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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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Plaintiffs oppose request to drop injunction in NC transgender care case

Plaintiffs challenging the North Carolina State Health Plan’s ban on coverage of medical treatments typically sought by transgender patients urge a federal Appeals Court to reject a recent request from the health plan. A Sept. 11 letter from the plan’s lawyers asked the 4th US Circuit Court of Appeals to throw out an injunction in the case. The plaintiffs responded with a letter Tuesday objecting to that proposal.

CJ Staff