Archive: CCNC/Medicaid Reform

  • Expert: N.C. Needs Better Way To Monitor Medicaid Rolls

    RALEIGH — Before North Carolina considers Medicaid expansion, it should ensure its existing rolls are not bloated with ineligible recipients, and create a verification system to prevent adding even more unqualified beneficiaries, a national health policy analyst warns.

  • NCGA Takes Note of Illinois’ Medicaid Reforms

    RALEIGH — With a philosophical gulf still separating the state House and Senate on how best to reform the costly Medicaid program, Illinois is reporting multibillion-dollar success in a reform plan that closely resembles North Carolina Senate Republicans’ framework for the future. The Illinois plan will be fully capitated, meaning…

  • Poll: Medicaid Expansion A Loser, Say N.C. Voters

    RALEIGH — More than half of North Carolina voters and 70 percent of Republicans would be less likely to re-elect Gov. Pat McCrory if he supported the expansion of Medicaid under Obamacare, according to a poll released today by the Foundation for Government Accountability. FGA senior fellow Christie Herrera says…

  • Lawmakers Not Yet Sold On Medicaid Expansion

    RALEIGH — State Secretary of Health and Human Services Aldona Wos has told several media outlets that the foundation is in place for a more efficient and more effective Medicaid system, and that she will ask Gov. Pat McCrory to expand Medicaid in the near term. But before that happens,…

  • House Rejects Senate Revamp of Medicaid

    RALEIGH — Speculation is rampant that the General Assembly will pass a compromise $21.3 billion budget, then recess for several months while Medicaid discussions continue, though no officials have confirmed it. Senate leader Phil Berger and House Speaker Thom Tillis indicated Tuesday, during a joint press conference called to announce…

  • Senate Set To Take Up Managed Care Medicaid Plan

    RALEIGH — Today’s Senate calendar includes a measure revamping Medicaid from the current fee-for-service model to one paying providers a set per-member-per month fee, moving Medicaid from the Department of Health and Human Services to a new department, and allowing hospital- and physician-led accountable care organizations to bid against insurance-based…

  • Senate Medicaid Plan Relies on Competition

    RALEIGH — The proposed legislation would sever Medicaid and North Carolina Health Choice from the state Department of Health and Human Services. It would create a Department of Medical Benefits to administer those programs. As the General Assembly’s short session nears its close, it’s unclear whether the full Senate will adopt…

  • Critics: Separate Medicaid Agency May Be No Bargain

    RALEIGH — The state Senate’s proposed budget would carve Medicaid out of the Department of Health and Human Services in hopes of making it a more accountable, standalone agency with budget stability. But in Oklahoma, where that was done years ago, the results “are disastrous,” one critic of the Sooner…

  • Governor Draws Line on Medicaid Reform

    RALEIGH — Wednesday’s news conference was a pushback against the Senate’s call to run Medicaid through Managed Care Organizations — private, competing contractors that would have payments capped and would be required to accept all financial risk for budget overruns, relieving taxpayers of the burden. About three-fourths of the nation’s…

  • Critics Call Medicaid Reform ‘HMOs on Steroids’

    RALEIGH — Accountable care organizations that are the cornerstone of the state’s Medicaid reform plan are “HMOs on steroids,” one national expert says, and they face certain opposition in the state Senate. Each ACO would have primary care physicians, multiple providers from various disciplines, its own budget, a patient base…