Pa. Supreme Court: UPMC can't terminate Highmark Medicare Advantage contracts

The Pennsylvania Supreme Court has ruled Pittsburgh-based UPMC cannot drop Highmark's Medicare Advantage plan members from its network, according to a Pittsburgh Post-Gazette report.

UPMC has sought to block in-network access for Highmark Medicare Advantage members since April.

The court's ruling means about 182,000 seniors enrolled in Highmark's Medicare Advantage plans will not have to pay higher, out-of-network rates through June 2019, according to the report.

Pennsylvania Gov. Tom Wolf and Highmark officials applauded the court ruling. "This is a huge victory for seniors across Western Pennsylvania," Gov. Wolf told the Pittsburgh Post-Gazette.

UPMC spokesman Paul Wood said the health system will comply with the ruling, according to the report.

More articles on healthcare finance:

OSU Wexner's operating margin cut in half on CFO's recommendation
8 hospital CFOs in the headlines
Duke University Health, UNC Health Care end fiscal year on high note: 9 things to know

 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Whitepapers

Featured Webinars