PPACA Health Reform Working Groups

In March 2010, Congress passed the Patient Protection and Affordable Care Act (ACA). The ACA included reforms to expand coverage to the uninsured, emphasize prevention to improve population health, and increase emphasis on quality measurement and reporting. The ACA also had provisions to increase the supply of health professionals, strengthen the health care safety
net, and reduce health care expenditures.

In order to implement the new law, the North Carolina Department of Health and Human Services and North Carolina Department of Insurance asked the NCIOM to convene stakeholders and other interested people to examine the new law to ensure that the decisions the state makes in implementing the ACA serve the best interest of the state as a whole.

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Overall Advisory Group Co-Chairs


Lanier M. Cansler, CPA


North Carolina Department of Health and Human Services


G. Wayne Goodwin, JD


North Carolina Department of Insurance




The NCIOM’s PPACA Health Reform Working Groups began meeting in August 2010 and met for 12-18 months. There was an Overall Advisory Group in addition to eight other work groups charged with studying specific areas of the new act: Health Benefits exchange; Medicaid; Safety Net; Health Professional Workforce; Prevention; Quality; New Models of Care; and Fraud, Abuse, and Overutilization. Each workgroup was tasked with studying specific areas of the ACA and providing advice to the state about the best way to implement these provisions as well as examining federal funding opportunities in their area.

More than 250 work group members participated, including legislators, agency officials, leaders of the state’s academic health centers, and representatives of health care professional organizations, insurers, business, consumer groups, and philanthropic organizations.

The final report includes reports from each of the eight workgroups.