NCMS Morning Rounds 5-9-19

Happy Thursday! Enjoy your

NCMS Morning Rounds.

NCMS in the Spotlight for Addressing Opioid Abuse Epidemic

The American Medical Association (AMA) and Manatt Health are undertaking an in-depth analysis of four states’ Medicaid and Insurance Department responses to the opioid epidemic to identify best practices and strategies to build on accomplishments. North Carolina is the latest state to be in the spotlight after Pennsylvania’s, Colorado’s and Mississippi’s efforts were analyzed. Read the report.

The North Carolina Spotlight report, released yesterday, reviews the state’s progress in stemming the opioid abuse epidemic through its Medicaid program and the commercial insurance market. The analysis also highlights the NCMS’ Project OBOT, which is similar to the “hub and spoke model” gaining popularity around the country. Project OBOT is one of the first state medical society efforts to directly coordinate collaborative community-based care, with local physicians serving as the hub and the NCMS initiated community partnerships to serve as the spokes. Learn more about Project OBOT.

“As the growing number of participants in the program can attest, we have created a highly effective and cost efficient program to treat Opioid Use Disorder,” said Franklin Walker, MBA, the NCMS vice president for rural health systems innovation and developer of Project OBOT. “We are confident that this model will be widely adopted by health care providers and insurance companies both here in North Carolina and beyond. We also are pleased to have this initiative underway as the state transitions to Medicaid managed care, and look forward to working with all the Medicaid health plans.”

Project OBOT’s strength lies in the coalition of organizations involved, including the Governor’s Institute, NC Association of Local Health Directors, LabCorp, The Recovery Platform, UNC School of Public Health, Project ECHO, Appriss and MAHEC. This partnership provides training for physicians, promotes collaborative care coordination by ensuring treatment plans include information from all providers and leverages technology to increase access to care. Project OBOT also is working with recovery courts to include them in the collaborative care model

“To truly have a positive impact on the opioid epidemic in this state, we must forge partnerships that collaboratively address the problem. That includes working together to offer waiver training and support to help providers offer MAT in their office; coordinating with community groups to provide resources to those struggling to recover from substance use disorder; and partnering with the justice system to help ensure compliance,” said NCMS CEO Robert W. Seligson, MBA, MA. “By collaborating and coordinating these efforts, as our Project OBOT is designed to do, we serve the patient in the most comprehensive and effective manner.”

Meet NCMS President Dr. Reeder – Virtually!

The NCMS is pleased to offer you the opportunity to meet with our President Timothy J. Reeder, MD, MPH, FACEP from the comfort of your own home or office via our special VirBela Virtual World. So, mark your calendar for June 4 from 3 to 4 p.m. and sign-up to participate in this virtual event. Here’s the sign-up link. Because of limitations on the software license for this special platform, only the first 25 NCMS members be able to join the meeting and experience this unique way to interact.

CDC Says Most Pregnancy-related Deaths Are Preventable

In its recently released report the Centers for Disease Control and Prevention (CDC) and state maternal mortality data found that roughly 60 percent of pregnancy-related deaths in the US are preventable.

Among the other findings:
• From 2011 through 2015, the rate of pregnancy-related deaths was 17 per 100,000 live births.
• Some 31 percent of deaths occurred during pregnancy, 36% on the day of delivery or within a week after, and 33 percent from 1 week to 1 year postpartum.
• Cardiovascular conditions, including cardiomyopathy and cerebrovascular accidents, accounted for over a third of deaths.
• Maternal deaths were about three times more common among black and American Indian/Alaska Native women (43 and 33 per 100,000 live births, respectively) than among white women (13 per 100,000).

Read the CDC’s report.

The media has covered these findings extensively as well. Here’s an article from USA Today: Mothers Dying Needlessly: CDC Says Most Pregnancy-related Deaths Can Be Prevented.

Learn about what is going on in North Carolina to address these dismal statistics at the NCMS’ Maternal and Infant Health webpage.

In the News

Auditor: NC Didn’t Monitor Performance of Managed Care Groups Serving Medicaid Recipients, Raleigh News & Observer, 5-7-19

Learning Opportunity

Today, Thursday, May 9, from noon to 1 p.m. is the fourth in the series of webinars by the NC Division of Health Benefits on the transition to Medicaid managed care for providers. This session will focus on understanding NC Medicaid Managed Care requirements, expectations and implications specific to credentialing, network adequacy, appeals and provider ombudsman processes. Register for MCT 104 – Provider Policies, NC Medicaid Managed Care 104. You can also access recordings and transcripts of the previous webinars on the Medicaid Managed Care Training Course page.


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