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Health Partners Plans (HPP) is a non-profit hospital-owned health maintenance organization which provides Medicaid and Medicare to central and southeastern Pennsylvania residents. [1] Health Partners Plans has over 262,000 members throughout Pennsylvania and provides healthcare to low income residents in the counties of Bucks, Chester, Delaware ...
Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia. The healthcare provider currently serves over 400,000 residents in the area. [1]
Penn Highlands has multiple senior care services based in Brookville. Penn Highlands experienced significant operating losses in 2023 and 2024, as did other major healthcare providers in Western Pennsylvania including Allegheny Health Network (AHN) and University of Pittsburgh Medical Center (UPMC). [6]
Aetna Better Health manages Medicaid benefits for the Commonwealth of Pennsylvania. Croce most recently served as chief operating officer of MajestaCare, an Aetna-administered managed health care ...
A review by Pennsylvania's elected financial watchdog concluded there were shortcomings in a state agency's oversight of fees paid to pharmacy benefit managers in the Medicaid program, but the ...
Pennsylvania has been accused of improperly receiving $551 million in Medicaid funds to go toward its school-based services. The U.S. Office of the Inspector General said in a report released ...