Kentucky Health Cooperative, Inc. announces its newest service partner, CareCore|MedSolutions

LOUISVILLE, Ky., Feb. 24, 2015 /PRNewswire-USNewswire/ -- Kentucky Health Cooperative, Inc., a nonprofit, health insurer focused on individuals and small businesses that will be member-governed, today announced a partnership with CareCore |MedSolutions, Inc., a Franklin, Tenn.-based Specialty Benefits Management (SBM) firm.

"Having provided thousands of Kentuckians with health insurance benefits for over a year now and having enough time pass to begin analyzing claims trends, we now have a firmer grasp of clinical trends that we believe will stick around," said Janie Miller, CEO of Kentucky Health Cooperative.

Miller continued, "These include radiology and advanced cardiac imaging, and in this space, there are opportunities to improve clinical care and save costs. It makes sense for us to partner with an industry-leading specialty benefits management provider to help forward our commitment to containing costs and achieving quality clinical outcomes. CareCore |MedSolutions emerged as the leader in radiology solutions."

"We are very excited to be working with Kentucky Health Cooperative through this partnership," said David Smith, President of Radiology, Cardiology, and Musculoskeletal solutions for CareCore|MedSolutions. "Their senior leadership understands that higher-quality healthcare goes hand-in-hand with lower cost healthcare, and that ultimately, this is what's better for their members. Our mission is to make sure all of their members receive the right tests and treatment, at the right time for them."

"Kentucky Health Cooperative's partnership with CareCore|MedSolutions represents a new and growing opportunity for the Health Insurance Cooperative to improve efficiency, lessen waste and provide a high standard of care, simultaneously, to our members and to the providers with which we are contracted," said Joseph E. Smith, chairman of the Health Insurance Cooperative's Board of Directors.

The program will allow for a more efficient review of clinical service requests. Physician offices and facilities will be able to call in requests for preauthorization of radiology and cardiac imaging tests and procedures. With shortened turnaround times, members will be able to get the care they need faster. It is anticipated that the program will be available in late March-early April.

ABOUT KENTUCKY HEALTH COOPERATIVE

Kentucky Health Cooperative, serving all 120 Kentucky counties, is a nonprofit organization that will be governed by its members. It is dedicated to making health insurance available for all Kentuckians – individuals and families and small employer groups. It embraces an innovative, quality-focused clinical model that helps keep healthcare local, affordable and available. For more information, visit www.mykyhc.org.

ABOUT CARECORE |MEDSOLUTIONS

CareCore and MedSolutions, the two leading providers of Specialty Benefits Management services to managed care organizations and risk-bearing provider organizations, recently merged to form CareCore |MedSolutions. The company offers proven, diversified medical cost management solutions that help clients reduce costs while increasing quality of care for their members. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare and Medicaid populations. Powered by a team of specialized medical professional resources, extensive evidence-based guidelines and advanced technologies, the company supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care. Among the flexible medical benefit management solutions offered are Radiology and Advanced Cardiac Imaging. CareCore|MedSolutions is proud to help over 77 million Americans receive higher quality, lower cost healthcare. For more information, please visit www.CareCoreNational.com and www.MedSolutions.com.

Contacts:
Susan Dunlap, 1-502-498-5539, [email protected] 
Mark Ciamarra, 1-800-918-8924 (ext. 27975), [email protected]

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SOURCE Kentucky Health Cooperative

Related Links

http://www.mykyhc.org