Medicaid reform in NC has health care systems juggling great way for services

The state’s greatest health care systems have been apprehended in a logistical tug-of-war after legislators proposed a hybrid strategy for managing the largest piece of Medicaid reform.

Do the systems attract a statewide Medicaid coverage role, whether individually or collaboratively, which carries both revenue opportunities and threat, or do they concentrate on serving their own markets?

Medicaid covers about 1.84 million North Carolina residents and costs $14 billion a year.

The reform compromise, passed in the month of September, culminates legislative leaders’ pursuit of coordinating physical, behavioral, dental, pharmaceutical and long-term health services through the oversight of not-for-profit, provider-led entities (PLEs) and for-profit managed care organizations (MCOs).