Latest news with #UPMCHealthPlan
Yahoo
14 hours ago
- Entertainment
- Yahoo
Presque Isle Partnership announces 2025 UPMC Sunset Music Series dates, musical lineup
(WJET/WFXP) – A popular summer music series is making a return to Presque Isle. The Presque Isle Partnership and UPMC have once again teamed up to put on the UPMC Sunset Music Series at Presque Isle State Park. Beginning on June 18 and running until July 23, Presque Isle's Beach 11 will feature two bands each Wednesday along with food trucks, ice cream, hula-hoop playshops and extended swimming hours. Opener's performances will begin at 5:30 p.m., while headliners will be onstage at 7 p.m. Edinboro Lantern Festival raises money for local non-profit The event's musical lineup is as follows: June 18: Opener – Acoustic Gypsies Headliner – The Goats June 25 Opener – Rankin & Schell Headliner – Reminiscent July 2 Opener – Cookie Headliner – Matty and the Pickles July 9 Opener – Division Street Machine Headliner – Danny & the Daddios July 16 Opener – Chris & Julie Moore Headliner – Elle Taylor July 23 Opener – Small Town Rollers Headliner – Above All in Volume 'UPMC Health Plan and UPMC Hamot are excited to collaborate once again with the Presque IslePartnership,' said Katie Shafer, Senior Community Relations Manager for UPMC Health Plan. 'Welook forward to the UPMC Sunset Music Series each summer, where we come together as acommunity to enjoy great music and delicious food, while taking in nature's most beautiful venue, Presque Isle State Park.' For more information about the event, click here. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Yahoo
11-04-2025
- Entertainment
- Yahoo
Be a Tourist: Events around town April 11-13
Ryan recently released his first stand-up special. The one-hour Netflix original Happy Face follows a wealth of television appearances and a non-stop headlining tour. Armed with the unique perspective of growing up in rural Idaho to become a favorite in the New York stand-up comedy scene, he's one-of-a-kind. To purchase tickets and see show times, click here. The National Club Basketball Association will host its Women's National Championship in Erie April 11-13! The event will be held at the Hagerty Events Center. Eight NCBBA teams will advance to the National Championship tournament. The event will be a single-elimination, three-day tournament that will ultimately determine the 2025 National Champion. For more information, click here. Journey through the wonders of Ancient Egypt as two young men, raised together as brothers in a kingdom of privilege, find themselves suddenly divided by a secret past. Click here for tickets and show times. April showers bring May flowers, so Inner-City Neighborhood Art House will make some on-theme art at the Art House's Second Saturday on Saturday, April 12 from 10 a.m. to 12 p.m. They have umbrellas to decorate and spring to celebrate. Due to the scale of this project, it is anticipated it will take the full two hours to complete. For more information, click here. This year's show provides a great opportunity for you to redecorate your home with a one-of-a-kind handmade craft item or fill your Mother's Day shopping list. This event is also a great gift for your mom. Come spend the day together shopping and enjoying all the local artisans have to offer. Enjoy tasty items from many local and regional vendors offering pastries, chocolates, spices, sample local wines & more. All attendees will receive a recyclable tote bag compliment of UPMC Health Plan. For more information, click here. Indulge in samples from over 20 of the finest regional brewers, showcasing the best craft beers our area has to offer. Whether you're a seasoned beer enthusiast or just looking to explore new favorites, this is the perfect opportunity to discover unique brews, enjoy live entertainment, and connect with fellow craft beer lovers. For more information, click here. Free event! Visits with the Easter Bunny from 12pm-4pm, visits with friendly animals, fun photo ops, food, drinks and sweet treats, scavenger hunt, live music and more. For more information, click here. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
CBS News
01-04-2025
- Health
- CBS News
Audit of UPMC finds the healthcare provider used a loophole that cost taxpayers thousands
State leaders said an audit into a UPMC health insurance program found failures to update data and delays in reporting changes led to the state overpaying thousands of dollars. The Pennsylvania Auditor General's Office announced Monday that a performance audit into UPMC's Community HealthChoices insurance program found a loophole that cost taxpayers more than $350,000. The AG's office said the audit revealed that UPMC didn't adequately perform all its required participant assessments. "UPMC either didn't perform their required assessments to see if people were still eligible for care, or when they performed the assessments, they were done too late," said Gordon Denlinger, deputy auditor general for audits. Denlinger said UPMC also didn't notify the state department of human services of eligibility status changes in a timely manner once they became aware. "This is important because DHS uses data from these assessments as a key component in determining how much UPMC gets paid to cover the care provided," he said. "We found instances where DHS paid UPMC for people enrolled in the CHC program who were deceased, went to jail, or were no longer eligible for the program," Denlinger said. He said in the 66 cases they looked at, DHS made incorrect payments for eight participants and overpaid UPMC by about $357,000 in 2022, and the state wasn't able to recover about $121,000 because of restrictions in the contract with UPMC. The Community HealthChoices program of UPMC Health Plan is designed for people who receive long-term supports through Medicare and Medicaid. It served 156,000 people in 2022. The auditors made several strong suggestions to UPMC, including to make sure DHS is informed of status changes on a weekly basis as required. "UPMC needs to make sure there is greater accountability in its management structure to make sure the required assessments are happening timely and on a regular basis," Denlinger said. "We recommend process improvements that include a monthly check of participants against the Social Security Administration's death master file to remove people who are deceased from its rolls. And we recommend contacting all participants at least once a year to make sure their status hasn't changed," he added. He said UPMC has agreed with most of their recommendations. The auditors have some advice for DHS as well. "DHS can make sure that Pennsylvanians get back all the money owed to them when they overpay for services by changing the contract languages to close this loophole, and it can update its contracts to make sure UPMC contacts all participants at least once a year to make sure their status hasn't changed," Denlinger said. A UPMC Health Plan spokesperson provided a statement to KDKA-TV that said: The spokesperson added, "While Medicaid eligibility is determined by the state, UPMC Health Plan recognizes that information obtained by Managed Care Organizations (MCOs) through interaction with participants is a vital part of the state's ability to make such determinations. As such, we continue to support a strong Medicaid program through our partnership with DHS and operate numerous program integrity efforts beyond what is discussed in the audit. This includes the work of our "Special Investigations Unit" that works to detect fraud, waste and or misuse of the Medicaid program, referring more than 2,100 potential cases to DHS or law enforcement."
