CCME is a non-profit organization started with the support of the NCMS in the 1980s as Medical Review of NC. The organization began as a peer review organization and invited all North Carolina physicians to be members. In the 1990s, CCME became a Quality Improvement Organization (QIO) under Medicare, and also expanded into state Medicaid contract work for North Carolina and other southeastern states, providing external quality review. The Centers for Medicare and Medicaid Services (CMS) has dictated many changes in the QIO work over the years and has made the bid process highly competitive, based largely on price. As of August 1, 2014, CCME no longer has the Medicare QIO contract for North Carolina, though it still does that work for South Carolina.
With the changing environment in which CCME does its work, the organization is looking to make some fundamental changes, including altering its Articles of Incorporation to move from the cumbersome membership model to a more flexible Board governance model. It will remain a nonprofit under a self-perpetuating Board of Directors. At its November 2, 2014 Board meeting the changes will be presented to its members for a vote.
The NCMS Board will cooperate with CCME on the following:
• The NCMS will publicize the CCME’s November 2 meeting and the proposed changes.
• CCME will cite the NCMS Board’s support for the proposed changes in its communications to its members.
• CCME will provide the NCMS with copies of CCME’s proposed new Articles of Incorporation and its Bylaws so that NCMS leadership and staff can respond to any potential inquiries.
Watch the Bulletin for further details on the restructuring and how to provide feedback.