medicaid

Illinois officials are launching an effort to ensure the only people that receive Medicaid are those eligible. The eligibility checks include an annual verification of income levels and residency of the state’s 2.7 million Medicaid clients. Virginia-based Maximus Incorporated began the work Wednesday that aims to improve the system, eliminate a backlog and make recommendations to state caseworkers.

Wikimedia Commons

The departure of one of three statewide Medicaid operators next year is once again raising concerns about adequate medical coverage in parts of the state. Earlier this year, coverage was one of the issues brought up between Coventry Cares, another operator, and hospital chain Appalachian Regional Healthcare in a lawsuit over contract issues. At the time, state officials pointed to the other two operators as proof of coverage. But now one of those operators, Kentucky Spirit, is leaving next July.

centene.com

As the fallout continues from the announced departure of statewide Medicaid operator Kentucky Spirit, many other Medicaid operators are already looking to take their place.

Kentucky Spirit announced last week they would break their contract with the state early. State officials say they won’t re-open those statewide contracts to replace Kentucky Spirit until the current contracts expire.

Wikimedia Commons

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.

Wikimedia Commons

KentuckyOne Health says it is terminating contracts at all its facilities with Medicaid provider Coventry Cares. KentuckyOne Health says the terminations will be effective November 1st at former Jewish Hospital & St. Mary's Healthcare facilities and on December 1st at former Saint Joseph Health System facilities. Today’s announcement comes after Coventry gave notice that it would not participate at two hospitals owned by the health system — Our Lady of Peace in Louisville and Taylor Regional Hospital in Campbellsville.

wikipedia.org

Kentucky Governor Steve Beshear is not joining other Kentucky  officials in calling for the repeal of the Affordable Care Act.

Afternoon Round-Up 7/5/12

Jul 5, 2012
facebook.com/AmYiHi

Today on NPR: Medical Marijuana Use Sprouting In Israel

Substances [con't]:

Kentucky’s bourbon production has increased 115% over the past 13 years.

LRC Public Information

The highest-ranking Republican in the Kentucky state House is calling on Governor Steve Beshear to reject an expansion of Medicaid set forth in the Affordable Care Act. The Supreme Court ruling on the healthcare law allows states to opt out of the expansion of the program. House Minority Floor Leader Jeff Hoover wants Beshear to follow other states that have opted out.

morning cram [mango pickle down river edition]

Jun 21, 2012

Today on NPR: Vannak Prum was forced to work on a Thai fishing boat for three years before he escaped by jumping overboard. With little oversight, rogue captains buy men like Prum from traffickers and use them to plunder the fishing grounds of surrounding nations.

The CEO of Kentucky’s largest private Medicaid operator says mistakes in state government caused his company to push for changes in its contracts with healthcare providers.  

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