Medicaid Managed Care http://wfpl.org en Gov. Steve Beshear Vetoes Medicaid Prompt Pay Bill, Promises Changes to System http://wfpl.org/post/gov-steve-beshear-vetoes-medicaid-prompt-pay-bill-promises-changes-system <p></p><p>Gov. Steve Beshear has vetoed a bill sponsored by House Speaker Greg Stumbo that would require <a href="/term/prompt-pay">prompt payment in the Medicaid managed care system.&nbsp;</a></p><p><span style="line-height: 1.5;">The governor was expected to veto the bill, claiming it would cost the state too much money.</span></p><p>But in turn, Beshear says he will implement the spirit of the bill, including allowing the Department of Insurance to investigate late payment claims. Beshear also promised the administrative side of the managed care system would work better.</p> Fri, 05 Apr 2013 17:30:53 +0000 Kenny Colston 4855 at http://wfpl.org Gov. Steve Beshear Vetoes Medicaid Prompt Pay Bill, Promises Changes to System Medicaid Prompt Pay Bill Approved in Kentucky General Assembly, Could Be Vetoed http://wfpl.org/post/medicaid-prompt-pay-bill-approved-kentucky-general-assembly-could-be-vetoed <p><span style="line-height: 1.5;">A bill requiring prompt pay for health care providers participating in Kentucky's Medicaid managed-care system is heading to the governor's desk—but it isn't veto-proof.</span></p><p>The bill, &nbsp;sponsored by House Speaker Greg Stumbo and would move disputes between providers and managed care organizations to the Department of Insurance to be settled.</p><p>Many Medicaid managed-care providers providers over late or non-existent payments from the MCOs for the services they did, repeatedly telling lawmakers their problems.</p> Tue, 26 Mar 2013 16:32:48 +0000 Kenny Colston 4676 at http://wfpl.org Medicaid Prompt Pay Bill Approved in Kentucky General Assembly, Could Be Vetoed House Passes Medicaid Prompt Pay Bill 99-0 http://wfpl.org/post/house-passes-medicaid-prompt-pay-bill-99-0 <p></p><p><span style="line-height: 1.5;">&nbsp;A bill moving Medicaid managed care late payments to the Department of Insurance's review process has overwhelmingly passed the state House.</span></p><p>House Bill 5 passed 99-0 off the floor, after a few technical amendments were added to it.</p><p>House Speaker Greg Stumbo is the bill sponsor and says his goal is to make sure health care providers start getting paid by Medicaid managed care organizations, which has been a problem since the MCO system was implemented.</p> Wed, 27 Feb 2013 22:29:42 +0000 Kenny Colston 4242 at http://wfpl.org Bill Dealing With Medicaid Late Payments Has Support in Senate http://wfpl.org/post/bill-dealing-medicaid-late-payments-has-support-senate <p></p><p>A bill &nbsp;moving Medicaid late payment claims to the Department of Insurance appears to have some support in the state Senate.</p><p>House Bill 5 would take prompt pay issues with the Medicaid managed care system and put it through the Insurance Department's current claims process. Currently, the Cabinet for Health and Family Services deal with late claims.</p> Fri, 22 Feb 2013 20:00:13 +0000 Kenny Colston 4150 at http://wfpl.org Bill Dealing With Medicaid Late Payments Has Support in Senate Bill Transferring Kentucky Medicaid Late Payments to Insurance Department Clears House Committee http://wfpl.org/post/bill-transferring-kentucky-medicaid-late-payments-insurance-department-clears-house-committee <p></p><p><span style="line-height: 1.5;">House Speaker Greg </span>Stumbo's<span style="line-height: 1.5;"> bill that would transfer late payments claims in Medicaid managed care has cleared its first committee.