NC Health Plan delays choice for new administrator after bids fall short
SHP will issue a new RFP in the coming weeks, with the goal to have the plan’s Board of Trustees approve the contract award later this summer.
On Tuesday, the North Carolina State Health Plan Board of Trustees voted unanimously at its meeting to approve the implementation of a three-tier provider network for 2027 that will strengthen the Preferred Provider Program (PPP), which will steer members toward providers at a cost savings for both the member and the State Health Plan (SHP), while delivering a volume of patients to preferred providers.
The clock is ticking on negotiations between health insurance company Aetna and Duke Health, which says that unless Aetna raises its reimbursement rates, many patients will lose in-network coverage to Duke’s doctors, hospitals, clinics, and services on Oct. 20, including over 750,000 state employees covered under the State Health Plan (SHP).
Healthcare premiums for 770,000 North Carolina State Health Plan (NCSHP) members in 2026 will be decided at the next NCSHP Board of Trustees meeting on Aug. 15.
A new performance audit from the NC Office of the State Auditor concurs with State Treasurer Brad Briner and the NC State Health Plan Board of Trustees that the State Health Plan is in serious financial trouble.
Stalled contract negotiations between CVS Caremark and the State Treasurer could result in a possible court battle and insolvency for the State Health Plan.
North Carolina State Treasurer Brad Briner outlined an ambitious agenda for the week, including critical legislative updates, ongoing financial initiatives, and plans for improving transparency within his office, as he works to address the state's fiscal challenges and pension system concerns.
Despite the differing opinions at Friday’s NC State Health Plan (SHP) Board of Trustees meeting, one thing was certain: The plan will become insolvent over the next two years if premiums or deductibles aren't increased, according to SHP officials.
The discussion around accountability and transparency continued at the March meeting of the North Carolina Council of State.
North Carolina State Treasurer Brad Briner gave an overview at Tuesday’s Council of State meeting of some of the challenges his department is facing this year.
On his first press call with reporters on Monday, North Carolina State Treasurer Brad Briner acknowledged that his department has a lot on its plate.
North Carolina State Treasurer Dale Folwell has sent a letter to Dr. Tunde Sotunde, President of Blue Cross Blue Shield of North Carolina, demanding that it pay more than $2 million in legal expenses that the Treasurer’s office incurred after successfully fighting a lawsuit by the health insurance giant.