KentuckyOne Health, CoventryCares in Dispute

Business First by David A. Mann, Reporter

Date: Thursday, August 16, 2012, 2:59pm EDT


KentuckyOne Health, a statewide health care system, was formed by the Jan. 1 merger of Jewish Hospital & St. Mary’s HealthCare Inc. and Saint Joseph Health System.


The largest health care provider in the state is terminating contracts with CoventryCares, one of the state’s four Medicaid managed care organizations, .

KentuckyOne Health stated in a news release that it has sent a notice of termination of all contracts. These terminations will be effective for the former Saint Joseph Health System facilities on Dec. 1, and for the former Jewish Hospital & St. Mary’s HealthCare Inc. facilities on Nov. 1.

Officials with CoventryCares could not immediately be reached for comment.

KentuckyOne Health will continue to be contracted to participate with Kentucky’s three other Medicaid managed-care providers: Spirit Health Plan, Wellcare of Kentucky and Passport Health Plan.

On April 27, Our Lady of Peace, a KentuckyOne facility, received a letter of termination, effective July 18, from CoventryCares. Additionally, CoventryCares terminated the contract with another KentuckyOne facility, Taylor Regional Hospital, without cause, the release said.

“KentuckyOne leadership strongly believes that Medicaid recipients in the commonwealth should have access to quality health care via a comprehensive network of provider and community organizations in order to achieve improved health outcomes,” the release said. “We feel CoventryCare’s actions will ultimately hinder and prevent the care our communities need and deserve.”

Louisville-based Jewish Hospital & St. Mary’s HealthCare Inc. and Lexington-based Saint Joseph Health System merged earlier this year to form KentuckyOne Health. The merged system has more than 13,000 employees and $1.8 billion in annual revenue.