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By Ginger - Site Admin on Thursday, May 26, 2016 7:09 AM

Kentucky insurance companies have filed their rate premiums with the Public Protection Cabinet for 2017. This information represents the planned change, and in these cases, increase, to the base rate. Projected medical and administrative costs are used by actuaries to develop the proposed premiums. Other factors such as the increased costs of medical services and prescription drugs also affect these rates.

Company Name

Market
Segment

% Change
Requested

% Change
Approved

Effective
Date

Golden Rule Insurance Company

Individual               

65.11                   

Pending                

1/1/2017

Humana Health Plan, Inc.

Individual

33.7

Pending

1/1/2017

Humana Health Plan, Inc.

Small Group

10.06

Pending

1/1/2017

Aetna Life Insurance Company

Small Group

9.6

Pending

1/1/2017

Aetna Health Inc. (PA)

Small Group

9.8

Pending

1/1/2017

Aetna Health Inc. (PA)

Individual

7.6

Pending

1/1/2017

Baptist Health Plan, Inc.

Individual

26.68

Pending

1/1/2017

Baptist Health Plan, Inc.

Small Group

12.57

Pending

1/1/2017

UnitedHealthcare Insurance Company       

Small Group

6.95

Pending

1/1/2017

UnitedHealthcare of Kentucky, Ltd.

Small Group

7.72

Pending

1/1/2017

UnitedHealthcare of Ohio, Inc.

Small Group

7.86

Pending

1/1/2017

CareSource Kentucky Co.

Individual

20.55

Pending

1/1/2017

Anthem Health Plans of Kentucky, Inc.

Small Group

9.1

Pending

1/1/2017

Anthem Health Plans of Kentucky, Inc.

Individual

22.9

Pending

1/1/2017

By Ginger - Site Admin on Wednesday, May 18, 2016 8:48 AM

The Kentucky Hospital Association (KHA) held its yearly Awards Luncheon on May 13, at the 87th Annual KHA Convention in Lexington. During the event, six hospitals from across the state were recognized with KHA Quality Awards. This award is presented to honor hospital leadership and innovation in quality, safety and commitment in patient care.

This year’s recipients were:

  • Marcum and Wallace Memorial Hospital , in Irvine, for their “Network Community Lung Cancer Screening Program”;
  • Rockcastle Memorial Hospital , in Mount Vernon, for their “I am the Patient Experience” project;
  • Twin Lakes Regional Medical Center , in Leitchfield, for “Creating a High Reliability Organization”;
  • Kosair Children’s Hospital , in Louisville, for their “Reduction of Central Line Associated Bloodstream Infections” program;
  • Central State Hospital , in Louisville, for “Improving Patient Safety in Environment”; and
  • Continuing Care Hospital , in Lexington, for their Medication Reconciliation” program.
By Ginger - Site Admin on Tuesday, May 17, 2016 7:51 AM
Susan Starling accepting Gavel from Kevin HalterThe Kentucky Hospital Association (KHA) presented several awards during the Association’s Awards Luncheon on May 13, at the 87 th Annual KHA Convention in Lexington.

The highlight of the luncheon was the installment of the 2016-2017 Chair of the KHA Board of Trustees, Susan Starling, chief executive officer of Marcum and Wallace Memorial Hospital, in Irvine. Starling will begin her tenure as Chair on July 1.

KHA’s Award of Excellence was presented to Senator Ralph Alvarado. The Senator has devoted his career to unselfishly serving the health care needs of Kentucky’s citizens and with his “servant” attitude, took this a step further and sought public office, being elected to the Kentucky Senate serving the 29th district covering Clark, Fayette...
By Ginger - Site Admin on Tuesday, May 17, 2016 6:46 AM
The Centers for Medicare and Medicaid Services (CMS) is hosting listening sessions this week to share more information about the recently released Medicare Access and CHIP Reauthorization Act of 2015 Notice of Proposed Rulemaking (NPRM).

Overview of the MACRA NPRM

Date: Tuesday, May 17 Time: 12:00 - 1:30 p.m. (ET) Details: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)...
By Ginger - Site Admin on Tuesday, May 17, 2016 6:40 AM
Kentucky’s Insurance Commissioner filed a lawsuit on May 13 in Franklin Circuit Court against the company originally hired to process and pay claims for the now-defunct Kentucky Health Cooperative (Co-op). The suit contends that CGI Technologies and Solutions, Inc. was grossly negligent in processing and paying claims and that it breached the contract it had with the Co-op.

