Pittsburgh-based UPMC must continue to provide in-network services to members of Highmark’s Medicare Advantage plans, a Pennsylvania judge ruled.
Claiming Highmark had failed to pay contracted rates for cancer care, the UPMC system announced in April that it planned to end its Advantage contracts with Highmark at the end of the year. The state took UPMC and Highmark to court, saying they had violated the terms of a consent decree reached between the two parties. More than 180,000 Pennsylvania seniors are part of Medicare Advantage plans. UPMC has already said it plans to appeal the decision