Tag Archives: Managed Care

Managed care in Kentucky: failure or success?

By Melanie Wolkoff Wachsman State auditor releases review of private, manged care companies. It started with a seemingly, win-win situation: Kentucky chose to move to a managed care model statewide with the goal of improving the health of Medicaid members while reducing cost. Beginning in November 2011 Kentucky contracted with three new companies to manage

Passport protests state Medicaid bid

By Melanie Wolkoff Wachsman Passport Health Plan, a non-profit community-based Medicaid managed health plan based in Louisville, filled a formal protest of the award of Managed Care contracts for the sixteen county regions known as Medicaid Region 3. Passport filed the protest after discussing concerns around the assignment of members to health plans with officials

Medicaid managed care contracts awarded for Jefferson, surrounding counties

The Commonwealth of Kentucky has signed contracts with Coventry Cares, Humana, Passport and Wellcare of Kentucky to provide health care services to approximately 175,000 Medicaid recipients in Louisville and 15 surrounding counties. These managed care organizations (MCOs) will provide services in Region 3, which is comprised of Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion,

Medicaid Managed Care

by Sheila A. Schuster, Ph.D. “Medicaid Managed Care is coming!” The chant resonated through the halls of Frankfort at the conclusion of the 2011 Kentucky General Assembly Special Session. This was our salvation—the way out of a huge deficit in Medicaid and its escalating costs. The way to avoid dumping individuals off the Medicaid rolls