Genesis Medical Associates

We have reached the end of a very bumpy road for those waiting out the Highmark vs. UPMC health care dispute. In June of 2019, the state-legislated consent decree between the two Pittsburgh health care giants expired.  However, at the 11th hour, the state attorney general’s office brokered a new deal between the two healthcare giants allowing for continued access regardless of health insurance, except as it may apply to narrow insurance networks and products.

Why did the attorney general have to intervene? In short, the Highmark vs. UPMC consent decree was the byproduct of an inability from both sides to co-exist with each other for the betterment of our city’s health for the last several years. 

The dispute between Highmark and UPMC reached its boiling point in 2014, when the contract between the two expired and new terms could not be agreed upon. UPMC announced it would no longer offer in-network access to its hospitals, doctors and services for those with Highmark insurance plans. However, the state of Pennsylvania intervened before the mandates could be implemented, and brokered a five-year consent decree that secured Highmark members continued access to UPMC services. With the decree set to end on June 30th, the harsh reality for those individuals was fast approaching until a new deal between Highmark and UPMC was announced on June 24, 2019.

For some, the matter of altering healthcare services isn’t the end of the world. But what about those who have spent their entire lives building trustful relationships with the same doctors and providers? For those patients, this causes significant stress – especially if their health conditions are serious and require consistent treatment. Their network of doctors, co-pays, deductibles, and annual costs could have easily changed.

So, what’s the answer?

From what we now know, a UPMC – Highmark business relationship continues to exist, at least in the immediate future. Additional details will emerge. Regardless of that, and especially without knowing the impact of the new deal on employer groups with narrow networks, Genesis Medical Associates has always been (and will continue to be) an independently-owned physician group that accepts all medical insurances.

Genesis Medical Associates (GMA), still the largest and independent primary care group in the North Hills of Pittsburgh, bridges this divide by providing care to patients with any insurance coverage, including Highmark, UPMC and Aetna.

GMA was founded in 1995 by a group of physicians in the northern suburbs of Pittsburgh concerned that hospitals and insurance companies would buy all of the independent practices.  Their goal was to merge, combine resources and provide exceptional quality care while staying independent.  Over the last three decades, they have managed to stay committed to this goal.  “At a time when everyone seems to be taking sides, independence is a great thing for us and most importantly to our patients,” says Mark Kissinger, Executive Director.

If you’re already a Genesis patient, you never need to worry about switching healthcare providers or doctors. Nothing changes whenever you change insurance. And, for any prospective new patients looking to transition, just know that you would be joining a first-class care team that operates with a family-like approach. 

Visit our website at www.genesismedical.org or give us a call to learn more about Genesis Medical Associates and to schedule your next appointment!