Frankel applauds historic Commonwealth Court ruling to protect patients in western Pennsylvania

PITTSBURGH, May 29 – House Democratic Caucus Chairman Dan Frankel, D-Allegheny, released the following statement in light of the ruling today by Commonwealth Court President Judge Dan Pellegrini in the ongoing dispute between UPMC and Highmark:

"Today’s decision by Judge Pellegrini is a momentous victory for consumers in western Pennsylvania. Under this decision, UPMC is required to continue to see Highmark Medicare Advantage patients at in-network rates which means that 180,000 seniors will not lose access to their doctors," Frankel said.

"The decision is important in several ways. Not only does it resolve the ongoing confusion regarding Medicare Advantage, it requires both UPMC and Highmark to resolve outstanding issues related to their consent decrees through binding arbitration which must be completed by September 30, 2015. In doing so, this decision could help provide clarity to hundreds of thousands of consumers in Pennsylvania who’ve been held hostage by this ongoing situation," Frankel said.

"Additionally, Judge Pellegrini made it clear that neither entity can make changes in their future business relationship with each other without court approval. The decision also requires the Commonwealth to make recommendations on how to change the corporate governance structure of both entities. This could lead to long-term changes in UPMC and Highmark’s behavior that reorients them to an even stronger commitment to serve their charitable purpose," Frankel said.

"I was proud to work alongside fellow Democratic legislative leaders to submit an amicus brief last week in support of the Administration’s motion. I would like to thank Governor Wolf, Attorney General Kane, Secretary of Health Murphy and Acting Insurance Commissioner Miller for their strong advocacy and dedication to the well-being of residents in western Pennsylvania," Frankel said.