Pitts­burgh-based UPMC must con­tinue to pro­vide in-net­work ser­vices to mem­bers of High­mark’s Medi­care Ad­van­tage plans, a Penn­syl­va­nia judge ruled.

Modern Healthcare - - LATE NEWS -

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

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