More than 40 states have adopted managed Medicaid because it works. Compared to the old fee-for-service approach, managed Medicaid delivers better care coordination, stronger oversight, and more responsible stewardship of taxpayer dollars.
After years of delays, North Carolina’s Medicaid program has finally transitioned to a managed care system — becoming the last large state to do so. Starting July 1, the state’s Medicaid system will be operated as a managed care program, essentially privatizing a system that once relied on the government paying medical providers directly based...
Medicaid transformation has become expensive. More than a thousand jobs and a massive reform are at stake now that the budget stalemate has thrown Medicaid transformation into chaos. Managed care companies hired about 1,200 people to manage the health care of 1.6 million Medicaid patients, but each company is now losing $3 million to $5...
The state’s tax-supported managed care agencies for mental health are a mess. That’s the gist of an audit released Monday, May 6, by State Auditor Beth Wood. It rebuked the N.C. Department of Health and Human Services’ oversight of seven Local Management Entities/Managed Care Organizations. And it’s the latest report documenting major problems with the...
State lawmakers expressed concern Tuesday the long-awaited transformation of the state Medicaid system to a managed care format might have missed the mark in a fundamental area. During a House Health Committee meeting, Senior Chairman Greg Murphy, R-Pitt, told N.C. Health and Human Services Secretary Dr. Mandy Cohen the entities which will treat 1.6 million...
State-contracted managed care agencies providing mental health services to Medicaid recipients have accumulated hundreds of millions of dollars in excess profits the state can’t allocate for additional treatment services, a state performance audit concluded. State Auditor Beth Wood released the report Wednesday, Jan. 23. It slams the state Department of Health and Human Services and...
House and Senate Republicans are stuck in a debate about oversight of the state’s largest mental health provider and who will control mental health services for hundreds of thousands of North Carolinians. A conference committee could decide the fate of House Bill 403, which passed each legislative chamber in dramatically different versions. The House, and...
Becki Gray on reasons not to expand Medicaid; Gov. Pat McCrory & Terry Stoops on business & education; Cathy Rossberg on reforming Medicaid; Robert Shibley on legal rights for college students; Roy Cordato on accurately assessing energy policy
RALEIGH — State lawmakers have little interest in embracing the full-risk, managed care programs used in other states. Health care provider organizations also oppose tinkering with a CCNC plan they say has improved patient outcomes while reimbursing them at higher rates than the national average.
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