Update: Ohio’s Marketplace/Exchange Plans

October 11, 2013

Re:  Update on Ohio’s Federally-Facilitated Marketplace/Exchange

Dear Cornerstone Alliance, Inc. Providers

This note is to provide basic information about the Marketplace/Exchange plans which will be offered in our service area via the Federally-Facilitated Marketplace/Exchange effective January 1, 2014.  In addition to this letter, we are planning an Annual Meeting for later this year to bring speakers to Lima to answer your questions on this matter.  We have two slide presentations to describe the role of the Marketplaces and how they are structured: one from Mary Wachtel (HPIO) and another from Jocelyn Guyer (Manatt Health Solutions).  Once arrangements for the Annual Meeting are finalized a notice will be sent to all Member offices.

Briefly, here are the most important facts for you:

  • The entire Cornerstone primary service area (Allen, Auglaize and Putnam counties) are located in Region #2 of the Ohio Geographic Rating Areas;
  • The Health Policy Institute of Ohio estimates that 160,000 persons statewide will enroll in the Marketplace/Exchange products.  That would mean that there will probably be fewer than 10,000 covered persons in Region 2 over the entire year.
  • Member offices participating with HealthSpan and MMO through Cornerstone will be providers to patients enrolling via the Marketplace in those carrier’s plans.  No additional action by providers participating with HealthSpan and MMO via Cornerstone are needed (A letter will be posted on our website in the near future from HealthSpan informing Cornerstone participating providers that by being contracted with HealthSpan that you are also included in the HealthSpan Select network.  The HealthSpan Select network will be used for their Marketplace product).
  • Many of the bronze plans in the Exchange will have out-of-pocket maximums of $6,350 and $12,700 for individual and family coverages.  Another item to mention is that the out-of-pocket maximums in the Marketplace/Exchange products for both the individual and small group plans have ALL out-of-pocket expenses accumulating to the out-of-pocket.  This may different than what the providers may have encountered in some current PPO plans.
  • Cornerstone may offer a solicitation with at least one other carrier in order for our Members to participate in an additional Marketplace carrier.  This solicitation may be mailed to our Members within the next few weeks.
  • Finally, it is vital that Cornerstone providers understand that the Anthem Marketplace product –Community—Anthem is not contracted via Cornerstone Alliance, Inc.  Catholic Health Partners –the parent organization to St. Rita’s Medical Center—and Anthem could not agree upon mutually acceptable terms and consequently, Cornerstone Alliance is not contracted with Anthem for their Marketplace product nor is St. Rita’s Medical Center.

Please review the slides in the two presentations (first paragraph f this letter) for much more detailed information on the Marketplace offerings.  If you still have any questions on Cornerstone plans offering products on the Marketplace, please email my office at:  hlbischoff@health-partners.org

Sincerely,

Harold L. Bischoff, FACHE

Executive Director
Ohio Exchange Carriers

October 29, 2013 UPDATE

We have learned that Molina Healthcare will not be offering an “Exchange Product” in Region 2 of the State of Ohio.  Therefore, Cornerstone will not pursue an “Exchange Agreement” with Molina Healthcare.  If you have questions regarding this information, please contact Harold Bischoff, Executive Director of Cornerstone at 419-996-5317 or hlbischoff@health-partners.org

San Salvador 3000: Cornerstone Partners to Impact the World

October 1, 2013

Three thousand miles away, yet part of our world. Leaders of tomorrow are growing up in a dangerous environment and Cornerstone Alliance, in partnership with the Lima Rotary, wants to make a positive impact.

El Salvador map

Escuela Mizata is a small school located in the town of La Libertad, El Salvador. It is located in an area that is filled with gang members. To prevent students from becoming part of these gangs, the Lima Rotary Club wants to improve the school’s facilities by encouraging students to play sports and improving their educational experience by providing food and proper facilities.

Our goal is to add (CLICK HERE for the first report, including pictures):

  • A soccer/basketball court
  • A basketball court
  • A kitchen and mess hall
  • Restrooms

Lima Rotary LogoPlans are being finalized for the San Salvador 3000 event to be held in the Center Court of the Lima Mall on Saturday, October 26th, from 10:00 a.m. until 3:00 p.m. This event is meant to increase public awareness of the Lima Rotary International Service activities. Rotary International is the oldest and largest service club in the world with more than 32,000 clubs worldwide. The Lima Rotary Club was formed in 1915 and international service has been a key focus for Rotary since its founding.

San Salvador projectLima Rotary was recently informed that $14,680.00 was being forwarded to the Club Rotario San Salvador Maquilishuat to fully fund the rehabilitation of the kitchen and restrooms at the Mizata School in La Libertad, El Salvador. The growth of gangs is causing issues throughout El Salvador. The rehabilitation of the school, along with the construction of boundary walls to enclose a playground, will allow the students to attend classes and minimize their contact with gang elements. Each Rotary International project is a cooperative effort between a host club – in this case, the Club Rotario San Salvador Maquilishuat – and an International Partner Club: the Lima Rotary Club.

Lima to San Salvador mapThe Lima Mall event is an opportunity to share the many international service activities in which the Lima Rotary is involved with the Lima community. In cooperation with the Lima YMCA, four stationary bikes will be set up in the Center Court of the Mall. The Club hopes to pedal a total of 3,000 miles – the distance from Lima, OH to San Salvador, El Salvador – in a series of competitions between businesses and organizations to be held throughout the day. In addition to the two-person teams representing various organizations for bragging rights about who can pedal farther in ten minutes on a stationary bike, the general public will have the opportunity to participate in the world’s largest advertisement.

Polio this closeFor many years the number one priority for Rotary International has been to eradicate polio. If we would put a measurement to this endeavor, the world is “within inches” of successfully eradicating a disease that – only a few decades ago – crippled the lives of many. During the San Salvador 3000 event on October 26th, YOU can be part of the “We Are This Close…” initiative to END POLIO NOW for only a dollar. Plan to join others in walking the red carpet, going in front of the lights, and showing the world that you care about how close we are to eradicating polio – and you want to be involved.

Plan to join us!
We look forward to seeing you at the Lima Mall on October 26th.