Tag: managed care
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Medicaid managed-care firms get new contracts with new rules aimed at resolving health-care providers’ issues with program
Kentucky has signed new contracts with five managed-care firms that will manage Medicaid coverage for more than 1.1 million Kentuckians. Contracts were awarded to Anthem, Coventry Cares, Humana, Passport and...
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Republican legislators question cabinet’s figures on managed-care payments and cost projections for Medicaid expansion
Audrey Haynes (cn|2 image) “When Audrey Haynes sat down before the legislature’s Medicaid Oversight and Advisory Committee Wednesday, she expected the data she brought would persuade lawmakers that Kentucky’s expansion...
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Kentucky re-bidding Medicaid managed care contracts to address complaints of patients, advocates and health-care providers
By Melissa Patrick Kentucky Health News State officials are re-bidding Medicaid managed-care contracts that cover more than 1.1 million Kentuckians. The news came as a delight and surprise to many...
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Auditor will hold meetings in Prestonsburg, Princeton and Somerset to discuss his report on financial status of rural hospitals
State Auditor Adam Edelen will hold three public meetings in rural communities to discuss the findings of his special report about the financial health of rural hospitals. The meetings will be...
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Up to 1/3 of rural hospitals in poor financial shape, auditor finds, calling report a baseline for local decisions that could be tough
By Melissa Patrick and Al Cross Kentucky Health News For a video of Edelen’s press conference, click here. For a cn|2 report with video, go here. FRANKFORT, Ky. — As...
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Health reform law has been good for hospital finances, health-care costs, Obama administration says
U.S. hospitals have saved billions of dollars because the federal health-reform law has provided coverage for patients who were once charity cases, the Obama administration announced Monday, the fifth anniversary...
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Advocates of state appeals for Medicaid managed-care claims make last-ditch effort to get it passed, by hijacking another bill
By Melissa Patrick Kentucky Health News FRANKFORT, Ky. — Advocates of a bill to create a state appeals process for health-care providers to appeal decisions of Medicaid managed-care companies are...
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As session nears end, bills on heroin, dating-violence orders, managed-care appeals and lawsuit review panels are hanging fire
By Melissa Patrick Kentucky Health News FRANKFORT, Ky. – The General Assembly has sent Gov. Steve Beshear four health-related bills, and several more could reach his desk in the legislative...
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State Senate passes bill for independent appeals process for managed-care claims; hearing gets into details of the problem
By Melissa Patrick Kentucky Health News Managed-care organizations’ contracts allow them to deny Medicaid claims and not reimburse for services if they deem them not medically necessary. That means health-care...
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Beshear says Ky. rural hospitals ‘have a positive cash flow’ but he can’t prove it; industry says it sees ‘some improvement’
By Al Cross Kentucky Health News FRANKFORT, Ky. — Gov. Steve Beshear says Kentucky’s rural hospitals are profitable again, thanks to his expansion of Medicaid, but he offers little evidence...