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State Health Plan board votes on benefit restructuring strategies

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.

Theresa Opeka
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Duke–Aetna dispute could raise premiums, cut coverage for NC’s state employees

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).

Theresa Opeka

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Treasurer pushes for financial reforms and transparency with key initiatives this week

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.

Theresa Opeka
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Outcry over discussion of NC State Health Plan raising costs to employees

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.

Theresa Opeka
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Folwell demands BCBSNC pay over $2 million in legal fees following lawsuit

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.

Theresa Opeka