medicaid managed care


The former chair of the Kentucky Hospital Association says state Auditor Adam Edelen’s efforts to compile data related to what he calls a financial “crisis” for rural hospitals will point toward the impact of Medicaid managed care.


Kentucky Hospital Association director Michael Rust says the KHA appreciates Gov. Steve Beshear's efforts to resolve issues related to the Medicaid managed care system, but the overwhelming majority of hospitals are still reporting significant dollar amounts owed to them by Kentucky’s MCOs in unpaid claims.


Gov. Steve Beshear says the Medicaid managed care system is running smoothly, with payments being processed quickly and fewer complaints.

Beshear said Thursday that managed care, now in its second year statewide, is saving tax dollars while also helping to improve the health of Medicaid recipients by emphasizing prevention and wellness.


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

Struggling Medicaid operator Kentucky Spirit has followed through and is suing to end its contract with the state.

Kentucky Spirit announced last week it was leaving the commonwealth, because it could not operate without massive losses.  Now, it is suing in Frankfort courts to make it official.

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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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The CEO of a major Medicaid managed care company (MCO) is criticizing Kentucky for the way the state deals with businesses like his.

Michael Neidorff is the CEO of Centene, which operates Kentucky Spirit, one of three statewide MCO's that has managed Medicaid patients for the state since last year.


Kentuckians on Medicaid now have the opportunity to change healthcare providers for the first time in months.

This week Kentucky Senator Julie Denton accused Medicaid managed care organization Coventry Cares of underpaying hospitals and that if the organization didn’t straighten up that she’d have the state end its contract with the company.