NCMS and Others Respond to Medicaid Reform Proposal

The North Carolina Medical Society (NCMS) and other medical organizations filed formal comments on the North Carolina Department of Health and Human Services’ (NCDHHS) latest Medicaid reform proposal by the Sept. 8 deadline.This proposal includes some of the input NC DHHS Secretary Mandy Cohen, MD, received on her statewide listening tour last May. Read NCDHHS’ proposal.

The NCMS has worked closely with the North Carolina Hospital Association (NCHA) since the Medicaid reform discussion began in 2012 to help ensure the reforms best serve clinicians and their patients. This partnership has continued and is most recently reflected in the joint letter from the NCMS and NCHA to NCDHHS outlining our common ground on the latest reform proposal. Read the NCMS/NCHA joint letter.

The NCMS and NCHA also recently brought together a diverse group of stakeholders representing a broad cross section of our health care community to discuss concerns and the outcomes we would all like to see as the Medicaid reform process moves ahead.

Read the NCMS’ official comments on the Medicaid reform proposal.

“All of the [NCMS’] recommendations are predicated on success, and as a result incorporate principles and elements that are embedded in what has been called the ‘quadruple aim.’ We have adapted them for the specific benefit of the citizens of North Carolina. We expect the strategies we have defined will create a system of care that will “enhance patient experience, improve population health, reduce costs, and improve the work life of health care providers, including clinicians and staff.”

Paul R.G. Cunningham, MD, Immediate Past President, NCMS

Read the NC Hospital Association’s comments.

Read the NC Pediatric Society’s comments.

“Since 70 percent of the population affected by the Medicaid waiver are children, it is critical to look at the impact of proposed changes on kids. We applaud the Department’s thoughtful approach on many key factors, but remain concerned about payment levels, especially in context increased administrative burden inherent with multiple new providers, measurement challenges and possible changes to Chapter 58 protections. We are particularly mindful of the need for network adequacy, especially as it pertains to availability of pediatric sub-specialists and rural access.”

Scott St. Clair, MD, FAAP, President, NC Pediatric Society President

Read the NC Academy of Family Physicians comments.

“First and foremost, we must preserve access to care for our state’s Medicaid recipients.  In order to do so, we must minimize the administrative burdens that Medicaid managed care will bring and preserve the practice supports that help primary care physicians serve as the medical home for a complicated and vulnerable population.  Our comments on the Medicaid implementation plan emphasize these two important areas.”

Charles Rhodes, MD, President, NC Academy of Family Physicians

Read the NC Community Health Centers Association’s comments.

“The NC Department of Health and Human Services’ Medicaid managed care program design proposal shows the state following through on its intention to put patients and providers at the center of Medicaid transformation by providing whole person care. Medicaid beneficiaries will benefit from Advanced Medical Homes, such as community health centers, which offer face to face care management and focus on identifying and addressing social determinants of health to improve care quality.”

E. Benjamin Money, MPH, President and CEO, NC Community Health Center Association

Read the NC Ob/Gyn Society’s comments.


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