Court says UPMC must keep cheaper rates in Medicare plans

HARRISBURG, Pa. (AP) – A state Supreme Court decision means seniors and others in Pennsylvania enrolled in an insurer’s Medicare Advantage plans won’t have to pay comparatively higher rates in the coming years for services through the University of Pittsburgh Medical Center.

The justices ruled Monday that about 180,000 people in Highmark’s Medicare Advantage plans will pay “in-network” fees at least until June 2019, when a consent decree between the two health providers is set to expire.

The case is part of a bitter dispute that dates back to 2013. That’s when Highmark acquired a set of hospitals in the area and UPMC began to see the insurer as a competitive rival.

Highmark calls the ruling a win for residents of western Pennsylvania, particularly seniors. UPMC says it’ll comply with the decision.

1 thought on “Court says UPMC must keep cheaper rates in Medicare plans

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s