Wisconsin
Ascension Wisconsin, UnitedHealthcare reach deal to restore in-network access
Patients with UnitedHealthcare insurance once again have in-network coverage at Ascension Wisconsin hospitals and doctors’ offices.
United and Ascension Wisconsin announced Tuesday that they reached a new multi-year agreement to give United members access to Ascension’s hospitals and providers in Wisconsin.
According to United, the deal is effective immediately and retroactive to Oct. 1, the day the insurer’s members lost coverage when the two sides failed to reach an agreement in a dispute over reimbursement rates.
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According to an Ascension Wisconsin spokesperson, services that patients received from Oct. 1 to Oct. 13 will be covered at in-network rates and patients should not be billed for out-of-network costs.
In a statement, Dustin Hinton, CEO of UnitedHealthcare Wisconsin, said the agreement restores access for people enrolled in United’s commercial, Medicare Advantage and Medicaid plans.
“Our top priority throughout the negotiation was to reach an agreement that was affordable for consumers and employers, and this agreement helps accomplish that goal,” he said.
UnitedHealthcare said it is mailing letters out to members to let them know that Ascension Wisconsin is back in-network.
Daniel Jackson, CEO of Ascension Wisconsin, described the agreement as “more than just a contract” in a statement issued Tuesday.
“It is a reaffirmation of our Mission to serve all with dignity and compassion,” Jackson stated. “By securing fair and sustainable reimbursement, we are able to continue supporting our caregivers, strengthening our ministries, and providing high-quality, compassionate care across the communities we serve.”
In its announcement, the health system also said that it was grateful to patients, providers and partners for their patience throughout the negotiation process.
Ascension Wisconsin said it is not providing interviews with health system officials at this time.
Before reaching a deal Ascension and United had been locked in a months-long contract dispute. Ascension argued United was not offering reimbursement rates that covered rising health care costs, while United argued Ascension was asking for large price hikes that would raise costs for customers and employers.
Other negotiations between Ascension affiliates and UnitedHealthcare had gotten close to the deadline before the dispute in Wisconsin. Ascension Florida had to reach a short-term agreement with United to stay in the network during negotiations earlier this year before both sides came to a multi-year agreement.
Dan Sacks, an associate professor of risk and insurance at the University of Wisconsin School of Business, said contract disputes are a normal part of the negotiation process between health care providers and health insurers.
He said their contracts dictate what insurers pay hospitals and influence how much patients pay. But he also said it’s rare for talks to break down like they did in this case.
“It’s costly for Ascension if patients end up canceling scheduled visits. It’s very costly for patients if their care is disrupted,” Sacks said. “It ends up being costly for United if some people decide that they would rather go to a different insurer.”
Sacks said both sides reaching a deal is “absolutely good news” for United members and Ascension patients, but it’s not such good news for those who began looking for alternative providers or canceled visits.
“For the patients who arguably did the prudent thing and rescheduled visits or canceled visits and looked for an alternative provider, they really have no recourse,” he said. “They lost a chance to get health care that they thought they were entitled to when they signed up for insurance, and now that care is delayed or it may never happen.”
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Wisconsin
Wisconsin’s Most Wanted: Geraldo Gomez sought for workplace shooting
PLEASANT PRAIRIE, Wis. – A workplace argument leads to a shooting. It happened nearly three decades ago. Police say the man who pulled the trigger has been on the run ever since.
Search for Geraldo Gomez
What we know:
“We’ve spent tireless days on this, and it’s gone through a lot of different hands in our time,” the U.S. Marshal on the case said.
In March 1998, investigators say Geraldo Gomez was like a ticking time bomb when he confronted a co-worker on the job.
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“They proceed to argue,” the marshal said. “They go back to work. Everything seems to be OK.”
The backstory:
Gomez was 27 years old at the time when investigators said he marched into his boss’s office and quit. When he walked out the door and straight into the parking lot, his co-worker walked out behind him.
“He followed him out there to ensure that nothing was going to happen to his vehicle,” the investigator said.
A criminal complaint says that’s when Gomez ambushed the man and fired four shots at him.
What they’re saying:
“The victim was actually struck in the hand and the upper torso during that incident,” the marshal explained.
The victim was rushed to the hospital and survived, but U.S. Marshals say Gomez went on the run. He was charged in the case. The now 55-year-old has avoided the law for nearly three decades. Over the years, authorities have tried tracking leads from Waukegan, Illinois to Mexico.
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“There are no geographical boundaries for us,” the marshal said. “We will find you and justice will be served.”
Gomez is described as being 5’4″ tall and weighing 140 pounds.
Call with tips
What you can do:
U.S. Marshals encourage anyone with information about him to call the tip line at 414-297-3707. You will remain anonymous.
The Source: Information in this post was provided by the U.S. Marshals Fugitive Task Force.
Wisconsin
Superior Police Officer shot in Wisconsin; suspect now in custody
According to the mayor of Superior, WI, a police officer was hospitalized after they were shot; the suspected shooter has also been arrested.
Mayor Jim Paine said a Superior Police Officer was hospitalized after they were shot before 7 a.m. Sunday morning, but said the officer was in stable condition.
The suspect was later arrested around 7:17 a.m.
“The injured officer remains in good condition and we hope they will be leaving the hospital very soon,” Paine said in a statement. “I’m grateful for the quick response of the many agencies that responded and the tremendous valor of the officer that was first on scene.”
Many details about the shooting are still unknown at this time, but 5 EYEWITNESS NEWS is working to learn more.
Updates on the incident are expected from the Superior Police Department later today.
Wisconsin
Body of Wisconsin man recovered from lake, reportedly fell through ice while fishing
HAMMEL, Wis. (WFRV) – A 69-year-old Wisconsin man’s body was recovered from a lake after he was reported missing by his wife, who said he hadn’t returned home from an ice fishing trip.
According to the Taylor County Sheriff’s Office, the 911 call came in around 4:17 p.m. on Friday from a caller who was reporting that her husband was ice fishing on the Washington Flowage near their home in Hammel, but he had not yet returned and may have fallen through the ice.
Taylor County Deputies and several other agencies were sent to the scene, where they found a single sled trail leading to an open spot on the ice where a sled was found.
Bruce’s Legacy and Wings of Hope, a pair of non-profits specializing in open water searches, were called to the scene along with the Marathon County Sheriff’s Office Dive Team for search and rescue efforts.
Officials later found the 69-year-old man, identified as Randall Runge of Medford, dead inside the lake, with no indication of foul play.
An investigation is ongoing.
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