On October 11, ProMedica and McLaren St. Luke’s reached a settlement on a lawsuit involving ProMedica ’s health insurance division, Paramount.
Under terms of the settlement: •McLaren St. Luke’s hospital and WellCare Physicians Group providers will be in-network providers for Paramount’s Medicare Advantage health plan starting October 10.
•ProMedica physicians and facilities will be tier two providers in McLaren St. Luke’s employee health plan starting October 10. With the health care industry navigating numerous challenges exacerbated by the pandemic, both organizations detennined that setting aside the distraction and drain of litigation and engaging in this agreement was in the best interest of all involved, especially patients.
Now, Paramount Medicare Advantage members have more options for care with McLaren St. Luke’s in-network, and McLaren St. Luke’s employees have expanded care options with ProMedica in-network for their insurance. Additionally, for the betterment of health care in the community, the two are actively exploring opportunities to work collaboratively in a range of patient care areas. “We are happy to have resolved our dispute and look forward to further exploring and potentially expanding our relationship with McLaren St. Luke’s for the bettennent of patient care in our community,” said Randy Oostra, ProMedica CEO. Jennifer Montgomery, CEO of McLaren St. Luke’s added, “We look forward to the opportunity to serve Paramount Elite members and work more closely with ProMedica physicians. We also are pleased to make ProMedica physicians and facilities available to our employees.”
Paramount Health Care is a health insurance company in Toledo. Established in 1988, it is the largest health maintenance organization in northwest Ohio. Paramount serves more than 88,000 health insurance members and 304,000 dental insurance members and is a member of Toledo-based ProMedica, a mission-based, not-for-profit health and well-being organization serving communities in 28 states.
McLaren St. Luke’s is a nonprofit hospital in Ohio serving Maumee, Perrysburg and the surrounding communities. McLaren St. Luke’s provides a wide range of traditional services, including cardiovascular, spine and neurological, robotic surgery, orthopedic, and emergency services with a dedicated Primary Stroke Center. It has a Family Medicine Residency program that gives future family doctors a foundation of excellence based on leading edge treatments and time-tested principles.
