Since the Governor and his administration requested ideas on Medicaid reform in March 2013 and then unveiled their initial proposal to “fix” NC Medicaid just a few weeks later, the North Carolina Medical Society (NCMS) has had a firm and consistent message both in our response to the administration’s request for information, our lobbying efforts and in our public statements – we have a more thoughtful and meaningful plan for reform than simply bringing in managed care corporations. The governor, his administration and House members have heard us. Here is a sampling of the media coverage of our message beginning with the administration’s initial plan, which we could not support.
McCrory Medicaid Needs to Serve the Whole Patient, WRAL-TV, 4-3-13
“If the administration’s idea of reform is bringing in out-of-state corporations so they can profit by limiting North Carolina patients’ access to health care and cutting critical medical services to our state’s most vulnerable citizens, that is not change we can support.” – Robert W. Seligson, NCMS CEO
NC Medical Society Chief Critical of Proposed Medicaid Changes, Charlotte/Triangle Business Journals, 4-10-13
“Let’s learn from this fiasco. Tying our Medicaid program to outside corporations to ‘fix’ the program is not the answer.” – Robert W. Seligson, NCMS CEO
Medical Society Leader: Looking for Medicaid Solution, Triangle Business Journal, 6-11-13
The society joined more than 100 other organizations in submitting ideas to reform the Medicaid system.
“NCMS continues to have differences of opinion with the administration on how best to reform Medicaid, but we are committed to remaining at the table to work with them to develop a viable solution.” — Robert W. Seligson, NCMS CEO
Medicaid Overhaul Shifts to Regional Managed Care Plans, Raleigh News & Observer, 12-5-13
The N.C. Medical Society…came down hard on the original plan, calling it a scheme to hand off Medicaid to a for-profit corporation. Medical Society CEO Bob Seligson was more muted about the latest ideas, saying any assessment would be premature.
“There are a lot of details to be worked out,” he said. “We want to give them the support they need to be successful.”
Medicaid advisory panel takes public comment, Winston-Salem Journal, 1-15-14
“Simply stated — no savings, no incentive.” – Devdutta Sangvai, MD, NCMS President testifying before the Medicaid Reform Advisory Group.
NC Health Agency Mapping Medicaid Overhaul Plan, Winston-Salem Journal, 2-26-14
The N.C. Medical Society, a critic of some DHHS’ reform proposals, said it “applauds the governor’s team for its willingness to embrace new approaches to Medicaid reform.”
“We are confident that with the right flexibility in the system and the latitude necessary to serve our patients to the best of our ability, the state will soon achieve its goals of cost predictability and long‐term sustainability for Medicaid.” – Robert W. Seligson, NCMS CEO
NC Proposes Experimental Health Networks for Medicaid Patients, Raleigh News & Observer, 2-26-14
N.C. Medical Society CEO Robert Seligson, who delivered a harsh assessment of the managed-care proposal last year, likes the new plan much better.
“The proposal offered today by the Governor adopts new and innovative ideas that have great potential to reform Medicaid in a way that can have positive impact throughout our healthcare system,” he said in a statement. “We applaud the Governor’s willingness to embrace new approaches to Medicaid reform and believe these changes, rather than the traditional managed care models of the past, are in the best interest of all North Carolinians.”
Governor Pat McCrory Backtracks On Plan to Overhaul Medicaid System, The Associated Press, 2-26-14
“We are confident that with the right flexibility in the system and the latitude necessary to serve our patients to the best of our ability, the state will soon achieve its goals of cost predictability and long-term sustainability for Medicaid.” — Robert Seligson, NCMS CEO
McCrory Calls On Senate to Get Behind Him on Medicaid Reform, Triangle Business Journal, 6-4-14
“We don’t need Wall Street coming down here to run Jones Street.” — Robert W. Seligson, NCMS CEO
NC Senate Mangles A Hard-Won Plan to Reform Medicaid, Raleigh News & Observer, 6-4-14
Opinion piece by Robert W. Seligson
Governor McCrory’s Medicaid Plan Should Prevail, Raleigh News & Observer Editorial, 6-5-14
The governor has done well to listen to doctors about improving Medicaid. Now let’s hope he can get the General Assembly to listen to him.
