health insurance

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Kentucky adults still have a hard time affording health care, according to a Kentucky Health Issues Poll.

In 2015, one in five Kentucky adults either didn’t get care or delayed care due to cost, according to the report. That’s down from 2014 and 2009, when 22 percent and 32 percent, respectively, went without needed care due to cost.

Susan Zepeda, president of Foundation for a Healthy Kentucky, said having insurance coverage is a great start, but it doesn’t always get the whole job done.

“Although more and more Kentuckians are able to get the care they need in a timely manner, they’re is still work to be done,” she said. “There are still people who are delaying care or finding that they’re unable to handle the medical bills after they receive care.”

J. Tyler Franklin, WFPL

Before landing a $3.1 million no-bid state contract on Gov. Steve Beshear’s last day in office, the software company that counts a former Beshear cabinet secretary’s husband as a “partner” had already received $8.1 million worth of state business outside of the competitive bidding process.

SAS Institute, a Cary, N.C., technology company, was hired in 2012 to develop a fraud-detection system for Kynect, the state-owned health insurance exchange. It didn’t have to bid for a state contract of its own. Instead, according to Kentucky Finance & Administration Cabinet records, it piggybacked into the job through a “modification” of the main contract with Deloitte Consulting.

As the arrangement was taking shape, one man — Frank Lassiter of Midway, Ky. — had connections on both sides. For SAS, he had just begun serving as one of more than 1,000 technology “partners” listed on its website. For the Beshear administration, Lassiter was executive director of the Cabinet for Health and Family Services’ Office of Administrative and Technology Services until 2011. His wife, Mary Lassiter, was state budget director before being named secretary of Beshear’s Executive Cabinet in 2009. Both contributed money to Beshear’s re-election campaign in 2011.

Jessica Ditto, spokeswoman for Kentucky Gov. Matt Bevin, said the governor’s office is weighing the possibility that political — and marital — connections paved the way for SAS.

Lisa Autry

This is the second of a two-part series on proposed changes to Kentucky Medicaid and how Governor Matt Bevin wants to model the program after a similar one in Indiana.  You can see Part 1 here.

When the federal Affordable Care Act was rolled out, Indiana was faced with the same dilemma as other states: give health coverage to more of the uninsured by expanding Medicaid, while taking on hundreds of millions of dollars in costs. 

Indiana Governor Mike Pence persuaded the federal government to approve an alternative for his state. Just over a year ago, the state implemented the Healthy Indiana Plan 2.0.  Kentucky Governor Matt Bevin wants to launch a similar program as he looks to revamp his state's Medicaid system. 

In the year since Indiana implemented the Healthy Indiana Plan 2.0, or HIP, more than 370,000 Hoosiers have enrolled in the program.  Among them is Mary Buchanan, who is self-employed.  A shoulder injury no longer allows her to work full-time.  By working less, the 63-year-old from Rockport couldn’t afford the private insurance she used to carry.  She picked up the Healthy Indiana Plan 2.0, or HIP, about a year ago.

"One less thing for me to worry about 24\7, said Buchanon, who met WKU Public Radio at the Spencer County Library.  "What if something happens to me?  Am I going to have to file bankruptcy?  One trip to the hospital can wipe you out.”

Under HIP 2.0, Buchanan pays just under $14 a month in premiums and has no co-pays or deductibles for her medical care.

Flickr/Creative Commons/Brandy Shaul

This is the first in a two-part series on Medicaid, Kentucky's expansion of the government-subsidized program, and proposed changes to Medicaid.

As Governor Matt Bevin prepares to re-design Kentucky’s Medicaid program, a new national survey shows the commonwealth with the second-largest gains in insurance coverage. 

More than half-a-million Kentuckians obtained coverage under the federal Affordable Care Act.  Some 80 percent of the newly insured went onto the Medicaid rolls. 

