Edelen Says He’ll Audit Private Medicaid Operators This Year

After months of mounting problems, State Auditor Adam Edelen says he will launch a full investigation intoKentucky’s statewide Medicaid Managed Care system. Edelen created a Medicaid task force in February after taking a first look at the managed care system. He also gave recommendations to managed care companies, health care providers and the state on […]

Denton Has Concerns About More Private Medicaid Operators in Louisville

The problems with privatized Medicaid in Eastern and Western Kentucky could be coming to Louisville. Passport Health Plan has run Medicaid in Louisville and the surrounding area for more than a decade. The system was the model for last year’s Medicaid privatization, which brought three new Medicaid management companies into the state. The federal government […]

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 […]

Auditor Releases 10 Recommendations to Improve Medicaid Managed Care System

State Auditor Adam Edelen has released ten recommendations for a more efficient Medicaid Managed Care system in Kentucky. For weeks, the MCOs, lawmakers, health care providers and patients have tussled over the new system, which was implemented quickly to plug a budget gap. MCOs have promised lawmakers that the majority of problems are fixed, but […]