NCMS Morning Rounds 11-11-19

Welcome to a new week and your Monday

NCMS Morning Rounds.

Nov. 11, 2019

Wishing our veterans and their families a meaningful Veteran’s Day!

NCDHHS Updates Guidance for Medicaid AMH

The NC Department of Health and Human Services (NCDHHS) is in the process of implementing a high-performing managed care program in which the Advanced Medical Home (AMH) plays a key role. AMHs will be the foundational primary care component of North Carolina’s Medicaid system following the transition to managed care, which is currently slated to launch in February 2020.

AMHs are at the heart of the state’s policy goal of providing local care management to high-need Medicaid beneficiaries. Over the last few months, thanks to feedback from the AMH Technical Advisory Group (TAG) as well as many others stakeholders on the AMH payment model, practice readiness and pre-paid health plan (PHP) oversight methodologies, NCDHHS issued an amendment last week to the North Carolina Medicaid Managed Care PHP Contract.

Information about the changes can be found on the state’s Advanced Medical home webpage.

NCMS Legislative Update

The General Assembly will reconvene at noon on Wednesday, Nov. 13 with votes anticipated on the redrawn US Congressional district maps, which legislators were diligently working on last week. Several health care related bills are in conference committee and may also be taken up this week. Among the 10 bills that are in conference committee, the following are related to health care and we have been following:

It’s uncertain yet whether these will be voted on this week.

One thing is for sure, however. In just 359 days, we will have national elections – on Nov. 3, 2020. Now is the time to make sure you are registered to vote, especially if you have moved since the last time you voted. You can check your registration status as well as view the ballots when they become available at the NC Board of Elections website. Check your status here.

Kudos to Two NCMS ‘Power Players’

The Triad Business Journal recently published its list of 2019 ‘Power Players.’ That is, Triad area leaders “who are risking something – money, reputation, clout – to make a lasting regional impact.” They also included 10 people to watch. Among this esteemed group are two NCMS members:

Julie Ann Freischlag, MD, chief executive officer of Wake Forest Baptist Health and dean of Wake Forest School of Medicine. She was selected for her work with Wake Forest Innovations and Wake Forest Innovation Quarter, part of the Winston-Salem-based hub of incubator/accelerator space fostering investment and support for Triad entrepreneurs.

Lenny Peters, MD, was named one of the 10 to watch or businesspeople facing major opportunities, challenges or significant transitions that will likely make them newsmakers in the year ahead. Dr. Peters, of Bethany Medical Center is involved in health care, commercial development and banking.

Congratulations to Drs. Freischlag and Peters!

Read more about all of the Triad Business Journal’s 2019 Power Players.

In the News

Opinion: Not So Conscientious Objection – When Can Doctors Refuse to Treat, STAT, 11-8-19

Learning Opportunity

The National Academy of Medicine is hosting a symposium in Durham on Nov. 21-22 to examine its Vital Directions for Health and Health Care Initiative, which was launched in 2016. This symposium is called ‘Vital Directions for Health & Health Care: The North Carolina Experience’ and will provide a platform for understanding the status of health and health care at the state level within the context of the NAM Vital Directions initiative. The symposium will examine state-based capacity and lessons learned for guiding health policy, as well as synergies among institutions and organizations that could lead to a more equitable and healthy future for all. If you are unable to be present in person, the symposium will be webcast live and for free. Learn more and register.


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