(Images from the 2016 GLMS Private Payer Roundtable)
ANNUAL PAYER ROUNDTABLES
Throughout the year, the GLMS Physician Education and Practice Support Department works with physician practices and insurance companies to address and resolve reported hassles and learn about carrier policy initiatives. Annual Payer Roundtables provide an opportunity for the entire GLMS membership to speak to MCO representatives, ask questions and learn from the experiences shared by other Providers. GLMS currently hosts two Roundtables each year, one with private payers; Anthem, Humana, United Healthcare and one with the five Region 3 Medicaid MCOs along with the Kentucky Department for Medicaid Services.
Prior to the Roundtables, the Physician Educaiton and Practice Support Department sends out a request to providers for questions to be addressed by carriers. The carrier representatives receive the list of submitted questions and topics in advance in order to prepare specific responses to the questions for the Roundtable.
GLMS held its annual Medicaid Roundtable on Thursday, April 26, 2018 at the Foundation for a Healthy Kentucky with representatives from Aetna Better Heath, Anthem Medicaid, Humana CareSource, Passport Health Plan, WellCare and the Kentucky Department for Medicaid Services. Twelve pages of pre-submitted questions were addressed on a variety of issues including prior authorizations, MCO system conversion issues, how to deal with Medicaid patients who continually no-show for their appointments, and upcoming changes to Kentucky Medicaid provider enrollment and member benefits. Payer representatives were also available after the meeting to talk with providers on individual questions or concerns.
The Annual Private Payer Roundtable was held October 26, 2017 at The Foundation for a Healthy Kentucky Building, 1640 Lyndon Farm Court, Louisville, KY 40223. Approximately 25 medical staff members attended the 90-minute roundtable. Representatives from Anthem, Human, and UnitedHealthCare participated and addressed previously submitted questions on current issues.