What the Premier, UnitedHealthcare contract means for you

Published: Wednesday, January 03, 2018 @ 12:01 PM


            FILE
FILE

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 had been 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.

PREVIOUS COVERAGE:

No deal in sight between Premier and UnitedHealthcare contract talks

Timeline: How Premier, UHC dispute unfolded in 2017

Why the Premier-UHC dispute could hit region harder in 2018

The new contract deal was announced Tuesday and was effective starting Jan. 1.

Here’s what the agreement mean for you:

If you got out-of-network care during the contract dispute:

The status of those health care bills likely doesn’t change, since the care was delivered while Premier and UHC didn’t have a contract.

A temporary agreement let patients pay with $25 co-pays for primary care.

Also, if you got out-of-network care, you’re not alone. Already by August, more than 1,000 patients with UnitedHealthcare went to a Premier emergency room, according to the health network. While patients weren’t typically responsible for the full bill, the final bills were likely higher than what it would be for in-network care.

If your company stayed with UnitedHealthcare during open enrollment season:

Companies had to make tough decisions over whether to stick with Unitedhealthcare for 2018, which may have been the best choice for their bottom line but also put employees with Premier doctors in a bind.

For those employers that stuck with UnitedHealthcare, the contract deal solidifies that it was a good decision to stay, said Scott McGohan, CEO of McGohan Brabender, a Dayton-area employee benefits broker.

McGohan said employers with UnitedHealthcare coverage want to run their business, they don’t want to manage problems that had been created for their employees their by the dispute.

“For employers that have UnitedHealthcare, what this does is it doesn’t disrupt their workforce,” he said.

If you already switched insurance companies:

You have the insurance coverage for all of 2018 unless you have a major life event.

If you already switched doctors:

If you switch back to Premier, you’ll be back in-network for UnitedHealthcare.

If you have a Medicare Advantage plan managed by UHC:

Your health care coverage should not have been interrupted if you had UHC-managed Medicare Advantage last year and this year. A temporary deal extended coverage until Jan. 1, which is when the new contract went in place.

If you live in Miami County and have UnitedHealthcare:

You have a shorter drive to get in-network care now that Premier-affiliated Upper Valley Medical Center near Troy, the only hospital in the county, is back in-network.

Miami County Commissioner John Evans said it was a difficult time for the residents during the contract dispute and the county government had ended up switching insurers from UHC to Medical Mutual in case the dispute carried on into 2018.

Being out-of-network also affected Upper Valley from a business standpoint. It’s one of the largest employers and economic forces in the county.

“Obviously it’s a great thing that they finally got this worked out and got back together,” Evans said, adding that he wished the news had happened a month or two ago before insurance enrollment decisions had to be made.

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1 injured when Jeep rams into house on South Bird Road in Clark County

Published: Wednesday, June 20, 2018 @ 1:23 PM
Updated: Wednesday, June 20, 2018 @ 1:36 PM

1 injured when Jeep rams into Clark County house

UPDATE @ 1:27 p.m.: One person has been taken to a hospital after a Jeep rammed into a house on South Bird Road, the Ohio State Highway Patrol said. 

According to the preliminary investigation, a female was driving north when she apparently lost control of the vehicle and rammed the front of the house, where the resident was asleep. 

OTHER LOCAL NEWS: New details in fatal wrong-way crash

That resident has been taken to Springfield Regional Medical Center, suffering from minor injuries. The driver was not injured, according to troopers. 

South Bird Road will be shut down at Laybourne Road in both directions until further notice.

INITIAL REPORT

Police, sheriff’s deputies, OSP and the gas company are on the scene of a car into a house in the 200 block of South Bird and Laybourne roads in Springfield Twp.

The incident occurred moments ago. Unknown on injuries.

We will update this developing report as we get information.

Got a tip? Call our monitored 24-hour line, 937-259-2237, or send it to newsdesk@cmgohio.com

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UPDATE: Gun powder in homemade bottle bomb found along MetroPark bike path

Published: Tuesday, June 19, 2018 @ 12:59 PM
Updated: Wednesday, June 20, 2018 @ 3:54 PM

MetroParks rangers are investigating after a homemade bottle bomb was found along a bike path in the Island MetroPark Tuesday morning.