The Co-op was created in 2012 under provisions of the Affordable Care Act to provide health insurance coverage to Kentuckians. After suffering severe financial losses, the Co-op was placed in rehabilitation in 2015 and, after further investigation, was placed into liquidation early this year when it was determined that the Co-op would never recover from its deep deficit.

Insurance Commissioner Brian Maynard filed the lawsuit in his capacity as the Co-op’s court-appointed liquidator. “We have a duty to investigate the causes of the Co-op’s collapse and to hold responsible those individuals who caused the collapse,” Maynard...
By Ginger - Site Admin on Wednesday, May 11, 2016 10:13 AM
The KHA 87th Annual Convention is tomorrow and Friday in Lexington! This year, KHA is going mobile by providing you with a mobile app for the event.

Download the KHA Mobile App, powered by Interapt, and enjoy the convenience of having Convention session details, speaker information, maps and sponsors all on your phone.

After the Convention, keep the app to stay connected with important hospital news! Soon, the new KHA app will be your one stop for the membership directory, events and much more. To create a true multi-media experience with the upcoming changes, hospital and system C-Suite executives are encouraged to visit the Interapt booth during the Convention for a quick photo, which will be included in the Directory.

Instructions and a download link are available at http://kha.interapt.com/download.

If you have not registered for the Convention, registration is available on site. Don't miss this opportunity to learn and network with your colleagues from across the state....
By Ginger - Site Admin on Monday, May 09, 2016 9:49 AM
Do you have patients that you and your hospital staff know by name because of their frequent visits? Does your Emergency Department see some patients multiple times a month? Caretenders can help. Caretenders has established a care delivery model specific to High Risk Hospitalization (HRH) patients. Once you contact them, their transitional care nurse will come to the hospital, meet with the patient and family, obtain all necessary information on the patient and complete an HRH assessment.

Caretenders will then work to transition the patient from your hospital, every step of the way, until they return home. At home, they will admit your patient within 24 hours. They will also have our Medical Social Worker make daily phone calls to the patient for at least 7 days. Caretenders utilizes CardioCom telehealth system to support their efforts in the home. CardioCom takes the patient’s vital signs and transmits them daily to their monitoring system. This provides reassurance that any slight change in the patient’s health will be detected quickly and effectively. The Caretenders team can then work with the MD to adjust medications, O2 levels or even administer diuretics in the home.

...
By Ginger - Site Admin on Friday, May 06, 2016 8:28 AM

KHA's Annual Convention is less than a week away! If you have not already registered, take this opportunity to sign up. Visit the Convention website for all the information you need, including session details, schedules and visitor information.

In addition to the General Sessions, there are tracks this year for financial professionals, your legal team, nurse executives, medical officers/physicians and a day of programs just for your volunteers, directors of volunteers, gift shop managers.

If you have any questions, please contact Carol Walters at KHA (cwalters@kyha.com).

By Ginger - Site Admin on Friday, May 06, 2016 7:58 AM
Don’t forget to register for the May 10 MLN Connects® National Provider Call, MACRA Listening Session: Quality Payment Program Proposed Rule. This call will be an opportunity for stakeholders, specifically Part B Fee-For-Service clinicians, and state and national associations that represent health care providers, to provide the Centers for Medicare and Medicaid Services (CMS) with early feedback on the proposed policy for the Quality Payment Program. To participate, visit the MLN Connects Event Registration page. Space may be limited, so please register early.

CMS also encourages you to register for:

The...
By Ginger - Site Admin on Tuesday, May 03, 2016 8:59 AM
The roots of medical practice in the U.S. goes from colonial times to today’s medical profession with its 200 certified specialties. During KHA's Annual Convention, May 12-13 in Lexington, one session will examine the current and historical physician supply and demand trends, training, compensation patterns and practice types. It will also project how health care reform and related changes will reshape the way physicians practice and are paid, with a look at value-based compensation, the team-based approach to care, medical homes, “complexivists,” concierge practice and more.

Speaker Kurt Mosley serves as Vice President of Strategic Alliances for Merritt Hawkins, the nation’s leading physician search and consulting firm, and a company of AMN Healthcare, the largest health care staffing organization in the United States. With over 20 years of health care industry experience, Mosley is one of the nation’s leading authorities on the evolving health care system, particularly the way physician supply, demand...
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