NC Medicaid

Rose Hoban / North Carolina Health News

All dressed up and ready to … wait?

That was the prevailing sentiment in Pinehurst last week at the annual Center for Integrative Health conference designed to help Medicaid providers, contractors and patients share best practices.

The North Carolina legislative building is seen in Raleigh.
NICK DE LA CANAL / WFAE

RALEIGH — A Republican framework for Medicaid expansion in North Carolina is advancing again with bipartisan support in the state House. But it's unclear whether that will change feelings about the concept in the GOP-controlled Senate.

Open enrollment began this week for 540,000 Medicaid recipients in North Carolina who will be transitioning from fee-for-service to a managed care system.

"This change is the most signifigant one that has happend in the Medicaid program since its inception," said Debra Farrington, chief of staff of the N.C. Medicaid program.

Farrington said enrollees will be asked to select from a number of pre-paid health plans administered by private entities contracting with the state and physicians.

NC Democrats Urge Feds To Reject Medicaid Overhaul

Jul 20, 2016

North Carolina's Democratic representatives in Congress are urging federal officials to reject the state's Medicaid overhaul. The state's Republican governor and lawmakers have championed it, and leaders submitted the plan to the federal government in June.

NC Adjusts Medicaid Overhaul Based On Public Comments

Jun 8, 2016
NC DHHS

North Carolina is overhauling its Medicaid program to try to hold down costs while improving care. Health leaders submitted the plan to the federal government recently after adjusting it based on public feedback.

nffcnnr / Flickr

A state audit released Monday shows overpayments in North Carolina’s Medicaid program likely added up to $835 million last year. But Medicaid officials say when you factor in the size of North Carolina’s program, its error rate is lower than many other states.

Michael Tomsic

North Carolina is in the midst of a huge change to its Medicaid program, and state officials took their listening tour about it to the Charlotte area Thursday. In Huntersville and Monroe, they heard from patients, advocates and doctors.

http://www.ncdhhs.gov/

State health officials are holding public hearings in Monroe and Huntersville on Thursday on the plan to overhaul North Carolina Medicaid.

NC Medicaid $181 Million Under Budget

Feb 29, 2016

North Carolina’s Medicaid program is continuing a recent trend of meeting its budget or coming in under. The state health department is telling lawmakers this week the program was $181 million under budget as of December.

governor.nc.gov

Medicaid is always one of the biggest expenditures for states, and North Carolina is overhauling its program to try to make its budget more predictable. The overhaul is essentially a mixture of health care models that are gaining national prominence. The result will change who's in charge of keeping low-income patients healthy and how North Carolina pays for it.

NC Lawmakers Pass Medicaid Overhaul

Sep 23, 2015
Public Domain

North Carolina lawmakers Tuesday passed fundamental changes to the state's Medicaid program. If Governor Pat McCrory signs it, it would change who's in charge of keeping patients healthy and how the state pays for it.

Leaders on health policy in the North Carolina House are pushing their version of a bill to overhaul the state's most expensive health care program: Medicaid. The lawmakers rolled out the bill in committee Wednesday.

House leaders want to overhaul Medicaid by putting groups of doctors and hospitals in charge of managing the program. The state would give them a set amount of money based on who they treat, and the doctors would face financial penalties or rewards based on how they do. 

Republican Representative Nelson Dollar is one of the bill's sponsors. 

Provided by the NC Medical Society – Chip Baggett – Jennifer Gasperini – Dave Horne

Doctors across North Carolina will soon have to pay back a chunk of what they earned treating Medicaid patients over the past 14 months. The retroactive pay cut is part of a law passed in 2013 and tweaked last year. As you can imagine, doctors aren't too happy about giving back money the state has already paid them.

North Carolina Dramatically Reduces Medicaid Shortfall

Sep 8, 2014
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For the first time in five years, North Carolina will not end a fiscal year with hundreds of millions of dollars in Medicaid cost overruns. That's according to the General Assembly's fiscal research division. The improvement comes after the state hired a consulting firm to help with budgeting.

NC Senate Tentatively Passes Medicaid Overhaul

Jul 24, 2014

The North Carolina Senate tentatively passed an overhaul of the state's Medicaid program Thursday afternoon. It includes major differences from what Governor Pat McCrory and the House are pushing for.  


nffcnnr / Flickr

North Carolina's Senate, House and governor are getting closer to an agreement on overhauling the state's Medicaid program. Senate leaders announced a new plan Wednesday that's similar to what House leaders and Governor McCrory want. But there are still two key differences to work out.


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North Carolina is poised to overhaul how it pays for doctor's visits and other physical health services under Medicaid. Governor Pat McCrory, state House and Senate leaders agree on that front, although they still need to work out differences in their broader plans for Medicaid.


NC Senate Rejects Governor McCrory's Medicaid Overhaul

May 30, 2014

Republicans in the North Carolina Senate have rejected Governor Pat McCrory's proposed Medicaid overhaul. Senate leaders proposed their own overhaul in the budget they released this week.


N.C. DHHS

The McCrory administration wants doctors and hospitals to play a much larger role in managing the state's Medicaid program. The administration submitted its new Medicaid overhaul to the General Assembly Monday.


McCrory Administration Submits New Medicaid Plan Monday

Mar 17, 2014

Governor Pat McCrory's administration will make its new approach to overhauling the state's most expensive health care program official Monday. State health leaders will submit their new plan for Medicaid to the General Assembly.

There's one phrase that you'll be hearing a lot about with our state's Medicaid program: accountable care organization. When you hear that jargon, think: groups of doctors and hospitals.

Dr. Elliott Fisher at Dartmouth College helped develop the concept and unveiled it under a different name in 2006.

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