Medicaid Managed Care

Politics
1:30 pm
Fri April 5, 2013

Gov. Steve Beshear Vetoes Medicaid Prompt Pay Bill, Promises Changes to System

Greg Stumbo
Credit Kentucky Legislative Commission

Gov. Steve Beshear has vetoed a bill sponsored by House Speaker Greg Stumbo that would require prompt payment in the Medicaid managed care system. 

The governor was expected to veto the bill, claiming it would cost the state too much money.

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.

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Politics
12:32 pm
Tue March 26, 2013

Medicaid Prompt Pay Bill Approved in Kentucky General Assembly, Could Be Vetoed

Credit File photo

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.

The bill,  sponsored by House Speaker Greg Stumbo and would move disputes between providers and managed care organizations to the Department of Insurance to be settled.

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.

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Politics
5:29 pm
Wed February 27, 2013

House Passes Medicaid Prompt Pay Bill 99-0

 A bill moving Medicaid managed care late payments to the Department of Insurance's review process has overwhelmingly passed the state House.

House Bill 5 passed 99-0 off the floor, after a few technical amendments were added to it.

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.

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Politics
3:00 pm
Fri February 22, 2013

Bill Dealing With Medicaid Late Payments Has Support in Senate

Julie Denton
Credit Rae Hodge/Kentucky Public Radio

A bill  moving Medicaid late payment claims to the Department of Insurance appears to have some support in the state Senate.

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.

Sen. Julie Denton, chair of the Senate Health and Welfare Committee, said she plans to give the bill a hearing and supports the bill's attempts to make managed care organizations pay providers.

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Politics
1:27 pm
Thu February 21, 2013

Bill Transferring Kentucky Medicaid Late Payments to Insurance Department Clears House Committee

Credit File photo

House Speaker Greg Stumbo's bill that would transfer late payments claims in Medicaid managed care has cleared its first committee.

The legislation moves dealing with late payment issues between health care providers and managed care organizations to the Department of Insurance's third party system. Currently, the Cabinet for Health and Family Services deals with those issues—but how those issues are dealt with has become a major issue in Kentucky's managed care system.

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Politics
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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Politics
12:38 pm
Wed February 13, 2013

Senate Committee Backs Bill Requiring Kentucky Medicaid Providers to Publish Prescription Prices

Credit Melanie Tata/Creative Commons

A bill requiring Kentucky Medicaid managed care operators publish a list of prescriptions and reimbursement prices on Wednesday passed a state Senate committee, following prodding from  independent pharmacists asking for access to pricing standards before they fill prescriptions.

The group of independent pharmacists told lawmakers that they are still having trouble with reimbursements from the state's Medicaid managed care operators. And they said they were also still being dramatically undercut on prescription reimbursements when they did receive them.

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Politics
11:19 am
Thu January 3, 2013

Speaker Stumbo Favors Medicaid Expansion in Kentucky

Greg Stumbo
Credit Kentucky Legislative Commission

The Speaker of the Kentucky House says it’s a no-brainer for Kentucky to expand its Medicaid program under the Affordable Care Act. 

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.

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.

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Politics
1:06 pm
Fri December 21, 2012

Beshear Still Weighing Medicaid Expansion; Will Make Decision Early Next Year

Steve Beshear
Credit Kentucky Governor's Office

Gov. Steve Beshear says he'll make a decision about Medicaid expansion in Kentucky by early next year.

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.

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.

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Politics
12:52 pm
Tue December 11, 2012

Legal Issues with Kentucky Spirit Remain; Passport Withdraws Medicaid Complaint

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.

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.

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.

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