Managed Care Organizations Ky. Senator: Managed Care Taking Toll On Health Providers By Josh James • Mar 2, 2015 LRC Public Information A Kentucky lawmaker says the state’s managed care organizations are shortchanging health care providers and driving hospitals out of business in the process. Sen. Ralph Alvarado wants more guarantees for providers when it comes to payments. Lawmakers At Odds Over Medicaid Managed Care Issues By Josh James • Mar 19, 2014 Lawmakers in Frankfort heard from mental health advocates Wednesday about the effects of the state’s switch to Medicaid managed care. Lawmakers Looking for More Improvement in Medicaid Organizations By Kenny Colston, Kentucky Public Radio • Mar 20, 2012 FRANKFORT, Ky. - Kentucky lawmakers continue to chastise three of the state’s Medicaid Managed Care organizations for mismanagement.