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Published: Saturday, October 07, 2017 @ 11:55 AM
Unless a deal is reached soon between UnitedHealthcare and Premier Health, thousands of people with Medicare plans through the insurer will soon have to decide whether they want to switch insurance companies or health care providers next year.
WHEN DID THE CONTRACT EXPIRE BETWEEN UNITEDHEALTHCARE AND PREMIER?
The contract expired expired May 13 after negotiations fell apart, but Medicare Advantage recipients were exempted and have remained in network under a deal that extends until the end of this year. Medicare open enrollment period starts Oct. 15. and runs until Dec. 7.
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WHO IS IMPACTED?
With the two parties saying their negotiations remain far apart, the 4,000 Medicare Advantage members with UnitedHealthcare that use Premier Health are faced with choosing a new doctor or a new insurance company.
WHY DID THE DISPUTE HAPPEN?
The dispute centers around the giant insurer’s plan to rank hospitals and doctors in tiers based on cost and quality, with the goal of incentivizing lower health care costs. Premier opposes the ranking system, which it says is already steering patients away from its hospitals and providers.
“We’re not even talking at this point,” said Tom Duncan, Premier Health chief financial officer.
HOW DOES IT IMPACT WHERE PATIENTS GO?
Patients with health benefit plans that are part of the UnitedHealthcare tiering system have lower co-payments if they choose doctors from a group ranked “tier 1,” which includes physicians the insurer considers cost-efficient.
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Premier officials say the ranking system doesn’t take into account expenses the hospital system has for offering specialized care such as its Level 1 trauma center, high risk maternity care, and burn care. The cost data used by UnitedHealthcare to determine its tiers is skewed by these higher-end services, according to Premier.
None of Premier’s hospitals are in UnitedHealthcare’s tier 1, although some of its doctors are.
Published: Monday, June 18, 2018 @ 2:50 PM
— On Monday, the Dayton Montgomery Port Authority Board of Trustees voted to have the Port support the downtown Dayton Arcade development project, agreeing to enter into four ground leases for four component parcels of the Arcade.
The Port will enter into capital lease agreements with four limited liability companies that own the Arcade’s component parcels, said Jerry Brunswick, executive director of the Port Authority.
The support will help save an estimated $1 million in sales taxes on materials used to improve Arcade, Brunswick said.
“That’s valuable,” he said.
The trustees voted unanimously to participate in redevelopment of the historic downtown Arcade after a closed executive session lasting more than an hour. The vote took place without public discussion.
Consisting of nine buildings covering more than 330,000 square feet — including structures that go back nearly 120 years — the newly re-developed Arcade is expected to have commercial, retail, educational and residential elements. Key possible tenants such as the University of Dayton and Dayton brewer Warped Wing have expressed interest in a place at the Arcade, as have Boston Stoker and the Dayton Visual Arts Center.
Just last month, the city of Dayton agreed to loan $10 million to the Cross Street Partners-led development partnership that said it now has secured nearly all of the financing it needs for a $95 million rehab of the southern portions of the Arcade.
When the Port Authority owns land, it can offer construction companies and developers several tools to boost construction projects, including a shield from expensive sales taxes on construction materials.
“Our ownership facilitates sales tax exemptions for these properties,” Brunswick said. “That will save them, the project operators, somewhere in the neighborhood of $1 million.
“You can see that as part of the overall source of financing for the project,” he added.
He noted that the resolution trustees approved holds that the Port Authority’s participation is contingent on all the participating entities “coming together.”
Published: Monday, June 18, 2018 @ 11:24 AM
— Some grocery chain have shoppers who are majorly loyal to their stores.
Marketforce surveyed nearly 13,000 U.S. consumers, and asked them about their grocery shopping habits including brand preference, customer experience and brand awareness. About 48 percent of customers were very satisfied with their customer experience during their last grocery visit, according to the survey.
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Best store for grocery shopping? https://t.co/ogFWlPXvyW— Kara Driscoll (@KaraDDriscoll) June 18, 2018
So, what brands rank highest for customer loyalty? These stores came out on top:
1. Publix Super Markets
3. Trader Joe’s Market
6. Harris Teeter
7. Hy-vee Food Stores
9. WinCo Foods
10. While Foods Market
FIVE FAST READS
Published: Monday, June 18, 2018 @ 11:30 AM
— A Columbus-based company is looking at taking over a project to redevelop of the Fire Blocks District in downtown Dayton, which faces a key deadline this month related to state tax incentives.
Dayton’s city manager and other sources have confirmed with the Dayton Daily News that the Windsor Companies is interested in the project.
Scott Gibson, CEO of the Ellway Group, confirmed there is a group attracted to the project, but declined to identify them.
The Ellway Group owns many buildings in the Fire Blocks District, which is centered around the 100 block of East Third Street.
Windsor Companies was behind the renovation of the Vetro Lofts in Italian Village in Columbus.
Windsor bought the building in 2013 in a court auction for $4.3 million and converted its apartments into 35 luxury condos, which are very modern and sleek, according to the Columbus Dispatch.
Units are selling for more than $300,000. The Dispatch identified Alex Dorsey as the principal of Windsor.
In 2013, Windsor purchased a vacant senior housing complex in Hilliard for about $8.3 million, not including the costs of a negotiated settlement with bond investors, according to Columbus Monthly.
The Dayton Daily News has contacted the company and will update the story with its responses.
Time is running out for a project to rehab two of the Fire Blocks buildings: the David (or Huffman Block) building and the Elks building.
In 2016, Ellway Group was awarded about $4.5 million in state historic tax credits to rehab the structures.
But earlier this year, the state told the developers that the project had not made sufficient progress. The state gave developers until the end of this month to prove the project has financing or return the tax credits.
Last week, Downtown Dayton Partnership Executive Director Sandy Gudorf said the Fire Blocks redevelopment plan was being restructured and a new developer was at the table.
Though she declined to identify the company, she said they have the capacity and vision to get the project completed.
Published: Monday, June 18, 2018 @ 11:05 AM
— Early construction has begun on a new hotel near the Rose Music Center at The Heights in Huber Heights.
Footers and cement work are in place, said Donnie Jones, Huber Heights assistant city manager.
“I think all the ground work is either finished or underway,” Jones said Monday.
A building permit filed with the city of Huber Heights gives the value of the project as $6 million and identifies the contractor as Alpha Construction. The address is 7000 Executive Blvd.
The hotel will be branded Tru by Hilton. The concept involves smaller, efficiently designed rooms with larger lobbies, approaching 3,000 square feet, offering room for work and games.
Hilton describes Tru as “a brand-new hotel experience from Hilton that’s vibrant, affordable and young-at-heart.”