporate giving benefited hundreds of organizations, donating more than $17 million in the areas of western, central, and northeastern Pennsylvania, West Virginia, and Delaware. In addition, Highmark's signature program, Walk for a Healthy Community, along with Adopt-a-School programs initiated by employees in Pittsburgh and Erie, and National Make a Difference Day of volunteering, provided significant benefits to individuals and the communities the Health Plans proudly serve. 1 Products • Highmark Inc. is a national, diversified health care partner based in Pittsburgh that serves members across the United States through its businesses in health insurance, dental insurance, and reinsurance. We offer a variety of plans in our core service areas. • Our diversified businesses also provide a broad spectrum of specialty products, such as dental insurance, and reinsurance to 50 million Americans across all 50 states and the District of Columbia. • Our diversified businesses rank among the nation's leaders in their categories: o Fifth largest dental insurance carrier in the U.S. o Among the top five largest stop loss carriers Awards • Medicare Advantage plans recognized for member satisfaction For the fourth consecutive year, Highmark's Medicare Advantage plans received high rankings in the annual J.D.
    [Show full text]
  • Fifth Annual Father's Day Pledge Media Advisory
    MEDIA ADVISORY Contact: Maggie Stasko, 412-642-7700 [email protected] Pittsburgh Says “NO MORE” to Domestic Violence and Sexual Assault 5th Annual Father’s Day Pledge Ceremony will take place at U.S. Steel Tower Plaza on June 13 – largest gathering to date expected with participation by several corporations WHAT: Father’s Day Pledge Public Signing Ceremony to End Gender Violence On Thursday, June 13, prominent business, civic and community leaders, and public officials will lend their voices to the prevention of domestic violence and sexual assault at the 5th annual Father’s Day Pledge Ceremony in downtown Pittsburgh. This year’s public gathering is expected to be the largest yet with groups from UPMC, Koppers, Ernst & Young LLC, PNC, KPMG, Highmark Health and several other organizations participating. During the rally, the leaders will recite and sign the pledge to end gender-based violence. The program will conclude with a public pledge signing. The event is hosted by Southwest PA Says No More, an initiative supported by FISA Foundation, The Heinz Endowments and United Way of Southwestern Pennsylvania. WHEN: Thursday, June 13, 2019, 12:00 p.m. to 1:00 p.m. WHERE: U.S. Steel Tower Plaza, 600 Grant Street, Downtown Pittsburgh (If it rains, the event will be held in the upper lobby of U.S. Steel Tower.) AGENDA: 12:00 p.m. Welcome by emcee Sally Wiggin 12:05 p.m. Opening remarks Kristy Trautmann, FISA Foundation Adam Baron, United Way of Southwestern PA 12:12 p.m. Prevention takes leadership The Honorable Rich Fitzgerald, County Executive The Honorable William Peduto, Mayor, City of Pittsburgh 12:20 p.m.
    [Show full text]
  • Master of Public Management Part-Time Courses Big-Time Career Impact
    MASTER OF PUBLIC MANAGEMENT PART-TIME COURSES BIG-TIME CAREER IMPACT Heinz College’s Master of Public Management (MPM) program combines our unique formula of analytics, technology, and leadership practice that you would find in any of our full-time management programs. IS MPM RIGHT FOR ME? #1 · All classes meet once a week, in the evening · Heinz College is #1 in Analytics Education Heinz College #1 in · Over 90% of students receive scholarship Analytics Education · MPM cohorts are small, yet diverse - INFORMS UPS George D. Smith Prize 2016 · 2 years to complete, part-time · No GRE or GMAT required MPM is designed with working professionals in mind. Your MPM cohort will be composed of fellow decision-makers from influential sectors, such as health care, education, finance, government, and non-profits. Accelerate your current career path or pivot to a new focus or field. You will graduate from Heinz College with an analytical skillset that will set you apart in any organization. See the reverse for more details about our curriculum, and you’ll see what we mean. heinz.cmu.edu MPM Curriculum Core Coursework provides depth in Elective Coursework allows you to tailor Analytics, Technology, Communication, the degree to your interest areas. Current and Management, including: elective offerings include classes in: · Business Analytics · Analytics/Technology · Optimization & Risk Modeling · Arts Management · Organizational Management · Cybersecurity · Database Management · Design for Managers · Financial Analysis · Economic Development & Planning ·
    [Show full text]
  • Highmark Health 2013 Annual Report
    Leading the transformation of Health Care 2013 Annual Report Leading the transformation of Health Care As a Pittsburgh-based health and wellness enterprise, Highmark Health serves 35 million individuals through our affiliates. We maintain a steadfast commitment to making high-quality health care accessible, understandable and affordable. This report details how Highmark Health and our affiliates work every day to positively impact the lives of the people we serve. Letter From the Chairman of the Board Highmark Health and its affiliated companies, Highmark Inc. and the Allegheny Health Network, had a particularly strong year in 2013. We achieved significant success and continued to transform the company through diversification and new approaches for managing costs and improving quality and the customer experience. Our strong performance provides us with a solid foundation to meet the opportunities and challenges we will face in 2014. Creating an integrated health care delivery system We are charting a new course in health care that is focused on integration, innovation and meeting the needs of the consumer. In 2013, we took a bold step consistent with our strategy for growth and created the Allegheny Health Network (AHN) through affiliations with Jefferson Hospital, Saint Vincent Health System and the West Penn Allegheny Health System. This offers us new opportunities to work on behalf of our customers and members to implement an entirely new health care delivery model and better align payments with patient care. These hospitals are important community assets, and we intend to apply their clinical expertise to ensure that residents of Western Pennsylvania get the best health care possible.
