Alaska
Anchorage Superior Court sides with state on repeal of rule meant to control health care costs
An Alaska judge is backing the state’s decision to repeal a longstanding rule that was meant to keep down health care costs in the state.
Under the 80th percentile rule, which was repealed by the administration of Gov. Mike Dunleavy in January 2024, insurance companies were required to pay out-of-network providers at least the 80th percentile of the average going rate for a medical service.
The rule prevented Alaska patients from receiving large medical bills for out-of-network care. But the Dunleavy administration and the state’s biggest insurance company, Premera Blue Cross Blue Shield of Alaska, argued the rule also increased the cost of health care over time.
The repeal was broadly opposed by dozens of health care providers across the state, who said the removal of the rule will make it harder for them to stay afloat while benefiting insurance companies that are headquartered in the Lower 48.
If insurance companies significantly lower their reimbursement rates, providers said, keeping their doors open may no longer pencil out.
A coalition of providers sued in late 2023 to keep the rule in place, arguing that the Division of Insurance had not sufficiently proven that the rule was responsible for increases in the cost of health care in Alaska.
The case went to trial in February. Late last month, Anchorage Superior Court Judge Yvonne Lamoureux ruled in favor of the state.
“The evidence at trial established the Division (of Insurance) did not make the repeal decision lightly,” Lamoureux wrote in her ruling, concluding that the repeal was “not unreasonable or arbitrary.”
In a statement, Dr. John Morris, an anesthesiologist who spearheaded the lawsuit on behalf of the health care providers, said the coalition is “disappointed with the ruling.”
“Each year insurers pay physicians and healthcare providers less for the same care but somehow also blame doctors for rising health insurance costs,” Morris said. “We remain committed to bringing health care costs down while making sure our seniors and veterans have a doctor to see. This ruling doesn’t help.”
The Division of Insurance had considered repealing the rule for over a decade as part of its efforts to address rising health care costs in Alaska. Premera, an insurance company that controls a large share of Alaska’s individual insurance market, was strongly in favor of the repeal.
Former Division of Insurance Director Lori Wing-Heier previously indicated that repealing the rule would lead to a reduction in Premera’s premium rates by between 2% and 3%.
In reality, rates are set to remain largely unchanged next year, after massive increases in the preceding three years, according to Premera’s federal filings. Premera executives contend that premiums would have gone up substantially next year had the rule remained in place.
At stake in the lawsuit was the question: What is driving the sky-high cost of health care in Alaska? Premera and the state contended that the answer, in part, was that Alaska’s health care providers were charging ever-higher prices because of the 80th percentile rule, thus driving up costs for consumers. Health care providers said that it is insurance companies like Premera that are driving up costs while providers themselves struggle to afford to keep their doors open.
A study from the Medical Group Management Association released last year found that primary care providers in Alaska are the lowest-paid in the country. Advanced specialists, meanwhile, are among the highest paid, the study found.
Court filings indicated that Premera did, in fact, save millions of dollars in 2024, after the rule was repealed. But it was not immediately clear whether the savings for the insurance company were passed along to consumers through lower health care bills.
The end result of the repeal of the rule may be that more Alaska providers join and remain in-network with Premera and other large insurance companies. In 2024, 1,000 providers moved in-network in Alaska, according to testimony from Wing-Heier. No providers reported to the Division of Insurance needing to close their doors due to the repeal, Wing-Heier testified.
Veteran musher Jessie Holmes (bib # 7 ), of Brushkana, Alaska was the first musher to reach the McGrath checkpoint at 8:03 p.m. today with 16 dogs in harness, winning the Alaska Air Transit Spirit of Iditarod Award.
First presented in 2019 and given to the first musher to reach the McGrath checkpoint, this award is presented by Lead Dog partner, Alaska Air Transit. First introduced in 2019, this award honors the first musher to arrive at the McGrath Checkpoint. The McGrath community shares deep ties to the Iditarod, and the award reflects that connection, featuring beaver fur mushers mitts with Athabaskan beadwork on moose hide, handcrafted by Loretta Maillelle of McGrath, along with a beaver fur hat made by Rosalie Egrass of McGrath. The award was presented to Holmes by Jessica Beans-Vaeao, Charter Coordinator for Alaska Air Transit
“Our team is excited to present this Spirit of Iditarod award in McGrath again this year. The Beaded Moose Hide and Beaver Mitts were made by Loretta Maillelle of McGrath, and the hand sewn Beaver Hat was made by Rosalie Egrass of McGrath. Rosalie Egrass was able to fly home on our plane that took our crew and the award to McGrath, which made for a pretty special trip! We are proud to be providing service to McGrath, and feel that all local Air Carriers represent the spirit of Iditarod throughout Alaska on a daily basis. It is great to be a part of the air carriers that service the state with essential supplies and transportation, and to be a part of the Iditarod in a meaningful way,” said Josie Owen, owner of Alaska Air Transit.
This is Alaska Air Transit’s eighth year sponsoring the Iditarod and seventh year presenting the Spirit of Iditarod Award. Alaska Air Transit offers crucial flight support statewide via air charter and provides scheduled service to the Upper Kuskokwim communities of Nikolai, McGrath, Takotna and Tatalina as well as the Prince William Sound communities of Tatitlek and Chenega.
The 2026 Alaska high school girls basketball state championships begin this week, and High School On SI has brackets for all four classifications.
The brackets will be updated with scores and matchups throughout the week.
All four classifications will play their state championship games at Alaska Airlines Center in Anchorage.
The 1A and 2A championships run March 11-14. Classes 3A and 4A play the following week, March 18-21.