</span></p> Thu, 21 Feb 2013 18:27:11 +0000 Kenny Colston 4128 at http://wfpl.org Bill Transferring Kentucky Medicaid Late Payments to Insurance Department Clears House Committee Hospitals, Health Department Voice Concerns, but MCOs Say Groups Aren't Engaging With Them http://wfpl.org/post/hospitals-health-department-voice-concerns-mcos-say-groups-arent-engaging-them <p></p><p><span style="line-height: 1.5;">Representatives of the state's health department and various hospital executives say almost two years later they are still having payment issues with Medicaid managed care organizations.</span></p><p>Speaking before a House budget subcommittee on health issues, the two groups described situations in which payment for care they administrated months ago were still outstanding claims.</p> Wed, 20 Feb 2013 19:45:54 +0000 Kenny Colston 4100 at http://wfpl.org Hospitals, Health Department Voice Concerns, but MCOs Say Groups Aren't Engaging With Them Senate Committee Backs Bill Requiring Kentucky Medicaid Providers to Publish Prescription Prices http://wfpl.org/post/senate-committee-backs-bill-requiring-kentucky-medicaid-providers-publish-prescription-prices <p></p><p>A bill requiring Kentucky Medicaid managed care operators publish a list of prescriptions and reimbursement&nbsp;prices on Wednesday passed a state Senate committee, following prodding from&nbsp;<span style="line-height: 1.5;">&nbsp;independent pharmacists asking for access to pricing standards before they fill prescriptions.</span></p> Wed, 13 Feb 2013 17:38:55 +0000 Kenny Colston 3971 at http://wfpl.org Senate Committee Backs Bill Requiring Kentucky Medicaid Providers to Publish Prescription Prices Speaker Stumbo Favors Medicaid Expansion in Kentucky http://wfpl.org/post/speaker-stumbo-favors-medicaid-expansion-kentucky <p></p><p>The Speaker of the Kentucky House says it’s a no-brainer for Kentucky to expand its Medicaid program under the Affordable Care Act.&nbsp;</p><p>Under the health care law, states can expanded their Medicaid rolls to 138 percent of the poverty line and for three years, the federal government will pay for the expansion.</p><p>Kentucky Governor Steve Beshear has yet to decide on whether Kentucky will expand, saying he will calculating costs after 2017, when the feds pay only 90 percent of expansion.</p> Thu, 03 Jan 2013 16:19:50 +0000 Kenny Colston 3242 at http://wfpl.org Speaker Stumbo Favors Medicaid Expansion in Kentucky Beshear Still Weighing Medicaid Expansion; Will Make Decision Early Next Year http://wfpl.org/post/beshear-still-weighing-medicaid-expansion-will-make-decision-early-next-year <p>Gov. Steve&nbsp;Beshear&nbsp;says he'll make a decision about Medicaid expansion in Kentucky by early next year.</p><p>While many states are still deciding on the early elements of the Affordable Care Act -- also known as Obamacare -- Kentucky has only one decision left: whether to opt in to Medicaid expansion.</p><p>Under the health care law, the federal government will pay 100 percent of costs for three years if states expand their Medicaid rolls to 138 percent of the poverty line.</p> Fri, 21 Dec 2012 18:06:42 +0000 Kenny Colston 3085 at http://wfpl.org Beshear Still Weighing Medicaid Expansion; Will Make Decision Early Next Year Legal Issues with Kentucky Spirit Remain; Passport Withdraws Medicaid Complaint http://wfpl.org/post/legal-issues-kentucky-spirit-remain-passport-withdraws-medicaid-complaint <p>Weeks after their announced departure from Kentucky’s Medicaid managed care system, operator Kentucky Spirit and the state are still locked in a legal battle.</p><p>Both sides have sued each other, blaming the other for the situation. Kentucky Spirit announced their departure, scheduled for the middle of 2013, due to massive losses in the system.</p><p>In an interim committee meeting today, Kentucky lawmakers asked for an update on what the state hoped to recoup financially because of Kentucky Spirit’s decision.</p> Tue, 11 Dec 2012 17:52:42 +0000 Kenny Colston 2912 at http://wfpl.org Legal Issues with Kentucky Spirit Remain; Passport Withdraws Medicaid Complaint