National Health Policy; Unconscious Bias; Medicaid Reform – Collaborative Tackles Them All

Dr. Zolotor starts off the panel on NC’s transition to Medicaid Managed Care.

The NC Population Health Collaborative convened on Thursday, March 15 at the JB Duke Hotel in Durham and heard from experts on a variety of important health care issues. Featured speaker, Mark McClellan, MD, PhD, Director and the Robert J. Margolis, M.D., Professor of Business, Medicine and Policy at Duke’s Margolis Center for Health Policy, offered insight into several recent national health care issues. He predicted that at this point it’s unlikely there will be any legislation to change the Affordable Care Act. He also told Collaborative members that Congress realized that re-authorizing funding for CHIP, which provides insurance for children, is more cost effective than having those children insured through the ACA Marketplace.

Dr. McClellan told the Collaborative, which brings together stakeholders in North Carolina who are on the forefront of the move to value based care and includes representatives from the state’s many Accountable Care Organizations (ACO), that there would likely be an additional 100 ACOs nationally formed in 2018 including through Medicare, private insurers and Medicaid. View the presentation slides.

The Duke-Margolis Center brings together broad multidisciplinary capabilities to generate and analyze evidence across the spectrum of policy to practice to support the triple aim of health care – improving the experience of care, the health of populations and reducing the per capita cost. Learn more.

The 130 attendees also heard from Kinneil Coltman, DHA, Vice President of Diversity and Inclusion at Atrium (formerly Carolinas Health Care) in Charlotte. She challenged the group to examine their conscious and well as unconscious bias and how they may impact patient care and ultimately achieving population health and patient satisfaction. View the presentation slides.

A panel of representatives from five of the health plans likely competing for a Medicaid managed care contract from the state in the coming months, each spoke about their philosophy and experiences in making the transition to Medicaid managed care and answered specific questions about administrative functions, quality metrics, data sharing, care management and other concerns with how the plans would operate. Panelists represented Aetna, Blue Cross and Blue Shield of North Carolina, NC Provider Owned Plans, Inc., United Healthcare and Carolina Complete Health, the joint venture between Centene Corporation and the North Carolina Medical Society (NCMS). The panel was moderated by Adam Zolotor, MD, MPH, President and CEO of the North Carolina Institute of Medicine. View the presentation slides.

Finally, Kelly Crosbie, MSW, LCSW, Senior Program Manager for Health Transformation at the North Carolina Department of Health and Human Services, updated everyone on where the Medicaid transformation process currently stands. She assured the group that all Medicaid beneficiaries will have a medical home and that the local community will be the locus of care including care management. She directed the audience to the concept papers on the state’s Medicaid transformation website that lay out the Department’s strategy on care management, network adequacy and other issues. Read the six current concept papers. View the presentation slides.


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