Health News
- Coventry Must Extend Contract With Appalachian Regional Healthcare Until Nov. 1, Judge Rules
Conventry Cares must continue its contract with Appalachian Regional Healthcare through Nov. 1 so the 25,000 Eastern Kentucky Medicaid patients affected don't get "thrown under the bus," a federal judge ruled yesterday. "The health and well-being...
- Coventry Offers To Keep Paying Arh, But Less, For Treating Medicaid Patients; Asks Danville Chain To Renegotiate
Coventry Cares has offered to pay for treatments at Appalachian Regional Healthcare as a "non-contracted provider," which would mean ARH would be paid far less than it is now, but coverage for ARH's 25,000 Medicaid patient members would not be interrupted....
- Coventry, Arh At Impasse Over Medicaid; State Says Service Will Not Be Interrupted For 25,000 Affected
Though negotiations between Appalachian Regional Healthcare and Coventry Cares appear to be futile, the state is taking steps to make sure there won't be an interruption in care for the Medicaid recipients who will be affected by the impasse....
- Medicaid Managed-care Firm Coventry Plans To Stop Paying For Expensive Drug That Curtails Addiction
Coventry Cares, one of the four firms that manage patient care for the state Medicaid program, has once again hit the headlines, this time for its plans to stop paying for medicine that helps addicts keep their opioid addiction at bay. State officials...
- Appalachian Hospital Chain, Facing Loss Of 25,000 Medicaid Patients, Sues Managed-care Firms And State
"Appalachian Regional Healthcare, the largest health care system in Eastern Kentucky, has filed lawsuits against two of the state's Medicaid managed care companies, alleging that the managed care companies had not paid claims promptly," report Valarie...
Health News
Managed-care firm Coventry threatens to terminate contracts of Baptist Healthcare and big Ashland hospital
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| Lexington Herald-Leader photo by Charles Bertram |
Issues with the state's managed-care companies continue to mount. Now Coventry Cares has told Baptist Healthcare System, which has hospitals in Lexington, Louisville, La Grange, Paducah and Corbin, that it wants to renegotiate its contract.
The move comes just a week after Coventry and Appalachian Regional Healthcare came to a temporary agreement after Coventry threatened to terminate its contract and ARH sued Coventry. The managed-care firm has also told King's Daughters Medical Center in Ashland it will terminate its contract after May 26.
Kentucky moved its Medicaid population to managed care Nov. 1, a move that is expected to save the state a lot of money. The three managed-care organizations that coordinate care for Medicaid recipients outside the Louisville area are paid on a per-month, per-patient basis, regardless of what care is needed. Coventry alleges "that it has too many high-risk patients and that the state needs to adjust the risk model so Coventry can receive more money for sicker patients," report Beth Musgrave and Valarie Honeycutt-Spears for the Lexington Herald-Leader.
Unlike the state's other two managed-care companies, Kentucky Spirit and Well Care, Coventry "opted not to charge patients a co-pay for pharmacy services. That business decision meant it got more people into the system who likely had more complicated health problems," Musgrave and Honeycutt-Spears report. House Speaker Greg Stumbo has questioned the move not to charge a co-pay and wondered if it was akin to Medicaid fraud. (Read more)
- Coventry Must Extend Contract With Appalachian Regional Healthcare Until Nov. 1, Judge Rules
Conventry Cares must continue its contract with Appalachian Regional Healthcare through Nov. 1 so the 25,000 Eastern Kentucky Medicaid patients affected don't get "thrown under the bus," a federal judge ruled yesterday. "The health and well-being...
- Coventry Offers To Keep Paying Arh, But Less, For Treating Medicaid Patients; Asks Danville Chain To Renegotiate
Coventry Cares has offered to pay for treatments at Appalachian Regional Healthcare as a "non-contracted provider," which would mean ARH would be paid far less than it is now, but coverage for ARH's 25,000 Medicaid patient members would not be interrupted....
- Coventry, Arh At Impasse Over Medicaid; State Says Service Will Not Be Interrupted For 25,000 Affected
Though negotiations between Appalachian Regional Healthcare and Coventry Cares appear to be futile, the state is taking steps to make sure there won't be an interruption in care for the Medicaid recipients who will be affected by the impasse....
- Medicaid Managed-care Firm Coventry Plans To Stop Paying For Expensive Drug That Curtails Addiction
Coventry Cares, one of the four firms that manage patient care for the state Medicaid program, has once again hit the headlines, this time for its plans to stop paying for medicine that helps addicts keep their opioid addiction at bay. State officials...
- Appalachian Hospital Chain, Facing Loss Of 25,000 Medicaid Patients, Sues Managed-care Firms And State
"Appalachian Regional Healthcare, the largest health care system in Eastern Kentucky, has filed lawsuits against two of the state's Medicaid managed care companies, alleging that the managed care companies had not paid claims promptly," report Valarie...