    [Show full text]
  • Weekly Capitol Hill Report July 31, 2020
    Issues for the week ending July 31, 2020 In this Issue: Federal Issues Legislative Federal Issues Legislative House Postpones Recess as COVID-19 Relief House Postpones Recess as COVID-19 Talks Stall Relieve Talks Stall U.S. House Majority Leader Steny Hoyer (D-MD) Coalition Urges Congressional Leaders to End Surprise Billing announced Friday that the chamber would remain in session and forgo its traditional August recess until Congress finishes its next coronavirus bill. The Regulatory announcement came after Senate Republicans CMS Releases Part D National Average released a series of bills collectively known as the Monthly Bid Amount and Other Bid/Payment- HEALS Act to address the crisis last week, sparking Related Information negotiations with Democrats who ushered the Appeals Court Upholds Payment Cut for HEROES Act through the House in May. 340B Hospitals CMS Seeks Input for Rule to Mandate E- Despite talks between both parties and the White prescribing of Controlled Substances House, the sides remain $2 trillion apart and State Medicaid Directors Urge CMS to Suspend Medicaid Fiscal Accountability Rule negotiators reportedly made little ground last week Federal COVID-19 Policy Guidance and Other despite the fact that millions remain unemployed and Developments enhanced unemployment benefits expire July 31. Federal Court Issues Temporary Nationwide Stay of “Public Charge” Rule What’s next: It seems unlikely a resolution will be Fifth Circuit Decision in Favor of Health Plans reached soon, although President Trump has Medicaid MCO Health Insurance Tax Lawsuit expressed a willingness to cede ground to the Democrats to get a deal. Key points of contention are levels of funding for state and local governments, State Issues liability protections for reopening facilities, the amount Delaware of additional unemployment benefits, and additional Regulatory COVID-19 testing dollars.
    [Show full text]
  • ACC-Pittsburgh-Newsletter.Pdf
    Inside 4Q2013 2 ....Taking Charge of Legal Spending - The ACC Value Challenge 4 ....Internal Investigations from a Practical Perspective 5 .....ACC News 6 ....Past Event Photos 8 .....Five Tips for Preparing Effective Intellectual Property Assignments 9 ....Upcoming Events 10 ...Welcome New Members! 10 ..Board Members and Contacts FOCUS President’s Message Kevin Whyte, Carmeuse Lime & Stone My term as President, which I have • We arranged a joint CLE/ Where have we fallen short? enjoyed immensely, has come to a close. networking event with the One area in which we !e ACC is a wonderful organization that Washington County Bar have not made progress is o"ers many resources and opportuni- Association. advocacy for certain posi- ties to in- house lawyers. I intend to stay • We established the use of tions in which the in-house involved and to take advantage of such LinkedIn to communicate bar has a special interest. resources and opportunities. with our membership. We ACC National is very active First, I would like to thank Barb Dudek, would hope that the use with respect to advocacy our Chapter Administrator. Barb’s experi- of this tool will increase as initiatives. I have not done a ence, attention to detail, dedication and members become increas- good job of supporting such creativity ensure that things get done ingly aware of the ease of e"orts. Certainly, this is an promptly and in a professional man- communicating by this medium. area in which we can improve. ner. Second, I would like to thank all of • We initiated a program to reward an As mentioned in an earlier Focus article, our o#cers and board members.
    [Show full text]