KDMC and Coventry Cares

KDMC and Coventry Cares

Posted in the Ashland Forum

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concerned

Russell, KY

#1 May 10, 2012
Has anyone any more information on whether Coventry Cares is going to terminate its contract with KDMC? I sure would hate to see people not be able to use the hospital.
everyday baller

Ironton, OH

#2 May 10, 2012
concerned wrote:
Has anyone any more information on whether Coventry Cares is going to terminate its contract with KDMC? I sure would hate to see people not be able to use the hospital.
there was update in the employee email
theinsider

Ironton, OH

#3 May 10, 2012
they have extended the contract until June 30th and KDMC are trying to get them to reconsider backing out of the contract.So far you can still use the hospital for all your needs and should be able to do so until further notice from you insurance company. Coventry is trying to do this to get out of the whole medicaid system because they are concerned with the money part and not the patient care part.
myopinion

Ashland, KY

#4 May 12, 2012
There have been issues with KDMC's medicaid billing practices for ages. I wouldn't count on Coventry continuing to do business with KDMC. Unfortunatly, if that is the case, more employees could be laid off. Hope not, for their sakes
Ky spirits

Ashland, KY

#5 May 13, 2012
Ky Spirits already cut business with KDMC and if converty cares cuts them, there is only wellcare left. They are screwing themselves. Just sit back and watch!
frugal mom

United States

#6 May 14, 2012
Ky spirit didnt "cut" per se with kings daughters there contract offer was not acceptable for services rendered. Coventry is trying to back out on the entire STATE not just kings daughters. They are concerned more for the bottom line rather than the PEOPLE of kentucky.
me

Ashland, KY

#7 May 14, 2012
I work in mental health. The managed care companies are not working with anyone. They are not looking out for the clients. They are not paying for services. Coventry is backing out of contracts with several large hospital system across the state which is going to leave patients with little to no options for health care. It's very sad that our state is allowing this to happen.
worried

Louisa, KY

#8 May 15, 2012
My child has the Coventry care,this worries me about if i need to use it for her if all this is goin on.I had the Ky medical card and i was sent the coventry card....makes no sense!
Business over health

Ardsley, NY

#9 May 15, 2012
All these managed care networks job is to reduce care. They could care less about your health until its them sick. Welcome to the start of obamacare
Same

Ashland, KY

#10 May 15, 2012
Actually this is not Obamacare at all. This is privatized insurance not regulated by the government. Medicaid under the state wasn't great, but under private is worse.
WhatWhat

Ashland, KY

#11 May 16, 2012
So I can't figure out exactly what this Coventry does. Can someone "in the know" explain it? If this contract negotiation fails what is the result? I have private insurance thru work, will I even notice? Just looking for a simple explanation. Thx.
Towhatwhat

Grayson, KY

#12 May 16, 2012
WhatWhat wrote:
So I can't figure out exactly what this Coventry does. Can someone "in the know" explain it? If this contract negotiation fails what is the result? I have private insurance thru work, will I even notice? Just looking for a simple explanation. Thx.
What this will do is take medical care away from children who need it. A perfect example is that I have taken in a child "by choice" who had no place to go. The state of Ky will provide that child with healthcare until he is 18 becuase I am not his biological parent. This child takes medication and requires intense therapy. These things will be taken from this child becuase I simply cannot afford to pay for them even with him on my insurance. This is not fair. I pay a load of taxes to cover plenty of healthcare issues for kids in the state and find it unfair for them to just throw them in the street with no coverage. That is where this is headed. Very scary and very sad :(
Business over health

Ardsley, NY

#13 May 16, 2012
Same wrote:
Actually this is not Obamacare at all. This is privatized insurance not regulated by the government. Medicaid under the state wasn't great, but under private is worse.
Obamacare will be worse. Profits and denying care will only be the start. The smart doctors will retire before this beauracy takes place
JustMe

Ardsley, NY

#14 May 16, 2012
Do you actually know anything about "obamacare" or are you going by what FauxNews tells you? Do you think our current healthcare system is ok? I work and have insurance, fairly decent comparitively speaking. I'm a single mom (and before any of y'all jump on that, we get no form of government assistance), healthy, with one healthy son. Out of pocket, not including what my insurance pays, just for his school physicals I've paid $85 to a pediatrician,$50 to a dentist and $89 to an optometrist. For people who are out busting their butts and taking whatever jobs they can, the employers SHOULD contribute to their insurance, especially huge corporations like McDonalds who are raking in the bucks. Those moms and dads (and singles) deserve insurance as much as anyone else. They get sick too, and one major illness shouldn't wipe out their savings or put them into bankruptcy
concerned

Ironton, OH

#15 May 16, 2012
wow i am really concerned as well..I my self am a single working mother and can only afford insurcance for my self and not the family plan so i use the convertary care card for my daughter so she will have insurance..I am like everyone else in the state i pay my taxes to help keep this insurance for our kids..the state will have to figure out how to fix this.because as the saying goes no man woman or child should ever be denied the right to have medical coverage...So where is our tax dollars going then if convetary care thinks it is that bad.I think maybe some of the doctors need to lower there prices on visits come on now why would a doc need 150 dollars just to see some one with a ear ache..I think greed is standing in the way of good health care these days..
Ummmm

Ashland, KY

#16 May 18, 2012
Individual doctors do not set their own prices. Coventry has a set fee schedule for each service. It doesn't matter how much a doctor bills Coventry, they only pay the agreed contracted amount for that service. The average payment for an office visit is about $43. The problem is Coventry does not want to pay for medically necessary procedures for patients. They are trying to get out of their contract for the entire state. Doctors who accept Coventry get paid 15 percent less by Conentry than they did by regular Kentucky Medicaid. I heard from a very reliable source that patients who have Coventry will be allowed to switch to Wellcare if Coventry does not renew their contract. KDMC is not in network with Kentucky Spirit either. That will leave only Wellcare.
shadow

United States

#17 May 18, 2012
Coventry actually pays little more than Medicaid and they r trying to work contract out w KY spirit.
me

Ashland, KY

#18 May 18, 2012
WellCare is not any better.
Business over health

United States

#19 May 18, 2012
JustMe wrote:
Do you actually know anything about "obamacare" or are you going by what FauxNews tells you? Do you think our current healthcare system is ok? I work and have insurance, fairly decent comparitively speaking. I'm a single mom (and before any of y'all jump on that, we get no form of government assistance), healthy, with one healthy son. Out of pocket, not including what my insurance pays, just for his school physicals I've paid $85 to a pediatrician,$50 to a dentist and $89 to an optometrist. For people who are out busting their butts and taking whatever jobs they can, the employers SHOULD contribute to their insurance, especially huge corporations like McDonalds who are raking in the bucks. Those moms and dads (and singles) deserve insurance as much as anyone else. They get sick too, and one major illness shouldn't wipe out their savings or put them into bankruptcy
Good luck finding a doctor in socialist world. There won't be any doctors. Why take the risk to be paid what a teacher is paid. Let's become russia
Wait

Ironton, OH

#20 May 18, 2012
Business over health wrote:
<quoted text>
Good luck finding a doctor in socialist world. There won't be any doctors. Why take the risk to be paid what a teacher is paid. Let's become russia
Have you seen some of the cars the teachers drive? They all seem to be doing very well. Check out the staff parking at some of the schools. Not saying they haven't earned it. I see BMWs, Infinitis, MB, etc.

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