Caresource kathy ponent ohio

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Since , the state has mandated that Medicaid patients enroll in an HMO as long as more than one serves their region. The Dayton area is largely served by Dayton-based CareSource, which enrolls more than half of the 1. CareSource not only dwarfs its competitors in size, it also logs more complaints, with the vast majority coming from health care providers.

Of provider complaints last year, were lodged against CareSource and 46 against Molina, according to the Ohio Department of Job and Family Services. In nine of the months between January and January , CareSource was at or above the state average for provider complaints.

But Dr. Treatment denials are a common physician complaint. Grace said that before the state took over the Medicaid prescription drug program in February, CareSource refused to pay for more expensive medications for treating high blood pressure until patients first tried ACE inhibitors — a class of drugs that she says has proven ineffective in African-Americans. And if you get cut off, you have to start all over again.

CareSource covers about 40 percent of his patients, he said. Cutler says CareSource uses a variety of technical reasons for delaying and denying claims. The statement also said CareSource pays 97 percent of its claims within 30 days — well above the state requirement of 90 percent — and that the majority are paid in 17 days.

Morris pointed out that all HMOs must pre-authorize treatments that are not standard practice in order to remain financially viable and provide quality care to patients. With the number of jobless people in Ohio at their highest levels in decades, Medicaid rolls have grown at a time when the state also is cash-strapped. The average monthly number of Medicaid clients grew from 1.

In just alone, the rolls have climbed 11 percent over last year, according to state data. But as their ranks swell, Medicaid patients say their choice of doctors is limited, especially for specialists. A lease was signed for some employees to move into space on two floors of the Kettering Tower, which was renamed Stratacache Tower in , [28] in downtown Dayton to make room for a total of 2, employees in the city. The new building would provide space for employees and create a campus-like environment in the urban core.

In CareSource became the largest locally owned company by revenue in the Dayton-area after Marathon Petroleum Corp. The CareSource Foundation celebrated its 15th Anniversary in Headquartered in Dayton, Ohio, CareSource has a workforce of 4, employees and covers nearly 2 million members.

There are satellite offices in the Ohio cities of Cleveland and Columbus , as well as Atlanta , Indianapolis , and Louisville, Kentucky. From Wikipedia, the free encyclopedia. Health Insurance Provider. Dayton, Ohio. United States. Ernst and Young. Dayton Business Journal. Cincinnati Business Courier. Retrieved Columbus Business First.

Archived from the original on November 20, Archived from the original PDF on Archived from the original on Dayton Daily News. Modern Healthcare. Dayton Local. CEO Today. Ohio Department of Medicaid. Ohio Medicaid. CareSource Newsroom. Authority control ISNI 1. Hidden categories: CS1 errors: missing periodical All articles with dead external links Articles with dead external links from May Articles with short description Short description matches Wikidata All articles with unsourced statements Articles with unsourced statements from September Articles with ISNI identifiers.

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