KanCare system getting more criticism »

Posted 2 years ago

By Post Staff

(AP) — Health-care executives and advocates are getting the chance to tell lawmakers what they dislike about the state’s managed care plan for Medicaid.Screen Shot 2013-10-08 at 5.34.24 AM

A legislative oversight committee met Monday to gather updates on how the program is working and guide legislative fixes. A second meeting also is planned.

The program has been criticized for delays in reimbursing providers and providing prior authorizations for certain types of treatment. Health providers told lawmakers that the issues could threaten the existence of their businesses.

Providers showed examples where three managed-care insurance companies have messed up billing. Sometimes claims are overpaid or underpaid. Other examples involved the denial of legitimate claims.

State officials, meanwhile, gave presentations indicating that by their measures, KanCare appears to be going well.



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