Ohio Valley Surgical Hospital Joins Aetna Cincinnati/Dayton/NKY Networks

Effective May 15, 2017 Ohio Valley Surgical Hospital will join Aetna networks in Cincinnati, Dayton, and Northern Kentucky. The hospital participates for a myriad of products, including Aetna Medicare Plan PPO, Aetna Medicare Plan HMO, and more.

The addition will increase member choice and  improve hospital and physician access.

Questions? Contact your Cornerstone representative for answers.

Anthem Contracts with Hearing Care Solutions

Anthem Blue Cross and Blue Shield has recently contracted with Hearing Care Solutions (HCS) to offer hearing care plans to members covered by Anthem’s HMO and PPO Medicare Advantage plans.

HCS supplemental hearing benefits will provide coverage in addition to Medicare-covered hearing benefits, including a routine hearing exam, hearing aid fitting and evaluation, an allowance toward the purchase of hearing aid(s), and one year of service at no charge after a hearing aid is purchased.

For more detailed information, contact your Cornerstone representative today!

RESOURCES

Clients Benefit From Hearing Care and Hearing Aids

Premier and UHC Extend Network Relationship

In response to Premier Health Network deciding not to renew its participation for employer-sponsored and individual plans with UnitedHealthcare, the two companies will extend their network relationship for Medicare Advantage plans through December 31, 2017.

Premier Hospitals are now considered out of network for commercial health plans, effective April 30, 2017.

 

RESOURCES

Important Information About Our Relationship with Premier Health Network

Premier Hospitals No Longer In Network for UHC Plans

Premier Health Network recently decided not to renew its participation in UnitedHealthcare’s employer-sponsored and individual plans. As a result, Premier hospitals are no longer in network for commercial health plans as of April 30, 2017.

According to UnitedHealthcare’s press release, the company’s goal is to “reach a long-term agreement with Premier that ensures stability in people’s access to their hospitals and doctors and helps local employers design competitive benefits.”

Premier has expressed its disappointment with the proposal. Mary Boosalis, president and CEO of Premier Health, said in a statement, “We put forth a proposal that included Premier Health forgoing a nominal rate increase. An agreement would have provided choice for our patients and area employers that we believe they deserve. We are extremely disappointed with the response from UnitedHealthcare, which disadvantages their enrollees.”

Premier states that UnitedHealthcare’s continued use of the tiered network is an issue with which the two companies have trouble meeting in the middle.

RESOURCES

Premier Health Network hospitals now out of network for UnitedHealthcare employer-sponsored, individual plans

No deal between UnitedHealthcare and Premier Health

Medical Mutual to Offer Extended Rates for Transitional (Grandmothered) Groups

On March 23rd, the Ohio Department of Insurance announced the transitional relief extension, which is designed to allow all transitional/grandmothered plans to remain effective through December 31, 2018. In response, Medical Mutual will allow all existing individual and small group (1–50) transitional plans to maintain that status through December 31, 2018.

There will be no change for groups that renewed in October through December 2016.

Click here for more information.


For more information, or to get appointed with Medical Mutual, contact a Cornerstone representative today.

NOW AVAILABLE: ACA Small Group Quoting Sizes 2–50 Template

Cornerstone is dedicated to tailoring and modernizing our approach for providing the most accurate and efficient proposals in the quickest way possible.

We are launching a new and improved ACA Small Business quote request and census template for group sizes 2-50.

As part of our 2017 goals and initiatives, we are spotlighting the opportunity to capitalize on dental, vision, basic life/AD&D, LTD, and STD products for your clients. Cornerstone recognized the need to develop a quoting template that would make it easier for our broker partners to obtain ancillary in conjunction with medical quotes, giving you the opportunity to present a complete benefit package to your clients. This template makes that possible.

This template will provide a ‘One Stop Shop’ for quoting all lines of coverage. We have a recommended Standard Cornerstone Quote Profile to make quoting all lines of coverage as simple as checking a box. You will be guaranteed our 24 hour turn-around time for Medical quotes, and a 4-5 day estimated turn-around time for additional lines of coverage from our valued carrier partners.

We strongly recommend brokers to submit this new template for all quote requests. The template can be accessed through Broker Centric. Please continue to send all quote requests to your Cornerstone quote request email box.

If you are interested in getting appointed with any of our carrier partners that you are not currently appointed with, please contact your Broker Advisor today! To view a list of carrier partners for our Employee Benefits division, click here.

Questions? Click here to contact a Cornerstone representative today!

Humana PDP Product Training in Cleveland

Join Cornerstone and Humana for an exclusive training on the Walmart Prescription Drug Plan.

The training will provide a deep look into:

• What you need to know about PDP’s

• Formulary information

• Advantages of prescription plans

 


DATE: Tuesday April 11, 2017

TIME: 9:30 am – 10:30 am

LOCATION: Cornerstone Broker Insurance Services Agency – Cleveland Office
4500 Rockside Road, Suite 330 Independence, OH 44131

Medicare Advantage Payment Rates to Increase in 2018

Medicare Advantage health plans are expected to hike by nearly 0.45 percent in 2018, though recent estimates by the Centers for Medicare and Medicaid Services (CMS) showed only a 0.25 percent increase. This figure accounts for the “expected growth in coding acuity,” averaging the total revenue increase to be about 2.95 percent.

In 2017, Medicare Advantage payment rates rose by an average of 0.85 percent — 3.05 percent after accounting for coding acuity.

Former CMS official John Gorman notes that the rates are “further proof that (Medicare Advantage) is the only safe game in all of health insurance these days.”

CMS Administrator Seema Verma also commented saying, “Medicare is committed to strengthening Medicare Advantage and the Prescription Drug Program by supporting flexibility and efficiency.”

Resources

Medicare Advantage Plans to Receive 0.45% Rate Hike for 2018

CMS Gives Bigger Increase to Medicare Advantage Payment Rates for 2018

CMS Finalizes 0.45% Rate Increase for Medicare Advantage Plans

 

Interested in contracting with Cornerstone? Click here to contact a Senior Marketing representative.

Jillian Froment to Serve as Director of the Ohio Department of Insurance

Ohio Gov. John R. Kasich named Jillian E. Froment as the director of the Ohio Department of Insurance on Friday, replacing Lt. Gov. Mary Taylor.

“Jillian has worked closely with Mary since the beginning of the Administration and has a deep knowledge of the insurance industry and the Department and I am confident that she will be able to continue Mary’s record of steady, professional management,” said Kasich in a press release.

Froment, the current Treasurer of the Interstate Insurance Product Regulation Commission, has served as deputy director since 2011 and has actively represented Ohio in the National Association of Insurance Commissioners.

 

Resources

Kasich Names Froment to Serve as Director of the Department of Insurance

ONLY ONE DAY LEFT: Refer Agents to Cornerstone and Earn $500

Do you know an agent that would benefit from Cornerstone’s services?


Cornerstone’s Refer-An-Agent Program is offering a bonus of $500* until March 31st for your referrals! Click here to refer an agent to Cornerstone.

After March 31st, the program will resume offering $250 for referrals.

 

*Certain restrictions apply. Ask your Cornerstone Rep for full details.