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News
5 years is just the beginning: NC Medicaid’s transition to managed care
2+ hour, 57+ min ago (396+ words) The managed care model embodies a patient-centered philosophy by emphasizing prevention, proactive communication, accountability, continuity of care and better outcomes. It mirrors the overall commitment to value-based care that is operating in 42 states across the country, and it positions North…...
NC Medicaid spending nears $42B after 93% growth in 4 years
2+ week, 2+ hour ago (903+ words) Medicaid spending in North Carolina has nearly doubled over the past four years, increasing total spending to a record $41.6 billion. The new state budget fully funds the state’s projected Medicaid obligations for the coming fiscal year by authorizing nearly $41.6 billion…...
Billing chaos drives healthcare administrative costs
2+ week, 14+ hour ago (498+ words) Arguably, the biggest issue for North Carolina’s financial security — on the individual, business, and governmental level — remains the cost of healthcare. The bipartisan determination to tackle the problem though, seen in efforts like Gov. Josh Stein’s NC Health Care Affordability…...
Cost curve bends, but not enough
1+ mon, 3+ week ago (398+ words) When it comes to health-care inflation — a major burden for households and businesses as well as the primary driver of federal deficits — even glimmers of good news deserve notice, study, even celebration. That’s why a recent working paper from Harvard…...
State Health Plan raises Medicare rates, shifts provider tiers to cut costs
1+ mon, 3+ week ago (1114+ words) At their board meeting on Friday, the North Carolina State Health Plan Board of Trustees voted unanimously to raise rates on its Medicare Advantage plans for older workers and retirees and discussed a new tier system for providers in the…...
NC Medicaid is improving under managed care system
2+ mon, 4+ day ago (328+ words) Beyond active investigations, managed care plan technology and processes ensure only eligible members receive services, making sure the state is only paying for those who qualify and isn’t overpaying for unnecessary, fraudulent, or wasteful services. This rigorous process is a…...
Mergers only make hospital monopolies worse
2+ mon, 1+ week ago (232+ words) With decades of economic evidence demonstrating that hospital consolidation raises prices and does not systematically improve quality, this transaction is about market power, as Atrium looks to construct a stronger statewide network. WakeMed has worked hard to execute organic growth…...
NCInnovation weighs private future amid endowment clawback threat
2+ mon, 2+ week ago (1431+ words) Listen to this story (15 minutes) NCInnovation’s board of directors is weighing how the nonprofit could survive and operate more like a private entity, potentially with some state money, if state lawmakers claw back most or all of its $500 million taxpayer-funded…...
NC bill would create tax deduction for prescription drug costs
2+ mon, 2+ week ago (506+ words) North Carolinians with high prescription drug costs could receive a new state income tax deduction under a bill filed in the House. House Bill 1074, Prescription Drug Expenses Tax Deduction, would allow taxpayers to deduct up to $5,000 in unreimbursed out-of-pocket expenses…...
NC reaches $11M deal with EpiPen maker over price increases
2+ mon, 4+ week ago (651+ words) At a press conference at the North Carolina Department of Justice on Thursday, North Carolina Attorney General Jeff Jackson announced that the state has reached an $11 million settlement with Mylan, the maker and distributor of the EpiPen, for a number…...