Feedback sought on your experience with UPMC Health Plan

Jul. 2025Important Notices

You may be invited to participate in a 2025 Press Ganey provider satisfaction survey, which will begin next month. This survey will be given to a random sampling of in-network primary care providers.

UPMC Health Plan contracts with Press Ganey to measure in-network provider satisfaction levels and to meet one or more NCQA Health Plan Accreditation Standards. Press Ganey incorporates a percentile ranking to allow the Health Plan to compare its performance to a cohort of similar insurers that initiate a provider satisfaction survey.

In our 2024 survey of physician practices, 95 percent of respondents indicated that they would recommend UPMC Health Plan to other practices. In addition, respondents ranked the Health Plan in the 95th percentile when comparing us to other insurers with whom they participate.

Invitations will arrive in the mail or via email next month, and we ask that you share your feedback by completing the survey!

Recent Announcements

The importance of PRD forms for complex patients and staying updated on changes

Personal representative designation (PRD) forms are critical to the care process for patients and providers alike. Not only do PRDs support accurate, efficient, and compliant patient care—they also streamline administrative processes.
Aug. 2025Important Notices

Important announcement: UPMC Health Plan retires MP.PA.147

This communication is in regards to UPMC Health Plan Policy MP.PA.147 – Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older. UPMC Health Plan previously communicated that the prior authorization requirement under this policy would be paused until Sept. 1, 2025. However, policy MP.PA.147 has been retired, and this policy will no longer be implemented or active.
Aug. 2025Important Notices

CMS expands Medicare Advantage RADV audits to all eligible plans

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a substantial expansion of its Risk Adjustment Data Validation (RADV) audit program for Medicare Advantage plans.
Aug. 2025What's New