WELLCARE

Medicaid Issues Leave Heavy Burden on WellCare

Kenny Colston (KPR) — Mon, 22 Oct 2012 21:00:08 +0000

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.

Review Committee Hears Managed Care Testimony

Kenny Colston (KPR) — Mon, 19 Mar 2012 21:23:38 +0000

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.

MCO's Address Billing Issues

Kenny Colston (KPR) — Wed, 15 Feb 2012 22:00:03 +0000

Officials with Kentucky's Medicaid managed care organizations say they're on track to resolve any problems with reimbursements to doctors and pharmacists.

Managed Care Organizations Face Committee

Kenny Colston (KPR) — Tue, 14 Feb 2012 15:01:08 +0000

Kentucky's Medicaid Managed Care Organizations say they have fixed a number of issues with reimbursements to pharmacists.

CoventryCares, WellCare and Kentucky Spirit took over management of the state's Medicaid system last year.