UPDATE @ 3:55 p.m. (June 20): Red Dot gun powder has been identified by Dayton Bomb Squad members as the substance in the bottle bomb found Tuesday, said Mark Hess, Five Rivers MetroParks public safety chief.

Investigators have no additional information or suspects, Hess said.

Alliant Red Dot gun powder is the brand name for a smokeless powder used primarily for light and standard 12 gauge target loads, but can be used in some handgun loads, according to midwayusa.com (Midway Arms, Inc.)

INITIAL REPORT (June 19)

MetroParks rangers are investigating after a homemade bottle bomb was found along a bike path in the Island MetroPark Tuesday morning. 

TRENDING: Wrong-way driver causes fatal downtown Dayton crash

Rangers responded to the bike path near Kettering Field about 11 a.m. after a park technician found the device during a routine patrol, said Lt. Mark Arendt, Five Rivers MetroParks, Ranger Division. 

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The device was found partially burned and was apparently filled with a black powder, Arendt said. 

Marshall Gorby/Staff

Rangers were not sure how long the bottle was there or when it was initially detonated. 

“It’s a very dangerous situation,” Arendt said. “We wouldn’t want someone to stumble upon this and get hurt. Or we wouldn’t want the person actually messing around with this device to get hurt either.” 

The bottle and powder will be analyzed to determine what the device actually contained, Arendt said. 

No injuries were reported. 

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Father indicted on charges in shooting death of 2-year-old son

Published: Wednesday, June 20, 2018 @ 3:35 PM

Jamahl N. Evans
MONTGOMERY COUNTY JAIL
Jamahl N. Evans(MONTGOMERY COUNTY JAIL)

The father of a 2-year-old who investigators said was fatally shot by his 13-year-old brother will face criminal charges, according to the Montgomery County Prosecutor’s Office.

RELATED: Father and son charged in shooting death of 2-year-old in Harrison Twp.

Jamahl Evans, 34, was indicted by a Montgomery County grand jury Wednesday on charges of involuntary manslaughter, endangering children, 10 counts of having weapons under disability, possession of marijuana, and a drug paraphernalia charge, according to a grand jury report.

RELATED: Dad facing gun charge in 2-year-old’s death has long criminal history

Evans is scheduled to be arraigned on the charges June 26, records indicate. 

PREVIOUS COVERAGE: Sheriff: 13-year-old playing with gun fatally shoots 2-year-old brother

Evans’ 13-year-old son is accused of playing with a loaded gun June 4 when the gun discharged, striking and killing 2-year-old J’veontae Johnston. 

The teen is also facing charges of reckless homicide in Montgomery County Juvenile Court. 

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Chance for showers and storms tonight, into start of weekend

Published: Wednesday, June 20, 2018 @ 4:15 AM
Updated: Wednesday, June 20, 2018 @ 3:54 PM

Heavy downpours and gusty winds are possible Wednesday.

QUICK-LOOK FORECAST

  • Passing showers and storms this evening
  • Temperatures cool a bit Thursday
  • Increasing rain chances late Thursday into Friday

>> LIVE Doppler 7 Interactive HD Radar

DETAILED FORECAST

Today: Passing showers and storms are possible through the afternoon and into the evening, according to Storm Center 7 Meteorologist Eric Elwell. Most shower and storms should dissipate after dark, Elwell said. 

Temperatures will hold into the 80s before falling to a low in the middle to upper 60s overnight. 

>> FLOODING: Know your risks

Thursday: Partly cloudy skies and a break in humidity to start the day. However, a front will quickly return to the area, bringing the threat for more showers and storms by the afternoon and into the evening. Highs will reach the upper 70s. 

Friday: Mostly cloudy skies with numerous showers and storms likely especially in the afternoon. A few storms could be severe, along with locally heavy rainfall. Highs will be near 80 degrees. 

Saturday: A mix of sun and clouds to start the weekend with a passing shower or storm possible, especially in southern counties. Highs will hold in the upper 70s.  

>> Cloudy with a chance of podcast

Sunday: Expect a mix of sun and clouds with another changer for a shower or storm, mainly in southern counties. Highs will be in the lower 80s. 

>> The UV index explained

Monday: Mostly sunny skies return with highs reaching the lower 80s. 

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