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News
Your source on union-negotiated health care benefits
Medical Mutual will keep Administering the Ohio
Med PPO
April 18, 2005 - Last
fall the state, in conjunction with the JHCC, issued a Request for Proposals
to determine who will be the third party administrator (TPA) for the Ohio
Med PPO.
The RFP is an extensive process that asks bidders about
such things as customer service, quality measures, network of doctors
and hospitals and price.
Marianne Steger, OCSEA Director of Health Care Policy,
explained, "Responses from all vendors are scored and the bidder
with the highest score is selected. In this round of bidding Medical Mutual
of Ohio received the highest score and was recommended by the JHCC to
be selected as the TPA. "
Steger co-chairs the Joint Health
Care Committee (JHCC) for Labor.
The TPA is responsible for putting together a network
of doctors and hospitals and negotiating discounted rates with those providers.
It also provides customer service and claims administration to enrollees.
Many health care open enrollment fairs
are scheduled throughout the state between April 19 and 30. Such
fairs provide an excellent opportunity to learn more about benefit choices
from the health plans’ representatives.
A complete schedule of dates and locations was distributed
with your paycheck on April 2 and published in the open enrollment edition
of Pathways, which will be distributed in mid-April. In addition, please
look for posters identifying the fair(s) closest to your work location.
See Related
More HMOs available; Aetna
is back, Kaiser and SummaCare are gone
Medco is back for Ohio Med
Enrollees July 1st
Kaiser enrollees options;
Chart below compares HMOs, Ohio Med PPO
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