Seniors with UHC Medicare Advantage plans are not affected by the change. The two sides last month agreed to extend their network relationship through the end of the year.
About 70,000 Dayton area residents are enrolled in UHC health plans.
The main issue in the contract dispute is UHC’s new health plan design, which ranks hospitals and providers in tiers based on cost and quality. Premier argues it would be inherently disadvantaged by the tiered system, which, Premier says, also would limit consumer choice. UHC argues the plan design encourages consumers to choose the most cost-efficient care providers, helping to drive down health costs for consumers in the long run.
Failed contract negotiations mean thousands of UHC policyholders need to find new in-network providers in the Dayton area, although UHC was quick to point out that it will continue to offer a broad network of participating hospitals in southwest Ohio, including:
- Dayton Children's Hospital
- Fort Hamilton Hospital
- Grandview Hospital
- Greene Memorial Hospital
- Kettering Medical Center
- Medical Center at Elizabeth Place
- Soin Medical Center
- Southview Hospital
- Springfield Regional Medical Center
- Sycamore Medical Center
- Ohio Valley Surgical Hospital