Officials with Kentucky’s Medicaid managed care organizations say they’re on track to resolve any problems with reimbursements to doctors and pharmacists. CoventryCares, WellCare and Kentucky Spirit began administering Medicaid statewide last fall, and they’re off to a rocky start. Executives with the three organizations are in Frankfort this week for a series of committee hearings. Doctors,… Continue reading Managed Care Executives Say They’ve Fixed Problems With Payments
Kentucky’s Medicaid Managed Care Organizations say they have fixed a number of issues with reimbursements to pharmacists. CoventryCares, WellCare and Kentucky Spirit took over management of the state’s Medicaid system last year. Since then, doctors and pharmacists have come forward to say the organizations are poorly managed and the reimbursements for care are too low.… Continue reading Managed Care Organizations Say Reimbursement Problems Are Resolved, But Pharmacists Disagree
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… Continue reading Medicaid Providers Complain of Managed Care Mismanagement
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… Continue reading Legislative Committee Issues Subpoenas to Medicaid Providers
Governor Beshear wants to shift second-year funds forward to balance the Medicaid budget, and make up any second year deficits with savings from managed care. The Democratically-controlled House agrees with his plan, but the Republican-controlled Senate wants across-the-board cuts to state agencies, including education. House Republicans oppose cuts to education. The debate is dominating the waning days of the legislative session.
The state saved millions of dollars in Louisville through a managed care program called Passport, even though questionable spending ultimately led to a management shakeup. Health and Family Services Secretary Janie Miller says any new programs will face strong oversight.