Med­i­cal Mu­tual brings all Uni­ver­sity Hos­pi­tals fa­cil­i­ties into its net­work

Modern Healthcare - - REGIONAL NEWS - —Ly­dia Coutre, Crain’s Cleve­land Busi­ness

Med­i­cal Mu­tual of Ohio and Uni­ver­sity Hos­pi­tals have come to an agree­ment to in­clude all UH fa­cil­i­ties in the in­surer’s Su­perMed net­work, re­vers­ing a con­trac­tual de­ci­sion made more than 20 years ago that ex­cluded UH main cam­pus and UH Bed­ford.

Lead­ers be­lieve that the agree­ment, an­nounced July 27, will bring UH more pa­tients and give Med­i­cal Mu­tual a com­pet­i­tive ad­van­tage it’s been miss­ing for two decades.

Bring­ing all UH ser­vices and fa­cil­i­ties into the net­work has been a goal for Med­i­cal Mu­tual CEO Rick Chiri­costa since he took the job in 2009. “If there’s one thing that is prob­a­bly equally im­por­tant and maybe more im­por­tant is cost and so the chal­lenge has al­ways been how do you get this done, how do you im­prove ac­cess and make sure that the cost of health­care is kept at the same or lower level,” he said. “And we’ve fi­nally found a way to get that done, and that’s the part that I’m just so happy and proud about.”

Bed­ford and all of the main cam­pus fa­cil­i­ties were the en­tirety of the UH sys­tem at the time of the con­trac­tual de­ci­sion in the 1990s. Other med­i­cal cen­ters that have been added since then, such as Ahuja, Parma and Geauga, were worked into the net­work as they came on­line.

But Med­i­cal Mu­tual mem­bers who wanted to re­ceive care on the main cam­pus, which con­tains much of UH’s spe­cialty pro­grams and tech­nol­ogy, would have to pay out-of-net­work costs.

Of Med­i­cal Mu­tual’s 1.5 mil­lion mem­bers, about 650,000 of them live in north­east Ohio.

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