{Lexington , Kentucky }…Attorneys for Appalachian Regional Healthcare are
trying to add the Centers for Medicare and Medicaid Services as defendants in its
lawsuit filed in April 2012 against Coventry Cares and the state
of Kentucky . In
a motion filed Friday in U.S. District Court in Lexington , ARH alleged the federal
agency's failure to scrutinize the Cabinet for Health and Family Services has
resulted in an unstable managed-care system that is heading toward eventual
collapse. In November 2011, more than 540,000 Medicaid members from 104 Kentucky counties
were moved to Kentucky Spirit, Coventry Cares and WellCare. Under managed
care, the state pays the companies a set fee per patient regardless of the
amount of services the patient needs.