Yahoo
03-03-2025
- Entertainment
- Yahoo
Erie Zoo welcomes guests to kick off centennial season
It was a zoo-rific day at the Erie Zoo as they welcomed the public back onto the grounds. This is a day many people look forward to, including me! And this year's season is extra special. Q:'Did you know that today's their centennial celebration?' 'No, I did not,' said Marlene Jewell, a visitor. 'Do you know what that means?' 'No,' she answered. 'That means the zoo is celebrating 100 years!' 'Oh!' she said. 'Glow' wild at the Erie Zoo's Chinese lantern festival this spring It's sort of an unwritten rule in the Jewell household to come to the Erie Zoo for their grand re-opening at the beginning of each season. And the overnight snowfall and chilly temperatures didn't stop them from being one of the first to line gates before 10:00 a.m. 'We always have come here every year and honestly it's one of our traditions,' Jewell said. A tradition that Marlene and many other Erieittes look forward to every year. The Erie Zoo officially opened for the 2025 season, kicking off its centennial celebration. For their first day, they offered free admission along with food and beverages. All of this provided by UPMC Health Plan and Children's Hospital of Pittsburgh, Mill Creek Coffee Company, and Mighty Fine Donuts. 'Megalodon' goldfish found at Presque Isle State Park 'We love seeing the guests come through the gates, the animals love interacting with people, especially our orangutans they love to interact and play and see people again,' said Roo Kojancie, president & CEO of the Erie Zoo For this milestone, the staff wanted to make sure this was an unforgettable season. One Saturday every month, the first 100 guests will receive a special surprise, they're calling this Centennial Saturdays. They will also be presenting Glow Wild, it's a Chinese lantern festival from April 17 until June 15, illuminating every Thursday through Sunday evening. Glow Wild is the region's first-ever Chinese lantern festival that Kojancie said they have been wanting to bring to the zoo for the last few years. Close Thanks for signing up! Watch for us in your inbox. Subscribe Now 'We're bringing it in the springtime season and erie tends to seem a little bit quieter around that time of year so this is a really great way to engage and really promote tourism in the area,' she said. On top of all the exciting things happening during their 100th year, construction is scheduled to be completed for their renovated red panda habitat and the viewing area for the African painted dog. Kojancie explained they're making strides to regain accreditation from the association of zoos and aquariums after losing it in November of 2021. 'You might have seen the support letter than came the president of aza really commending us on our efforts as we work very diligently to regain accreditation,' she said. The president also added that this season will be full of exciting new memories and reflections of the years gone by. Prayer gathering in support of Ukraine held in Perry Square Saturday And even though our friend Marlene was completely shocked by the zoo's age, she's looking forward to spending the rest of the season on the grounds along with every other zoo lover. 'It's really fun,' Jewell went on to say. The zoo is open daily from 10 a.m. until 5 p.m. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Yahoo
28-02-2025
- Entertainment
- Yahoo
Erie Zoo ready to open their gates for 100th year
The Erie Zoo will be re-opening their gates to the public this weekend to kick off a milestone year! For their centennial celebration, the Erie Zoo will be offering free admission this Saturday, March 1 for their first day of the season. The grounds will be open from 10 a.m. until 5 p.m. with special activities until 2 p.m along with free coffee and donuts. 'Glow' wild at the Erie Zoo's Chinese lantern festival this spring Construction is scheduled to be completed this spring on their renovated red panda habitat and their viewing area for the African painted dog. President & CEO Roo Kojancie said they have a lot of special plans for their 100th year. Erie County League of Women Voters holds annual forum event 'We have Glow Wild which is the first ever Chinese lantern festival to come to the Erie region. We are so thrilled to bring this to Erie,' she said. 'We are also doing something really fun this year called Centennial Saturdays so that is one Saturday a month the first 100 guests that come through our gates will get a special surprise.' Free admission is made possible by UPMC Health Plan and Children's Hospital of Pittsburgh. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
