Denton Says Lawmakers Will Remove CoventryCares From Medicaid System if Tough Bargaining Continues

Kentucky Senator Julie Denton says the state’s largest private Medicaid company is underpaying and threatening healthcare providers, and she says lawmakers may kick the company out of the state Medicaid system if the behavior persists. CoventryCares is one of three new private Medicaid Managed Care Organizations (MCOs) that began business in the commonwealth last year. […]

Lawmakers Take Medicaid MCOs to Task for Not Solving Pharmacy, Mental Health Care Issues

Kentucky lawmakers continue to chastise three of the state’s Medicaid Managed Care organizations for mismanagement. Representatives of Kentucky Spirit, Wellcare of Kentucky and Coventry Cares appeared before the program review committee today. Legislators wanted to know whether they had solved problems brought up by health care providers in a January committee meeting. The MCOs all […]

Beshear Confident Medicaid Managed Care Problems Will Be Resolved

Governor Steve Beshear says the problems with Kentucky’s new Medicaid Managed Care system will be resolved. Beshear pushed for the managed care system last year to take some of the administrative burden of Medicaid off of the state. But earlier this week, doctors, pharmacists and hospital officials told lawmakers there were significant problems with the […]

Medicaid Providers Complain of Managed Care Mismanagement

Kentucky’s private Medicaid providers say they need immediate changes in the state Medicaid system. Kentucky turned the system over to managed care providers four months ago. And today doctors, pharmacists and hospital executives told a Senate committee how disastrous the change has been. Kentucky currently contracts with four Managed Care Organizations, known as MCOs. Passport […]

Legislative Committee Issues Subpoenas to Medicaid Providers

For only the second time in its history, a Kentucky legislative committee will issue subpoenas…This time over Medicaid managed care and locally-owned pharmacies. The Program Review and Investigations Committee voted today to authorize subpoenas to Kentucky’s three new managed care providers over reimbursement rates to independent pharmacies. Passport, based in Louisville, is exempt from the […]

Beshear Unveils New Medicaid Plan

Described as a “major sea change”, Kentucky Governor Steve Beshear announced Thursday that more private companies will manage the state’s growing $6-billion Medicaid program as part of new three-year contract. The governor said the plan will save taxpayers $375 million in General Funds that pay for most state functions and another $1.3 billion in all […]

Medical Information System Tested In Kentucky

By Tony McVeigh, Kentucky Public Radio Kentucky’s Medicaid program, which serves almost 800,000 people, is being used to test a secure, electronic medical information exchange system. Six pilot hospitals and one clinic are already participating in the exchange, which eliminates the need for patients to fill out reams of documents on their medical histories. Health […]