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.