Alaska High School Girls Basketball 2026 State Championship Brackets, Matchups, Schedule – March 10
3/11 – Shaktoolik (1) vs. Arlicaq (16)
3/11 – Kake (8) vs. Tri-Valley (9)
3/11 – Fort Yukon (4) vs. Andreafski (13)
3/11 – Sand Point (5) vs. Napaaqutgmiut (12)
3/11 – Scammon Bay (2) vs. Nunamiut (15)
3/11 – Akiuk Memorial (7) vs. Newhalen (10)
3/11 – Davis-Romoth (3) vs. Cook Inlet Academy (14)
3/11 – Hoonah (6) vs. Shishmaref (11)
3/12 – Seward (1) vs. Chevak (8)
3/12 – Metlakatla (4) vs. Cordova (5)
3/12 – Craig (2) vs. Susitna Valley (7)
3/12 – Glennallen (3) vs. Degnan (6)
3/18 – Barrow (1) vs. Kotzebue (8)
3/18 – Grace Christian (4) vs. Galena (5)
3/18 – Monroe Catholic (2) vs. Delta (7)
3/18 – Mt. Edgecumbe (3) vs. Kenai Central (6)
3/18 – Mountain City Christian Academy (1) vs. North Pole (8)
3/18 – Colony (4) vs. West (5)
3/18 – Bartlett (2) vs. Juneau-Douglas (7)
3/18 – Wasilla (3) vs. Service (6)
More Coverage from High School On SI
This is the Alaska Wall Tent by the Alaska Gear Company, each one is made in the United States from Sunforger 13oz DLX, a double-filled, pre-shrunk, marine-grade canvas ideal for longterm outdoor use.
The Alaska Wall Tent comes in an array of sizes and versions, allowing you to choose the one that best suits your individual use-case. They’re all individually made in Alaska, and perhaps even more importantly, they’re all tested extensively to be able to handle local conditions.
This is the Alaska Wall Tent by the Alaska Gear Company, each one is made in the United States from Sunforger 13oz DLX, a double-filled, pre-shrunk, marine-grade canvas ideal for longterm outdoor use.
History Speedrun: The Alaska Gear Company
The Alaska Gear Company was formerly known as Airframes Alaska, it’s an aviation and outdoor equipment supplier and manufacturer headquartered in Palmer, Alaska. The company is led by majority owner Sean McLaughlin, who bought the original bush airplane parts business when it had just two employees and $100,000 in annual revenue. McLaughlin has since grown it to approximately 100 employees and $20 million in annual sales.
The company can trace its early roots to a licensed maker of Piper PA-18 Super Cub fuselages at Birchwood Airport. Through a series of acquisitions, including Reeve Air Motive (an aircraft parts retailer operating out of Anchorage’s Merrill Field since 1950, Alaska Tent & Tarp, and Northern Sled Works, the company grew well beyond aviation into outdoor recreation and cold-weather gear.
That diversification ultimately drove the rebrand from Airframes Alaska to Alaska Gear Company in late 2023, as the old name no longer conveyed the full scope of what the company produces and sells.
The Alaska Gear Company now operates out of three locations – a 100,000 square foot manufacturing facility in Palmer, a production facility in Fairbanks, and a retail store with an in-house sewing workshop at Merrill Field in Anchorage.
Its product lines span two major categories. On the aviation side, the company is best known for its hand-built Alaskan Bushwheel tundra tires, FAA-approved titanium landing gear, Super Cub fuselage modifications, and a wide range of bush plane parts. On the outdoor side, it manufactures Arctic Oven hot tents, canvas wall tents, custom freight and pulk sleds, and a modernized version of the iconic military bunny boot designed for extreme cold weather conditions.
More recently in 2024, the Alaska Gear Company was named “Made in Alaska Manufacturer of the Year” by the Alaska Department of Commerce.
The Alaska Wall Tent By The Alaska Gear Company
The Alaska Canvas Wall Tent is a handmade-in-Alaska canvas tent made from 13oz Sunforger DLX double-filled, preshrunk, marine-grade cotton canvas that’s treated to resist fire, water, and mildew while still remaining breathable.
It comes in four sizes, including 8×10, 10×12, 12×14, and 14×16 feet, all with 5-foot wall heights, and it’s available either unframed (starting at $1,295) or with a frame (starting at $2,300). The unframed version can be constructed in the field using lengths of wood sourced from the area, reducing the initial pack weight – this is crucial for trips into the wilderness by bush plane where every pound of weight is critical.
It comes in four sizes, including 8×10, 10×12, 12×14, and 14×16 feet, all with 5-foot wall heights, and it’s available either unframed (starting at $1,295) or with a frame (starting at $2,300). The unframed version can be constructed in the field using lengths of wood sourced from the area, reducing the initial pack weight – this is crucial for trips into the wilderness by bush plane where every pound of weight is critical.
All tents include a 4.5 inch oval stove jack for use with wood or propane stoves, as well as a 56 inch triangular rear window with insect screening, an 18oz vinyl sod cloth around the base to block drafts and moisture, ridgepole openings at both ends, rope-reinforced eaves, brass grommets, overlapping door flaps with ties, a heavy-duty zippered door, and 100 feet of sisal rope for tie-downs.
The tents are now available to buy direct from the Alaska Gear Company here, and at the time of writing they have stock ready to ship out immediately.
Images courtesy of the Alaska Gear Company
Articles that Ben Branch has written have been covered on CNN, Popular Mechanics, Smithsonian Magazine, Road & Track Magazine, the official Pinterest blog, the official eBay Motors blog, BuzzFeed, Autoweek Magazine, Wired Magazine, Autoblog, Gear Patrol, Jalopnik, The Verge, and many more.
Silodrome was founded by Ben back in 2010, in the years since the site has grown to become a world leader in the alternative and vintage motoring sector, with well over a million monthly readers from around the world and many hundreds of thousands of followers on social media.
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