Open Enrollment is a period of time which eligible individuals can elect to enroll in, or transfer between, Qualified Health Plans. The Kentucky Rural Health Association is awarding four writers $100 each for their efforts. Entries will be judged on their relevance to rural health; the quality of the reporting; impact on health-care policy; and new insights that might have been generated by the reporting. Coventry decided to stop paying for buprenorphine, more commonly known as Suboxone, which helps curtain cravings for drugs such as Oxycontin and Vicodin.
Last week, the Cabinet for Health and Family Services sent Coventry a letter expressing its displeasure about the MCO’s move, saying it would be a contractual violation. Coventry had said it was aligning its coverage in keeping with Medicaid policy, moving to only cover the full price of the drug for pregnant or recently pregnant women and youth under 21. It’s the latest health story in the small daily newspaper, which is committed to quality health reporting.
Nick Tabor of the Kentucky New Era examines Christian County’s doctor shortage, with the area averaging just one primary care physician for every 2,000 people. 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.
Steve Beshear nixed plans for the publicly-owned hospital to join, among others, a Catholic-based organization that would have limited some procedures it could offer because of the organization’s religious tenets. 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 t emporary agreement after Coventry threatened to terminate its contract and ARH sued Coventry. With Kentucky stakeholders discussing their options to set up a state-run health insurance exchange — something Gov. Steve Beshear said last week he intends to do if the Affordable Care Act is upheld by the U.S. Supreme Court — research shows the fewer plans offered in the exchange, the better.