McCrory, Doctors Throw Weight Behind Medicaid Reform Plan, North Carolina Health News, 6-5-14
The Medical Society and many provider organizations had offered input into the formation of the plan, to which they gave enthusiastic backing.
“This new [ACO] model would reward doctors for the quality of care, not the quantity. We had reason to hope that the accountable care model would bring two lasting improvements to Medicaid. The Senate budget, however, discounts this collaborative effort.” — Dev Sangvai, MD, MBA, NCMS President
Doctors, McCrory Against Senate Medicaid Plan, Winston-Salem Journal, 6-5-14
The “health care community, together with the McCrory administration and legislators, had reached a consensus on a new financially predictable and sustainable Medicaid system …The Senate budget, however, reflects a complete disregard for this responsible, collaborative effort. They are seeking to turn back the clock and set the stage for an outside managed care company to take over our Medicaid program. We strenuously object to this disproven model, which will not provide a viable, long-term solution for North Carolina.” – Robert W. Seligson, NCMS CEO
Medicaid Plan Shifts Cost Overruns to Medical Care Providers, Raleigh News & Observer, 6-19-14
“This plan sets a glide path for physicians and other providers to systematically transition to a new system of care delivery, and gives us the time to make something like that work.” – Chip Baggett, NCMS Director of Legislative Relations
Medicaid Overhaul Plan Easily Clears House, Winston-Salem Journal, 7-2-14
NCMS supports the House bill “because it is provider-led and builds upon the state’s existing primary care medical home framework. We strongly urge the Senate to support this bill, not the old proposal favoring a Medicaid HMO model. It would be wasteful and costly to dismantle the existing Medicaid system to transition to a disproven HMO model that has failed repeatedly in other states.” – Robert W. Seligson, NCMS CEO
Pay for Some Medicaid Doctors Headed for Especially Big Cliff, WRAL-TV, 7-11-14
“They are headed for an especially big cliff.” – Robert W. Seligson, NCMS CEO
Senate Medicaid Plan Rankles Docs, WRAL-TV, 7-16-14
The plan would deprive “North Carolina of valuable input from the physician community, which offers unsurpassed clinical experience and a deep commitment to improving our state’s Medicaid system without hurting patients. The Senate preference for corporate managed care disregards the hard, productive work over the past year to craft a consensus Medicaid reform plan that provides more financial certainty for the state without compromising patient care. It goes against the direction recommended by the medical experts in Gov. McCrory’s administration.” – Robert W. Seligson, NCMS CEO.
Senate Plan to Reform, Restructure Medicaid, Winston-Salem Journal, 7-16-14
The new proposal “to upend North Carolina’s Medicaid program would harm our state’s most vulnerable patients. It deprives North Carolina of valuable input from the physician community, which offers unsurpassed clinical experience and a deep commitment to improving our state’s Medicaid system without hurting patients. We urge legislators to reject this proposal and support the House Medicaid reform plan so we can provide the best, most cost-efficient health care to all our patients.” – Robert W. Seligson, NCMS CEO.
Senate Medicaid Plan Relies on Competition, Carolina Journal, 7-17-14
Allowing managed care organizations to compete for Medicaid patients “sets up the state to send money to somebody other than North Carolina citizens that is not going to be reinvested in the state, is not going to be used to solve [budget problems], is not going to be used to pay taxes in North Carolina, or buy gas, or buy groceries, or pay home mortgage loans in North Carolina,” – Chip Baggett, NCMS Director of Legislative relations.
Newest Medicaid Reform Plan Gets Tepid Reception, North Carolina Health News, 7-17-14
The North Carolina Medical Society expressed frustration that there would be no providers on the board.
“While it’s important to have insurance experience on this board, non-provider-led experience on this board, we also need provider-led physician ideas … as we look at what the Medicaid plan is going to be going forward.” – Chip Baggett, NCMS Director of Legislative Relations
NC Senate to Debate Medicaid Reform Tuesday, WNCN-TV, 7-21-14
“Managed-care entities are corporate owned. They’re Wall Street driven and they’re nationally driven as to how their policies are made.” — Robert W. Seligson, NCMS CEO