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Contents : upmc insurance services division Orchestrating Success local roots national reach worldwide excellence 2008 annual report UPMC Insurance Services Division gratefully acknowledges the following: Volkwein s Music John Sanderson Photographer For allowing us to use their facilities in the And all those who generously gave their time production of this publication: and support for this publication. Genesis Medical Associates/Northern Area Family Medicine page 9 Blackhawk School District Beaver County page 15 Produced by UPMC Health Plan Marketing & Communications Department UPMC Stroke Institute UPMC Presbyterian page 19 UPMC Northwest page 19 monitor Phipps Conservatory page 31 UPMC Insurance Services Division One Chatham Center 112 Washington Place Pittsburgh PA 15219 1-888-876-2756 Riverside Park Amphitheatre Greenville Mercer County page 35 Children s Hospital of Pittsburgh of UPMC page 39 The Washington Hospital Washington PA page 45 Manchester Craftsmen s Guild inside back center Visit www.upmchealthplan.com to view our interactive online version of this annual report. UPMCHP 2008 AR C20090521-03 (MS)P 06/25/09 7M HP Copyright 2009 UPMC Health Plan Inc. All rights reserved. 2008 annual report Table of contents 3 Letter from the President and CEO 4 Who we are 5 6 Network 7 10 Integrated Delivery System Membership What we do 11 Wellness Programs 16 Health Management 20 Work Productivity 22 Pharmacy Services 23 26 Quality and Transparency 12 Customer Service Audiences we serve 28 32 Medicare Special Needs 36 Medical Assistance 36 Children s Health Insurance 37 40 Commercial Products Behavioral Health In the community 41 46 Hospital Partnerships 42 Community Sponsorships How we work 47 Corporate Information 48 Financial Information 49 Corporate Leadership 50 Boards and Committees 51 Mission and Values 1 www.upmchealthplan.com UPMC Insurance Services Division The UPMC Insurance Services Division is part of UPMC an integrated global health enterprise also comprising a leading nonpro t health system and an actively expanding international and commercial services division. The integrated partner companies of the Division include: UPMC Health Plan the second-largest health insurer in western Pennsylvania offers a full range of commercial and government products and services including commercial group health insurance Medicare Medical Assistance Special Needs (SNP) and Children s Health Insurance (CHIP) as well as disease management and behavioral health programs. UPMC Work Partners offers a comprehensive suite of programs and technology to promote health and productivity in the workplace including health and wellness employee assistance workers compensation family and medical leave disability and return-to-work programs and services. LifeSolutions a component of UPMC Work Partners provides employers with a comprehensive employee assistance program (EAP) that helps employees and their families address personal and professional concerns in person by telephone and online. EBene ts Solutions an af liate of UPMC Work Partners provides superior HR consulting services and bene ts administration through an innovative Web-based system. EBene ts helps HR professionals focus on strategic business issues and frees them from administrative tasks. Community Care Behavioral Health the largest nonpro t behavioral health managed care company in the U.S. supports Pennsylvania s HealthChoices program by managing behavioral health services for Medical Assistance recipients in 35 counties. Askesis Development Group designs and implements innovative software solutions that support behavioral health care products and services serving customers in 27 states nationally. 2008 annual report letter from the president and ceo any people both around the globe and in western Pennsylvania will remember 2008 as a M watershed year. The year started peacefully enough but by the end of December millions of Americans saw decades of savings wiped away businesses across the country and around the world suffered and collapsed and venerable names captains of industry were brought to the brink of insolvency. Most notably we elected our rst-ever African American President of the United States. The new administration s focus on health care reform will likely bring changes that will impact health care and health insurance. 2008 will long be remembered as a year of change and a year of challenges. In 2008 UPMC Insurance Services Division including UPMC Health Plan UPMC for You UPMC for Life UPMC for Kids Community Care Behavioral Health UPMC Work Partners Askesis Development Group and EBene ts experienced the impact of the changing times but continued to grow and prosper. How By focusing on our customers and recognizing the importance of teamwork and maintaining the ab

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