2:45 pm
Wed February 20, 2013

Hospitals, Health Department Voice Concerns, but MCOs Say Groups Aren't Engaging With Them

Credit File photo

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.

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.

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11:58 am
Wed October 17, 2012

Medicaid Operator Kentucky Spirit Plans to Break Contract, Beshear says He's Disappointed

Governor Steve Beshear says he’s disappointed that one statewide Medicaid operator has announced it is leaving the state.

Kentucky Spirit, part of Centene Corporation from Missouri, announced today that they would terminate their operations next July, before their contract is up.

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4:39 pm
Thu October 4, 2012

Consumer Advocates Worry New Medicaid Operators in Louisville Region Will Cause Problems

The Louisville Medicaid region will now be home to four different managed care operators. State officials announced the change today.

Joining Passport Health Plan is Humana, CoventryCares and WellCare.

WellCare and Coventry already have statewide contracts for Medicaid and Passport has operated in Louisville for years.

Passport officials say they will still try to continue maintain their high level of care, despite no longer holding an exclusive contract for the region. 

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3:03 pm
Thu October 4, 2012

Humana, Passport Join Two Others as New Louisville Medicaid Operators

After decades of having one company oversee Medicaid, the Louisville area will now have four private Medicaid providers.

The Louisville area was the first part of the state to have Medicaid privatized, and Passport Health Plan has administered the program ever since.

But the rest of the state has since been privatized, and multiple operators compete for patients across the commonwealth.

The Cabinet for Health and Family Services announced today that Passport will now have competition from CoventryCares, WellCare and Humana.

3:57 pm
Sat June 23, 2012

Mixed Results for Medicaid Operators in Kentucky

Reporter Kenny Colston

Last year, Kentucky state officials approved plans to bring on more regional Managed Care Operators, MCOs, to administer the state’s Medicaid program, which has been facing significant budget shortfalls.

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5:07 pm
Wed June 20, 2012

CoventryCares Lost $50 Million In First Quarter, CEO Blames State Government


The CEO of Kentucky’s largest private Medicaid operator says massive financial losses and bad data are to blame for the problems with managed cared in Kentucky.

For weeks, CoventryCares has sought to terminate or revise its contracts with more than a dozen healthcare providers so the company would pay lower reimbursement rates when doctors treat Medicaid patients. And in a meeting before the interim joint Health and Welfare Committee today, CEO Michael Murphy said his company's actions were motivated by losses. 

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3:52 pm
Wed May 9, 2012

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.

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