Health News
- Beshear Vetoes Prompt-pay Bill But Takes Several Steps To Address Problems In Medicaid; He And Haynes Say It's Working
Gov. Steve Beshear has vetoed the bill designed to make Medicaid managed-care firms pay health-care providers more quickly, but is taking administrative steps to address the issue. Beshear said he agreed with the intent of House Bill 5 but it might have...
- Feds Plan To Let States Impose Co-payments On Medicaid Patients Above Poverty Level To Encourage Them To Expand The Program
By Molly Burchett and Al Cross Kentucky Health News If Kentucky expands its Medicaid program, it will probably be able to reduce the cost by requiring patients whose incomes are above the federal poverty level to help pay for their care. That could make...
- Haynes: Medicaid Case Managers Threatened, And More Bumps Ahead, But State Beginning To See Advantages Of New System
By Al Cross Kentucky Health News Some Medicaid case managers' lives have been threatened because they have tried to get Medicaid patients to go to primary-care doctors instead of emergency rooms, Health and Family Services Secretary Audrey Haynes...
- Governors In Both Parties Undecided On Whether To Expand Medicaid; Seeking Answers To Several Questions
There is hesitation among governors on both sides of the aisle regarding whether or not to expand Medicaid, which would cover millions more Americans under the program for the poor and disabled. "At least seven Democratic governors have been noncommittal...
- Will Illinois Have Enough Family Physicians Beyond 2014?
Do we have enough physicians to care for newly insured patients seeking care starting Jan. 1? Some will be covered by Medicaid; some gain coverage through the insurance marketplace; and others turning 65 join the ranks of Medicare. The Illinois Academy...
Health News
Kentucky among states selected to study, address expensive problem of 'superusers' of emergency rooms
Kentucky is one of a few states teaming up with the National Governors Association to address the expensive problem of uninsured or Medicaid-covered "superusers" who over-use hospital emergency rooms or other costly health services instead of lower-cost alternatives like primary care.
?I?m proud Kentucky has been chosen to participate in this important program,? Gov. Steve Beshear said in a news release. ?Across the nation, an understanding has been growing that we must focus our efforts on providing the best in coordinated care, helping to direct individuals who may be using more expensive, less effective services to more cost-efficient preventive services that provide better health outcomes in the long run. It?s by achieving these outcomes that we will build a healthier future for Kentucky.?
Kentucky, Alaska, Colorado, Kentucky, New Mexico, Puerto Rico and West Virginia will participate in a policy academy designed to help them create systems for these "superusers", enabling state officials to confront rising Medicaid expenditures while improving quality of care and health, says an NGA release.
These "superusers," sometimes called "super-utilizers" or "frequent flyers," often go to a hospital or emergency room for recurring health issues that can be treated more effectively and less expensively in other ways. Kentucky Medicaid spent more than $219 million on emergency-room use in 2012, and 4,400 Medicaid recipients used ERs 10 or more times during that year, says Beshear's release.
?There?s a handful of people who drive most of our spending,? Dan Crippen, the executive director of the governors? association, told Kelsey Miller of Kaiser Health News. While the median ER visit cost $615 in 2009, an office-based visit with a physician cost $361, according to the federal Medical Expenditure Panel Survey.
?Kentucky has too long lagged behind in health rankings, and now is the time for us to begin truly moving the needle in the right direction,? said Cabinet for Health and Family Services Secretary Audrey Tayse Haynes. ?By participating in this national effort, we can learn what has worked for other states and share Kentucky?s experiences as well.?
State leaders will first meet as a group with consultants from various health-care sectors, then officials will spend 18 months implementing the plans in their communities, says Miller. Funding for the effort is provided by the Robert Wood Johnson Foundation and the Atlantic Philanthropies.
?I?m proud Kentucky has been chosen to participate in this important program,? Gov. Steve Beshear said in a news release. ?Across the nation, an understanding has been growing that we must focus our efforts on providing the best in coordinated care, helping to direct individuals who may be using more expensive, less effective services to more cost-efficient preventive services that provide better health outcomes in the long run. It?s by achieving these outcomes that we will build a healthier future for Kentucky.?
Kentucky, Alaska, Colorado, Kentucky, New Mexico, Puerto Rico and West Virginia will participate in a policy academy designed to help them create systems for these "superusers", enabling state officials to confront rising Medicaid expenditures while improving quality of care and health, says an NGA release.
These "superusers," sometimes called "super-utilizers" or "frequent flyers," often go to a hospital or emergency room for recurring health issues that can be treated more effectively and less expensively in other ways. Kentucky Medicaid spent more than $219 million on emergency-room use in 2012, and 4,400 Medicaid recipients used ERs 10 or more times during that year, says Beshear's release.
?There?s a handful of people who drive most of our spending,? Dan Crippen, the executive director of the governors? association, told Kelsey Miller of Kaiser Health News. While the median ER visit cost $615 in 2009, an office-based visit with a physician cost $361, according to the federal Medical Expenditure Panel Survey.
?Kentucky has too long lagged behind in health rankings, and now is the time for us to begin truly moving the needle in the right direction,? said Cabinet for Health and Family Services Secretary Audrey Tayse Haynes. ?By participating in this national effort, we can learn what has worked for other states and share Kentucky?s experiences as well.?
State leaders will first meet as a group with consultants from various health-care sectors, then officials will spend 18 months implementing the plans in their communities, says Miller. Funding for the effort is provided by the Robert Wood Johnson Foundation and the Atlantic Philanthropies.
- Beshear Vetoes Prompt-pay Bill But Takes Several Steps To Address Problems In Medicaid; He And Haynes Say It's Working
Gov. Steve Beshear has vetoed the bill designed to make Medicaid managed-care firms pay health-care providers more quickly, but is taking administrative steps to address the issue. Beshear said he agreed with the intent of House Bill 5 but it might have...
- Feds Plan To Let States Impose Co-payments On Medicaid Patients Above Poverty Level To Encourage Them To Expand The Program
By Molly Burchett and Al Cross Kentucky Health News If Kentucky expands its Medicaid program, it will probably be able to reduce the cost by requiring patients whose incomes are above the federal poverty level to help pay for their care. That could make...
- Haynes: Medicaid Case Managers Threatened, And More Bumps Ahead, But State Beginning To See Advantages Of New System
By Al Cross Kentucky Health News Some Medicaid case managers' lives have been threatened because they have tried to get Medicaid patients to go to primary-care doctors instead of emergency rooms, Health and Family Services Secretary Audrey Haynes...
- Governors In Both Parties Undecided On Whether To Expand Medicaid; Seeking Answers To Several Questions
There is hesitation among governors on both sides of the aisle regarding whether or not to expand Medicaid, which would cover millions more Americans under the program for the poor and disabled. "At least seven Democratic governors have been noncommittal...
- Will Illinois Have Enough Family Physicians Beyond 2014?
Do we have enough physicians to care for newly insured patients seeking care starting Jan. 1? Some will be covered by Medicaid; some gain coverage through the insurance marketplace; and others turning 65 join the ranks of Medicare. The Illinois Academy...