But many Medicaid enrollees are worried about what lies ahead under the state’s new Republican governor.  Teresa Bowley was at a recent health insurance sign-up event in Bowling Green to ask a question about changing providers.  Six months ago, she qualified for coverage through Kentucky’s Medicaid expansion. 

Now when she gets sick, she goes to the doctor. But that hasn’t always been the case. 

”You just don’t. You just try to think this will go away on its own.  You have to miss work," Bowley explained.

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A new study says the number of low-income Kentuckians without health insurance declined by 68 percent in the first year of the state’s Medicaid expansion.

The research was conducted by the University of Louisville’s School of Public Health and Information Sciences Department of Health Management and Systems Sciences by faculty members Joseph Benitez, Liza Creel and J’Aime Jennings.

It was published Wednesday in Health Affairs.

The study said 35 percent of low-income Kentuckians were uninsured at the end of 2013, and 11 percent were uninsured in late 2014. The research aligns with past studies that show sharp drops in the rate of uninsured in Kentucky since the Affordable Care Act was implemented.

Benitez and his colleagues also found declines in the number of people lacking a regular source of health care and those with unmet medical needs.

J. Tyler Franklin

Kentucky Gov. Matt Bevin’s efforts to reshape the state’s approach to the Affordable Care Act have led to a political battle of governors unprecedented in recent state history.

On Thursday, former Gov. Steve Beshear, a Democrat, launched a political nonprofit organization to advocate for key policies implemented by his administration, which ended in December. Those policies included an expansion of Medicaid and the creation of a state health insurance exchange, called Kynect.

Both policies are being threatened by Bevin’s administration, which is seeking to add new stipulations to Medicaid enrollment and to dismantle Kynect, instead sending Kentuckians to the federal health care exchange.

Beshear’s new group is called Save Kentucky Healthcare, a 501c(4) organization.

“Save Kentucky Healthcare is committed to continuing Kentucky’s dramatic success in expanding health insurance under the Affordable Care Act. Now, why? Because it’s working,” Beshear said during a news conference Thursday in Louisville.

Gage Skidmore via Flickr Creative Commons

Former Democratic Gov. Steve Beshear says he is starting an advocacy group to oppose Republican Gov. Matt Bevin’s plans to dismantle the state’s health insurance exchange, Kynect, and scale back its Medicaid expansion.

Beshear is scheduled to announce “Save Kentucky Healthcare” during events in Louisville and Lexington on Thursday. In a news release, Beshear said he is troubled by Bevin’s plans to roll back what he called Kentucky’s nation-leading progress in improving the health of its people.

Beshear left office in December. During his eight years in office, he expanded Kentucky’s Medicaid program and created a state-operated health insurance exchange where eligible Kentuckians could purchase discounted private health insurance plans. He did so under the Affordable Care Act.

Bevin criticized both programs as too expensive. He says he will dismantle Kynect by the end of the year and is trying to replace the Medicaid expansion with a different program.

Norton Healthcare

A new national survey shows Kentucky and Arkansas lead the nation in the largest drops of the number of people without health insurance.

The Gallup-Healthways survey shows more than 20 percent of Kentuckians did not have health insurance in 2013. Last year, just 7.5 percent of the state’s population did not have insurance. Arkansas had a similar drop.

The survey shows states that expanded Medicaid and operated a state exchange outperformed other states in the percentage of people who have insurance.

Kentucky Republican Gov. Matt Bevin has already given the order to dismantle the state exchange and is seeking to reform the state Medicaid system.

Flickr/Creative Commons/401(K) 2012

Federal officials are unsure how much the government will recoup of the $1.2 billion spent on loans and startup costs for a dozen health care cooperatives that later failed, including Kentucky’s.

The situation with the Kentucky Health Cooperative is complicated by the liquidation of the entity, which a state court ordered this month.

Under the Affordable Care Act, co-ops were created to increase competition among plans and improve consumer choice, according to a recent story by USA Today.

