At NCIOM's 36th Annual Meeting on September 5, 2019, we discussed Medicaid transformation in North Carolina. Discussion topics included the Healthy Opportunities Pilots, the NCCARE360 resource platform, navigating the transition, monitoring, oversight, evaluation, and special populations, as well presentations by representatives from each of the Medicaid Prepaid Health Plans.
Change is coming to Medicaid in North Carolina, a program that serves approximately 2.2 million people. Under Medicaid transformation, North Carolina will be contracting with Prepaid Health Plans to provide physical health benefits and services for a capitated, or fixed, amount per enrollee. Prepaid Health Plans will begin delivering services beginning February 1, 2020. Stakeholders across health care, consumer advocacy, public health, social services, and other sectors have many questions about what this new system will look like. We gathered policy makers, experts, and those implementing these changes together for discussions across a range of topics. Find presentations from the day below.
Improving Quality and Experience of Care: Perspectives of Medicaid Managed Care Organizations
Healthy Opportunities Pilots and NCCARE360 Resource Platform
Consumer Navigation of the Transition
Population Health and Value-Based Care: Perspectives of Medicaid Managed Care Organizations
Monitoring, Oversight, & Evaluation
Medicaid Transformation and Special Populations
The NCIOM's 2018 Annual Meeting explored how practices and systems across the state are evolving from coordinated care to team-based care models. While coordinated care has been widely embraced and implemented across North Carolina, true team-based care is still an elusive target for many health systems and providers. Team-based care has the potential to improve efficiency, effectiveness, value, outcomes, and patient and provider satisfaction. However, profound changes in culture and organization of care, education and training, financing, the fundamental nature of interactions.
NCIOM’s 2016 Annual Meeting explored opportunities at the intersection of economic development and health care. Topics included:
The NCIOM's 2017 Annual Meeting focused on how community organizations, health systems, insurers, and others can share responsibility for the health of our communities using an accountable care communities model. Accountable care communities address health from a community perspective, pulling multiple stakeholders together in a coalition that shares responsibility for addressing multiple determinants of health. Accountable care communities use collaborative and integrated strategies to promote health, prevent disease, and ensure access to quality services.
The 2015 Annual Meeting focused on several aspects of food policy, including the intersections between food policy and the environment, economic growth, and nutrition. Our keynote speaker was Kathleen Merrigan, Ph.D., Executive Director of Sustainability at the George Washington University. Morning and afternoon breakout sessions led by experts from North Carolina addressed health system challenges relevant to specific stakeholders in the state. Breakout session topics include food safety, hunger, obesity, regulation, sustainability, and economic development.