Coventry Cares http://wfpl.org en Confused by Medicaid Changes in Louisville? Group Sets up Meetings to Offer Answers http://wfpl.org/post/confused-medicaid-changes-louisville-group-sets-meetings-offer-answers <p>As Kentucky moves to a new Medicaid arraignment in the Louisville region, the publisher of the Louisville-based Medical News is organizing community meetings to help Medicaid recipients avoid confusion about the changes.</p><p>For more than a decade, Passport was the exclusive managed care operator for the region. But, starting in January, the Louisville Medicaid region will be served by four managed care operators: Passport, Humana CareSource , WellCare and Coventry Cares.</p> Tue, 04 Dec 2012 19:37:09 +0000 Kenny Colston 2793 at http://wfpl.org Confused by Medicaid Changes in Louisville? Group Sets up Meetings to Offer Answers New Rule Continues Medicaid Burden on Independent Pharmacists http://wfpl.org/post/new-rule-continues-medicaid-burden-independent-pharmacists <p>A recent decision on drug co-pays by a statewide Medicaid operator has independent pharmacists upset -- again.</p><p>In January, complaints from a group of pharmacists drew attention to&nbsp;problems in Kentucky’s Medicaid managed care system.</p><p>Back then, they were angry over a lack of co-pays on drugs. Now, managed care operator Coventry Cares has reversed course, claiming it will now charge co-pays.</p> Sun, 04 Nov 2012 14:00:00 +0000 Kenny Colston 2308 at http://wfpl.org New Rule Continues Medicaid Burden on Independent Pharmacists Passport Files Formal Complaint over Louisville Medicaid Contracts http://wfpl.org/post/passport-files-formal-complaint-over-louisville-medicaid-contracts <p>Kentucky officials are once again facing the prospect of lawsuits over efforts to expand managed health care within &nbsp;Medicaid.&nbsp;</p><p>This time, it's Passport Health Plan that is threatening to sue, based on what they call broken rules and promises made to them.&nbsp;</p><p><a href="http://www.wfpl.org/post/read-passports-complaint-medicaid-contracts">(Read the letter here.)</a></p> Fri, 02 Nov 2012 15:11:33 +0000 Kenny Colston 2299 at http://wfpl.org Passport Files Formal Complaint over Louisville Medicaid Contracts Medicaid Issues Leave Heavy Burden on WellCare http://wfpl.org/post/medicaid-issues-leave-heavy-burden-wellcare <p><span style="font-family: 'Times New Roman'; font-size: small; line-height: normal; ">The departure of one of three statewide Medicaid operators next year is once again raising concerns about adequate medical coverage in parts of the state.</span></p> Mon, 22 Oct 2012 20:28:28 +0000 Kenny Colston 2102 at http://wfpl.org Medicaid Open Enrollment Begins in Kentucky http://wfpl.org/post/medicaid-open-enrollment-begins-kentucky <p>Kentuckians on Medicaid now have the opportunity to change healthcare providers for the first time in months.</p><p>Open enrollment for all of the state except Louisville started today. It's the first time since Medicaid was privatized that residents can choose a new private operator to handle their care.</p> Mon, 20 Aug 2012 17:49:47 +0000 Kenny Colston 1380 at http://wfpl.org KentuckyOne Severs Ties With Coventry Cares http://wfpl.org/post/kentuckyone-severs-ties-coventry-cares <P>KentuckyOne Health, the largest health system in the state, has dropped all contracts with Medicaid managed care organization Coventry Cares.</P> <P>Coventry Cares had terminated two of its contracts with KentuckyOne Health, including one with Our Lady of Peace, which provides specialized services for high risk patients in Louisville.&nbsp;&nbsp; Now, KentuckyOne spokesperson Barbara Mackovic&nbsp;&nbsp;says her organization is responding by halting all its contracts with the managed care organization.</P> <P>"KentuckyOne Leadership very strongly believes that Medicaid recipients in he Co Thu, 16 Aug 2012 21:24:30 +0000 Josh James, Kentucky Public Radio 1349 at http://wfpl.org Lawmakers Plan to Question Coventry CEO Over Contract Issues http://wfpl.org/post/lawmakers-plan-question-coventry-ceo-over-contract-issues <p>Kentucky lawmakers will get their first chance tomorrow to ask a private Medicaid operator why it&rsquo;s having so much trouble negotiating contracts with healthcare providers.</p> Tue, 19 Jun 2012 20:25:00 +0000 Kenny Colston 700 at http://wfpl.org Lawmakers Plan to Question Coventry CEO Over Contract Issues Medicaid Regulations No Match for Rural Roads http://wfpl.org/post/medicaid-regulations-no-match-rural-roads <p>The dispute between an Eastern Kentucky hospital chain and private Medicaid operators has lawyers arguing distance versus drive time.</p><p>Under state regulations, a private Medicaid operator cannot sign up a patient unless it has a doctor or hospital within 60 miles of that patient&#39;s home. But that distance is measured as the crow flies and the state doesn&#39;t take into account narrow and winding Appalachian roads. For many patients, it may be faster to visit a doctor that&#39;s 70 miles away than it is to visit one that&#39;s 50 miles away.</p> Mon, 18 Jun 2012 12:30:30 +0000 Kenny Colston 663 at http://wfpl.org Disputes Between ARH and Coventry Leads to Confusion for Patients http://wfpl.org/post/disputes-between-arh-and-coventry-leads-confusion-patients <p>A continued contract dispute between an Eastern Kentucky hospital network and the largest private Medicaid operator in the state is leading to confusion in the region.</p><p>CoventryCares and Appalachian Region Healthcare are locked in a legal dispute over a new contract, with another court hearing scheduled for tomorrow.</p> Mon, 11 Jun 2012 20:38:43 +0000 Kenny Colston 615 at http://wfpl.org