Cincinnati Children’s and CareSource Agree to New Marketplace Insurance Contract

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CINCINNATI — Cincinnati child and health insurer CareSource has agreed to a new contract on a Marketplace insurance option, which means at least 1,000 families will be able to continue to receive care from the medical center.

The parents received a letter in the mail from the hospital earlier this year advising them that CareSource would be canceling its in-network coverage beginning August 1 after the two parties failed to reach agreement on a new contract. CareSource was the only Marketplace option under contract with the hospital, meaning approximately 1,000 families would lose affordable access to treatment for their children in Southwest Ohio.

“It’s terrifying,” mum Erin Lipps said when she heard the news in June. “I feel like it would be irresponsible for me not to have insurance for my kids. Things happen, and you never know what’s going to happen, so it’s important for me to be able to get insurance. good health care for my children.”

RELATED | Families fight for help as Cincinnati Children’s stops accepting Ohio Marketplace insurance

Many parents said they were working to pre-authorize treatment so their children could continue to have coverage after the contract ended. From now on, they will be covered without interruption.

“Cincinnati Children’s has never stopped working to seek a solution on behalf of our patients,” said Chris Scowden, assistant vice president of contract and payor relations at Cincinnati Children’s. “As a result, these patients will continue to be considered part of the network through their Ohio Marketplace insurance for all services provided at the medical center.”

CareSource Ohio Market President Steve Ringel said the insurer was happy to accept a new contract.

“This agreement comes after several months of extensive discussions, towards an agreement to provide Marketplace patients with access to the highest level of healthcare,” Ringel said. “We look forward to continuing to serve the needs of our Marketplace members together.”

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