Coventry Cares

Local News
2:37 pm
Tue December 4, 2012

Confused by Medicaid Changes in Louisville? Group Sets up Meetings to Offer Answers

Credit Wikipedia Commons

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.

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.

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Politics
9:00 am
Sun November 4, 2012

New Rule Continues Medicaid Burden on Independent Pharmacists

A recent decision on drug co-pays by a statewide Medicaid operator has independent pharmacists upset -- again.

In January, complaints from a group of pharmacists drew attention to problems in Kentucky’s Medicaid managed care system.

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.

But in doing so, Kentucky pharmacist Jason Wallace said the managed care operators are just moving money around, not actually compensating pharmacists any better than before.

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Politics
11:11 am
Fri November 2, 2012

Passport Files Formal Complaint over Louisville Medicaid Contracts

Kentucky officials are once again facing the prospect of lawsuits over efforts to expand managed health care within  Medicaid. 

This time, it's Passport Health Plan that is threatening to sue, based on what they call broken rules and promises made to them. 

(Read the letter here.)

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Politics
4:28 pm
Mon October 22, 2012

Medicaid Issues Leave Heavy Burden on WellCare

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.

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Local News
1:49 pm
Mon August 20, 2012

Medicaid Open Enrollment Begins in Kentucky

Kentuckians on Medicaid now have the opportunity to change healthcare providers for the first time in months.

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.

Local News
5:24 pm
Thu August 16, 2012

KentuckyOne Severs Ties With Coventry Cares

KentuckyOne Health, the largest health system in the state, has dropped all contracts with Medicaid managed care organization Coventry Cares.


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.   Now, KentuckyOne spokesperson Barbara Mackovic  says her organization is responding by halting all its contracts with the managed care organization.

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Politics
4:25 pm
Tue June 19, 2012

Lawmakers Plan to Question Coventry CEO Over Contract Issues

Kentucky lawmakers will get their first chance tomorrow to ask a private Medicaid operator why it’s having so much trouble negotiating contracts with healthcare providers.

The CEO of CoventryCares will speak to lawmakers at a meeting of the Interim Joint Health and Welfare Committee. Coventry has been fighting with the Eastern Kentucky hospital network Appalachian Regional Healthcare over reimbursement rates and a new contract.  

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Politics
8:30 am
Mon June 18, 2012

Medicaid Regulations No Match for Rural Roads

The dispute between an Eastern Kentucky hospital chain and private Medicaid operators has lawyers arguing distance versus drive time.

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's home. But that distance is measured as the crow flies and the state doesn't take into account narrow and winding Appalachian roads. For many patients, it may be faster to visit a doctor that's 70 miles away than it is to visit one that's 50 miles away.

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Politics
4:38 pm
Mon June 11, 2012

Disputes Between ARH and Coventry Leads to Confusion for Patients

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.

CoventryCares and Appalachian Region Healthcare are locked in a legal dispute over a new contract, with another court hearing scheduled for tomorrow.

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