Medical Mutual and MetroHealth launch CLECare insurance product

Following the demise of insurance company HealthSpan, Medical Mutual of Ohio and The MetroHealth System hope to recoup some of that business with a new product – dubbed CLECare – which both parties say will offer around $ 15 in premiums. % lower than those of other insurance products.

As part of the plan, which is available through Medical Mutual, employers and their covered employees will have access to a personalized network of providers to keep costs low. MetroHealth will provide the bulk of this care, including testing, doctor’s visits and hospital stays through its growing network of providers. Other categories of care, such as behavioral health, home care and palliative care, will be provided by other health care organizations in the region. In a prepared statement, MetroHealth CEO Dr Akram Boutros said, “This rare and intense collaboration improves patients‘ access to the best care for their needs while reducing costs. This partnership really came about because we are all committed to improving patient care. Medical Mutual acquired the insurance business of HealthSpan effective March 1. MetroHealth, meanwhile, has cared for more than 40,000 HealthSpan patients as of April 1. are looking for better value for their health care dollars, ”said Rick Chiricosta, president and CEO of Medical Mutual of Ohio, in a statement. Earlier this year, HealthSpan – the former Operation Kaiser Permanente of Ohio – announced it would disband its medical group, and many of its doctors have since been hired by other systems, particularly MetroHealth. HealthSpan had hoped to move forward as an insurer, but the competition in the market turned out to be too fierce.