MANAGED CARE

LRC Public Information

 

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

Kentucky lawmakers continue to chastise three of the state's Medicaid Managed Care organizations for mismanagement.

Representatives of Kentucky Spirit, Wellcare of Kentucky and Coventry Cares appeared before the program review committee today. Legislators wanted to know whether they had solved problems brought up by health care providers in a January committee meeting.

The MCOs all said the problems were mostly solved and that operations were improving every day. But independent pharmacists and mental health care providers disagreed.

Governor Steve Beshear says the problems with Kentucky s new Medicaid Managed Care system will be resolved.

Beshear pushed for the managed care system last year to take some of the administrative burden of Medicaid off of the state. But earlier this week, doctors, pharmacists and hospital officials told lawmakers there were significant problems with the system. Specifically, care providers are owed millions of dollars in claim payments and have struggled to get pre-authorizations for procedures and medications.

But the governor isn't surprised to hear about the problems.