UPMC plan membership up, operating income down in 1st half of 2023

Pittsburgh-based UPMC's insurance services division grew membership 11 percent in the first six months of 2023 compared to the same period last year, but operating income declined by $74 million.

UPMC had 4.5 million insurance members as of June 30, up from 4.04 million on June 30, 2022, according to the report. The health system attributed the increased enrollment primarily to the expansion of its behavioral health and Medicaid products in new regions of Eastern Pennsylvania. 

The insurance division had an operating income of $109 million during the first half of 2023, down from $183 million over the same period last year, according to the report. 

The decline was attributed to the result of higher utilization across several insurance division products as patient volumes increased, according to an Aug. 24 UPMC news release.  

The insurance division had a medical expense ratio of 85.8 percent as of June 30, compared to 87.1 percent during the same period last year.

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