Tag: managed care
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Medicaid managed-care firm Coventry plans to stop paying for expensive drug that curtails addiction
Coventry Cares, one of the four firms that manage patient care for the state Medicaid program, has once again hit the headlines, this time for its plans to stop paying...
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Cabinet must ‘wield the stick’ to get managed care under control, state auditor says
Though the state has a solid contract “filled with all the mechanisms you need for enforcement, from the carrots to the sticks,” the Cabinet for Health and Family Services has...
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Coventry agrees to keep covering ARH patients until June 30
After a two-hour hearing in federal court, managed-care firm CoventryCares agreed yesterday to keep paying Appalachian Regional Healthcare for treating Medicaid patients at its hospitals through at least June 30...
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State tells Coventry Cares to keep covering ARH patients; managed-care firm says it will drop Ashland hospital
The state has ordered Medicaid managed-care firm Coventry Cares to keep paying for its members to be treated at Appalachian Regional Healthcare hospitals for at least 30 days, rather than...
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Managed-care firm blames state for problems leading to impending end of contract with ARH hospitals
In the face of a lawsuit that alleges it did not pay claims promptly, Coventry Health and Life Insurance Co. blamed the state for problems that have surfaced since managed care...
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Appalachian hospital chain, facing loss of 25,000 Medicaid patients, sues managed-care firms and state
“Appalachian Regional Healthcare, the largest health care system in Eastern Kentucky, has filed lawsuits against two of the state’s Medicaid managed care companies, alleging that the managed care companies had...
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Knox County Hospital bounces employees’ checks; blames old, bad debt and late Medicaid payments
Debt inherited from previous management and late Medicaid payments caused some Knox County Hospital checks to bounce. Most of the facility’s employees could not cash their checks last Friday afternoon. “It was...
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Switch to managed care happened too fast with too little knowledge, former Medicaid commissioner says
States like Kansas are looking at Kentucky as a precautionary tale for what not to do when transitioning to managed care, former Kentucky Medicaid commissioner Shannon Turner told Ryan Alessi...
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State and companies were unprepared for quick move to managed care, state auditor concludes
Kentucky officials and the companies in charge were unprepared for the switch to Medicaid managed care, State Auditor Adam Edelen said Wednesday. He sent the Cabinet for Health and Family...
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Lawmakers hear more complaints about managed care
Patients with mental illness are being denied medication, forced to try cheaper drugs that have already been proven not to work for the patient, or not getting them in time...