North Carolina’s largest health insurer wants to raise rates by 23 percent for policies tied to the Affordable Care Act, or Obamacare. Katherine Restrepo, the John Locke Foundation’s director of health care policy, analyzes factors contributing to the rate increase. Restrepo also offers ideas about ways the state and federal government could change policies to help reduce health care costs. The threat of natural disasters often prompts calls for government action. People often pay less attention to market forces that help communities prepare for disasters and other emergencies. But Ben Foster, Ph.D. student in environmental sciences and engineering at UNC-Chapel Hill, has researched the role of market forces in addressing problems linked to a 2012 drought and the Mississippi River. Foster shares key findings from his research and discusses their application to other emergencies. Some N.C. lawmakers hope North Carolina can learn valuable lessons from Texas when it comes to improving teacher training. Sen. Chad Barefoot, R-Wake, discusses proposed legislation that would allow this state to follow the Lone Star State’s lead in pursuing alternatives to current teacher training programs. The Raise the Age initiative reached a significant milestone when the N.C. House voted, 104-8, to approve the idea. The legislation would treat nonviolent 16- and 17-year-old criminal offenders as juveniles rather than adults. You’ll hear highlights from the House’s debate on the topic. The nation’s largest teachers union recently ranked North Carolina No. 43 in average per-student spending among the 50 states. Dr. Terry Stoops, the John Locke Foundation’s vice president for research, explains why the National Education Association’s numbers are not necessarily accurate, appropriate, or meaningful.
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BCBSNC wins State Health Plan TPA, PBM contracts
In addition to voting on preferred provider hospital systems, benefit changes, and premiums for 2027 at its Friday board meeting, the North Carolina State Health Plan Board of Trustees also awarded the Third-Party Administrator (TPA) and Pharmacy Benefit Manager (PBM) contracts to Blue Cross Blue Shield of North Carolina (BCBSNC) effective January 2028.This will bring BCBSNC back as the TPA after a three-year hiatus. CVS Caremark is the current PBM for the SHP.
State Health Plan OKs premium hikes, preferred providers
On Friday, the North Carolina State Plan Board of Trustees (SHP) voted on what are being called monumental changes to the Plan over the next few years, including preferred provider hospital systems, benefit changes, and premiums for 2027, and the announcement of a Third Party Administrator (TPA) and Pharmacy Benefit Manager (PBM) for 2028, in an effort to make improvements and reduce overall costs for the nearly 750,000 members covered by the Plan.
NC’s healthcare crisis: Too much spending, too little care
The two problems that remain are clear: there are too many middlemen, and too little money is reaching the people who actually deliver care to NC residents.
Rocky Mount audit: No double billing, unpaid officials’ bills
An Information Systems Audit regarding the City of Rocky Mount’s utilities billing has been completed by the North Carolina Office of the State Auditor (NCOSA) after residents raised concerns about being billed twice after receiving two separate utility bills in December.