Of the 23 co-ops created, a dozen have failed, including Kentucky Health Cooperative.

About $2.4 billion of federal funds was put into the creation of the startup health insurance providers.

Since it was established, Kentucky Health Care Cooperative has been awarded a total of $146 million in federal loans, according to the Centers for Medicare and Medicaid Services.

Flickr/Creative Commons/401(K) 2012

The Institute for Sustainable Health & Optimal Aging at the University of Louisville has been awarded a multimillion-dollar federal grant to bring health care to rural and medically underserved Kentuckians.

The $2.55 million grant from the U.S. Department of Health and Human Services will be used to create the Kentucky Rural & Underserved Geriatric Interprofessional Program.

The three-year initiative will partner with organizations from six rural counties in Kentucky: Hart, Metcalfe, Barren, Bullitt, Henry and Shelby.

Dr. Anna Faul, executive director of the Institute for Sustainable Health & Optimal Aging at U of L, said the program is designed to help primary care practices in rural areas deliver care to older adults with chronic conditions.

“You really need an integrated approach where you can work with all of these professionals, and they can come around the table and create care plans that can be effective and also empowering for the older adult,” she said.

WFPL News

Republican Gov. Matt Bevin has notified the federal government that Kentucky will dismantle its state health insurance exchange, Kynect.

The move will direct Kentuckians seeking health insurance under the Affordable Care Act, also known as Obamacare, to use the federal health insurance site, healthcare.gov.

More than 500,000 people have gotten health insurance through Kynect.

In a statement from the governor’s office, Bevin spokeswoman Jessica Ditto called the program a “redundancy.”

“The transition will have no impact on Kentuckians’ ability to obtain or continue health care coverage for the 2016 plan year,” Ditto said.

Alix Mattingly

More than two-thirds of Kentucky residents don’t want the state to roll back its expanded Medicaid system, according to a poll released Friday.

The Kaiser Family Foundation poll also shows that half of Kentucky residents hold unfavorable views of the Affordable Care Act, the federal law that allowed the state to expand Medicaid.

“Most of them would rather keep Medicaid as it is today than scale it back to cover fewer people,” said Liz Hamel, director of public opinion and survey research at Kaiser.

The poll found 72 percent of Kentuckians don’t want to scale back Medicaid expansion to cover fewer people.

entucky’s Medicaid expansion — and its fate — are a closely watch component of Gov. Matt Bevin’s administration. Bevin, a Republican who took office Tuesday, campaigned reforming the state’s adoption of the Affordable Care Act.

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A new study examining the impact of the Affordable Care Act on Kentucky offers insights into how residents are using and benefiting from the federal health law.

It was compiled by the State Health Access Data Assistance Center, a health policy research institute at the University of Minnesota, and the Foundation for a Healthy Kentucky.

The study released Tuesday analyzed the first quarter of 2015. The center will be updating the information quarterly and compiling studies about coverage, access to services, quality of care, cost and outcomes in Kentucky.

Half of the people who enrolled in Kentucky’s state-run health care exchange, Kynect, chose the Silver Plan, according to the study.

Kentucky's Uninsured Rate Down To 9.8 Percent

Feb 24, 2015

Kentucky has the second greatest reduction in the rate of uninsured people among the states, according to the Gallup Healthways Well- Being Index released Tuesday.

The survey said Kentucky’s uninsured rate is now 9.8 percent—down from 20.4 percent in 2013.

Kentucky is behind Arkansas, which has an uninsured rate of 11.4 percent compared to 22.5 percent in 2013.

Sunday at midnight is the deadline for Kentuckians to sign up through Kentucky’s health care exchange, in order to get coverage for 2015. The Governor’s office reports more than 150,000 people have signed up for health care coverage since the current enrollment period began November 15.

Those without a plan after February 15 could face a tax penalty when filing this year that could exceed the annual cost of insurance.

More than 521,000 Kentuckians signed up for coverage during kynect’s first enrollment period.

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