AultCare completes agreement with University Hospitals

CLEVELAND – University Hospitals and AultCare completed an agreement that will open the UH network to adult members utilizing their standard network products. AultCare is a Canton-based health plan insurer and TPA with over 110,000 members in commercial (individual, group, employer-sponsored) plans and 17,000 Medicare Advantage members. AultCare and PrimeTime Health Plans’ enrollment primarily reside in Stark County and the surrounding market area.

The agreement, which became effective Dec. 1, creates access for AultCare members to UH’s primary care providers, specialists, ambulatory centers and hospitals. UH previously provided only tertiary services to AultCare members by authorization on a case-by-case basis. UH will now be considered a full service network provider in AultCare’s commercial and Medicare Advantage plans.

“This culminates several years of work in building our relationship with AultCare and winning their trust to be the best care provider for their members in the markets we serve,” said Cliff Megerian, MD, President of UH. “We will extend convenient and timely access to care to AultCare members and deliver for them a patient experience that is welcoming, individualized and unrivaled in the quality of care, as we strive to do with every patient we serve.”

UH will set up a concierge scheduling service to welcome AultCare members and help them schedule appointments with physicians.

“AultCare continually analyzes integrated strategies to control medical spend and provide appropriate access to high quality care for our members,” said Frank Hayden COO of AultCare. “The addition of University Hospitals was a great fit to our controlled network which supports our mission to emphasize quality, cost-effective care.”

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About AultCare

Since its inception in 1985, AultCare provides customers with a connected value that extends beyond a health plan. AultCare’s delivery of healthcare plans encompasses a diverse spectrum of value, which incorporates advanced technology with innovation, integrated care coordination supported by their quality measures, an expanded and cost effective network, strong partnerships on a local and national level, and its outstanding customer relationships. AultCare’s products and services include health plans for large and small employer groups, Marketplace, and Medicare Plans under AultCare’s PrimeTime Health Plan and PrimeTime Choices. AultCare has 110,000 commercial members and 17,000 Medicare members that will now have access to the UH Health System.

About University Hospitals / Cleveland, Ohio

Founded in 1866, University Hospitals serves the needs of patients through an integrated network of 19 hospitals (including four joint ventures), more than 50 health centers and outpatient facilities, and 200 physician offices in 16 counties throughout northern Ohio. The system’s flagship academic medical center, University Hospitals Cleveland Medical Center, located in Cleveland’s University Circle, is affiliated with Case Western Reserve University School of Medicine. The main campus also includes University Hospitals Rainbow Babies & Children's Hospital, ranked among the top children’s hospitals in the nation; University Hospitals MacDonald Women's Hospital, Ohio's only hospital for women; University Hospitals Harrington Heart & Vascular Institute, a high-volume national referral center for complex cardiovascular procedures; and University Hospitals Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center. UH is home to some of the most prestigious clinical and research programs in the nation, including cancer, pediatrics, women's health, orthopedics, radiology, neuroscience, cardiology and cardiovascular surgery, digestive health, transplantation and urology. UH Cleveland Medical Center is perennially among the highest performers in national ranking surveys, including “America’s Best Hospitals” from U.S. News & World Report. UH is also home to Harrington Discovery Institute at University Hospitals – part of The Harrington Project for Discovery & Development. UH is one of the largest employers in Northeast Ohio with 28,000 physicians and employees. Advancing the Science of Health and the Art of Compassion is UH’s vision for benefitting its patients into the future, and the organization’s unwavering mission is To Heal. To Teach. To Discover. Follow UH on LinkedIn, Facebook @UniversityHospitals and Twitter @UHhospitals. For more information, visit UHhospitals.org.