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Health Care - OCSEA / AFSCME Local 11 / AFL-CIO

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Your source on union-negotiated health care benefits

Governor rejects new Ohio Med PPO administration bids, extends MMO for one year

April 5, 2004 - On April 2, Governor Taft decided to reject all bids and start a new re-bidding process to determine who will be administer the Ohio Med PPO plan for state employees.

Instead, Medical Mutual of Ohio (MMO) will continue to be the administrator for one additional year and the Joint Health Care Committee (JHCC) has been asked to research the issues and repeat the bidding process over the next 12 months to determine who the future administrator will be.

The Joint Health Care Committee spent the last nine months looking at various vendors and initially recommended that United Health Care be selected.

Savings QUESTIONED  Initially, it appeared that a switch to UHC would save $28 million. This was important to the JHCC because with OCSEA members’ share of the health insurance premium going from 10 percent to 15 percent in July of 2005, it was hoped that the savings would minimize how much extra each member would have to pay.

Further review of UHC’s bid, unfortunately, revealed that this discount was really much lower.

In addition, the JHCC only makes a recommendation. Ultimately the governor and his staff can reject or accept that recommendation. With the time running out, state officials said they felt compelled to repeat the bidding process because they feared that there might be additional reductions of UHC’s projected savings.

The initial recommendation to select UHC generated some controversy among OCSEA members because it appeared that there would be fewer doctors and hospitals available in some regions of the state (SE and NW). It’s hoped that adding the additional year to the bidding process will allow all potential vendors to address these network problems.

BACK TO WORK  The JHCC will begin a new bidding process for the Ohio Med TPA for the benefit year that starts July 1, 2005. In the meantime, MMO will continue to administer the Ohio Med PPO for the next benefit year.

 

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