NC Medicaid Overhaul Steers From Privatization
RALEIGH, N.C. — Gov. Pat McCrory's health agency is backing away from initial proposals to fix Medicaid costs by hiring a handful of big managed care organizations to run North Carolina's $13 billion health care system for the poor and disabled.
The state Department of Health and Human Services on Wednesday presented its framework for revamping Medicaid to an advisory group set up by McCrory. The Legislature is expected to consider changes in May.
The health agency proposes to hold down rising Medicaid costs by expanding the roughly two dozen accountable care organizations operating statewide, as the state's doctors and hospitals recommended.
The networks of physicians or hospitals get to keep a portion of savings they generate while meeting quality goals, but shares the losses if patient costs exceed standards.