Medicaid Transformation in North Carolina

Blog | September 3, 2019

NCMJ Cover: Medicaid Transformation in NC

We’ve been talking about it for months, and it’s finally here – the transformation to Medicaid managed care in North Carolina.


The latest issue of the North Carolina Medical Journal is packed with history and context for this transformation, information on what Medicaid managed care is expected to look like, and advice from those who have already been through it. The issue also includes commentaries from each of the organizations tapped to provide prepaid health plans to Medicaid beneficiaries in North Carolina.


“Implementing big changes requires strong partnerships across many stakeholders,” writes NC DHHS Secretary Mandy K. Cohen. “The work done to date to design and prepare for Medicaid managed care would not have been possible without collaboration and extensive feedback from many stakeholders across all sectors.”


To read more about the plans and the process of Medicaid transformation in North Carolina, click on the links below:

North Carolina’s Transformation to Medicaid Managed Care by Mandy K. Cohen


Promoting Quality in Medicaid Transformation by J. Thomas Newton and Troy Hildreth of WellCare


More Than Health Care Services: North Carolina’s Focus on Improving Whole-person Health and Patient Experience by Karen E. Michael of Amerihealth Caritas


Improving Provider Experience in Care by William Lawrence, Julie Ghurtskaia, and Jeffrey Runge of Carolina Complete Health and Steven Keene of the North Carolina Medical Society


Promoting Value and Reducing Costs in Medicaid Transformation by Rahul Rajkumar and Jesse Thomas of Blue Cross and Blue Shield of North Carolina


What We’re Learning About Medicaid Transformation by Matt Salo and Lindsey Browning of the National Association of Medicaid Directors


Value-based Payment Reform in a Managed Care Environment: Innovator States’ Experiences with Episodes of Care by Andrew Olson of Duke Forge, Nikki Viverette and Melinda Buntin of Vanderbilt University School of Medicine, and Hilary Campbell and Aaron McKethan of the Duke-Margolis Center for Health Policy


Quality Management and Improvement in North Carolina Medicaid Managed Care by Kelly Crosbie of NC Medicaid


Social Determinants of Health: Addressing Barriers Through Screening, Referrals, and Care Coordination by Kevin Moore of UnitedHealthcare Community & State


NCCARE360: Building Healthier Communities Through Collaboration by Anne Thomas of the Foundation for Health Leadership & Innovation and Erika Ferguson of NC DHHS


How to Succeed Under Medicaid Managed Care by Debbie Grammer of NC AHEC


Medicaid Transformation From the Independent Practice Perspective: Opportunities and Obstacles by Gregory K. Griggs the North Carolina Academy of Family Physicians


Tailored Plans: The Next Step in a Long Evolution by Rob Robinson of Alliance Health, Pam Silberman of UNC and Alliance Health, and Cynthia Binanay of the Duke Clinical Research Institute and Alliance Health