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Published: Tuesday, January 02, 2018 @ 1:50 PM
— Premier Health and UnitedHealthcare have agreed to a new contract, ending a seven-month dispute that affected nearly 200,000 health insurance policy holders in the region.
The two companies were unable to reach a new contract deal last May and the dispute dragged on through the end of 2017, leaving patients with Premier doctors and UHC insurance scrambling to either find a new doctor, switch insurers or pay more for out-of-network care.
“We are very happy to have found common ground and a way that Premier Health and UnitedHealthcare can work collaboratively to extend quality, patient-centered care in our communities,” said Mary Boosalis, president and CEO, Premier Health. “We look forward to working with UnitedHealthcare to continue serving our community and having a positive impact for its members who live and work in our service area.”
The new contract deal was announced Tuesday and became effective immediately.
“Our priority is ensuring the people we serve have access to quality, cost effective health care,” said Kurt Lewis, CEO of UnitedHealthcare of Ohio. “Premier Health is an important community provider and partner and we are pleased to renew our relationship on behalf of the tens of thousands of people we serve across southwest Ohio.”
Details of the contract were not available but it was described as a multi-year deal.
Last year, both sides said the dispute centered around the giant insurer’s plan to rank hospitals and doctors in tiers based on cost and quality, with the stated goal of lowering the cost of health care by prompting patients to shop for cheaper care.
Premier opposed the ranking system, which it said is already steering patients away from its services and doesn’t accurately compare cost differences between its providers and other options.
Boosalis on Tuesday would not say whether tiering was a part of the new deal and said the fine details are still being hammered out.
RELATED: Sale of Premier Health's insurance line falls apart
“I am not able to talk about the specifics of the contract. That’s part of the agreement,” she said.
She said however, that she and her board feel good about the results.
It would have been easy to get a short term deal that wasn’t in the long-term best interest of patients, Boosalis said, but said she and her board pushed for the better long-term deal.
“It was hard for any given person on any given day and I don’t think I’ll ever forget that, but we had to look at the longer term and the greater good and that’s where we landed in the end,” Boosalis said.
The contract dispute hit the region hard leaving those in the area covered by UHC out of network at Premier, the largest hospital and doctor network in Southwest Ohio.
“It was very difficult and it was very serious and I don’t take that lightly and nor does my board,” she said.
Premier’s hospitals include Miami Valley Hospital with an additional location at Miami Valley Hospital South, Atrium Medical Center, Upper Valley Medical Center and Good Samaritan Hospital. Miami Valley Hospital operates the only Level I trauma center in the region, which has the highest level of comprehensive trauma care.
Being out of contract chipped away at both parties. Premier Health said previously that its bottom line was off by “millions” because of UHC patients having their access curbed and UHC was challenged this open enrollment season with selling insurance policies that at the time couldn’t be used in-network at the largest health care provider in the region.
Temporary agreements would have expired this month that had been letting patients with UHC pay Premier doctors with a $25 co-pay and let UHC-managed Medicare Advantage plans remain in-network with Premier.
UHC has 200,000 policy holders in the area and as of May, about 70,000 UHC-policy holders had used Premier services over the past 12 months.
Open enrollment season is over for both commercial and government insurance plans for 2018, and some Medicare Advantage policy holders and employers have already switched insurance carriers because of the uncertainty.
Published: Friday, January 19, 2018 @ 12:35 AM
Updated: Tuesday, January 23, 2018 @ 5:38 AM
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Published: Tuesday, January 23, 2018 @ 5:02 AM
Updated: Tuesday, January 23, 2018 @ 6:55 AM
ALASKA — A tsunami warning is in effect after a preliminary 7.9 magnitude earthquake struck 173 miles southeast of Kodiak, Alaska.
UPDATE @ 6:55 a.m.
The Kodiak Police Department reports water has started to recede from their harbor, and are urging residents to move to higher ground and wait for updates, according to a Facebook post.
Police also posted a video about 5:40 a.m. Eastern Time, warning residents a tsunami could be on the way.
The tsunami watch, issued for parts of the Hawaii has been cancelled, but remains in effect Oregon, California, and Washington.
The earthquake was at a depth of 15 miles. There have been nine aftershocks, from 3.1 to 5.0 magnitude.
The Oregon, California and Washington coasts are under a tsunami watch.
According to the National Weather Service, the first waves should arrive around 2 a.m. local time (6 a.m. Eastern Time). Residents are being told to seek higher ground.
A #tsunami warning is in effect for the outer coast of SE #Alaska. First waves may arrive around 2:00 AM, according to Tsunami Warning Center. Further updates may be found at https://t.co/FIgKd7XW5Y or via NOAA wx radio. #akwx— NWS Juneau (@NWSJuneau) January 23, 2018
The National Weather Service tweeted that a buoy just northeast of the epicenter recorded a water displacement of 32 feet.
#ALASKA #EARTHQUAKE ... reports of an 8.2 magnitude earthquake off the S coast of Alaska; buoy 46410 just northeast of the epicenter has recorded a water displacement of 10 meters (32 feet); #TSUNAMI WARNINGS posted for the S Alaska and W Canadian coastline pic.twitter.com/xmtvsoclMq— NWS Boston (@NWSBoston) January 23, 2018
This story will be updated as we learn additional details.
Published: Tuesday, January 23, 2018 @ 3:38 AM
TODAY: Another batch of light showers off to the west will move in early this morning, said Storm Center 7 Meteorologist Kirstie Zontini. Showers today will mainly fall as rain, but at times a mix with wet snow flakes can occur. An accumulation isn’t expected with the wintry mix. Temperatures will linger in the upper 30s, but fall quickly towards the end of the afternoon. They’ll be gusty winds around 30 mph at times today with any evening rain or snow showers ending rather quickly.
TOMORROW: Colder temperatures start the day in the mid-20s. Some passing flurries are also possible for the first part of the day. Highs peak in the mid-30s as clouds decrease at nighttime.
THURSDAY: There will be sunshine throughout the day with temperatures warmer than normal in the low 40s. The day will be dry.
FRIDAY: We continue to see temperatures improve with sunshine and a few clouds as highs reach around 50 degrees.
SATURDAY: The day will be breezy and mild with highs around 50 degrees. Rain showers will start to arrive and become more widespread into the night.
Published: Tuesday, January 23, 2018 @ 2:15 AM
DAYTON — UPDATE @ 2:40 a.m.: One person is dead and another individual was taken to Miami Valley Hospital after a shooting occurred in Dayton early Tuesday morning, according to officials.
Crews were dispatched to the area of N. Upland Avenue and Fairbanks Avenue around 2 a.m. where they found two adult males, both shot with once deceased in the back of a vehicle.
A homicide detective has been called to the scene, as well as the Montgomery County Coroner’s Office.
The condition of the man taken to Miami Valley Hospital is unknown at this time.
The shooting remains under investigation.
Officials are responding to the area of N. Upland Avenue at Fairbanks Avenue for a reported shooting victim.
The incident was reported early Tuesday morning around 2 a.m., per initial reports.