NCMS Morning Rounds 8-15-19

It’s Thursday and time for your

 NCMS Morning Rounds.

Aug. 15, 2019

Deadline TODAY for State Health Plan Network Decision

Tonight at midnight is the deadline to decide if and how you will participate in the State Health Plan network. Last week, State Treasurer Dale Folwell announced that in order to provide State Health Plan members access to an adequate number of in-network hospitals, physicians and physician assistants, the Plan will offer a network that includes a combination of both the new NC State Health Plan Network and the Blue Cross NC Blue Options PPO Network.

If you agreed to join the NC State Health Plan Network, which is part of Folwell’s Clear Pricing Project, and submitted your signature page for processing, you will be reimbursed at the rates outlined in that contract beginning with services provided to State Health Plan members on Jan. 1, 2020.

Since having the choice of networks is different than what was anticipated at the time you may have signed that agreement to participate in the NC State Health Plan Network, the Plan is giving you the opportunity to withdraw your signature page and go back to the rates that your organization negotiated with Blue Cross NC as part of the Blue Options PPO Network. You have until tonight to decide which option is best for you.

If you decide to stay in the Clear Pricing Project structure, Blue Cross NC will execute the signature page, at which point the contract will become binding for the period Jan. 1, 2020, to Dec. 31, 2020. After this initial one-year period, you may choose to leave the NC State Health Plan Network with 180 days’ notice.

If you would like to rescind your signature page and move back to the Blue Options PPO Network rates that you negotiated with Blue Cross NC, please send an email indicating you would like to rescind your participation and attach the signature page you previously submitted to by midnight tonight, Aug. 15.

Learn more here.

BCBSNC’s Conway Reflects on What’s Important

NCMS member and Blue Cross and Blue Shield of North Carolina President and CEO Patrick Conway, MD, MSC, recently published a piece in the Journal of Hospital Medicine titled “Mission Driven Criteria for Life and Career,” in which he reflects on the values he brings to his job and his personal life. He offers five criteria for decision making that allow him to stay true to his values in all parts of his life.

“Being a leader, particularly in health care, requires us to maintain sight of what is important and return to those things often as we lead,” he writes.

Read Dr. Conway’s article.

Kudos to Dr. Lowry!

The readers of Robeson Living Magazine has named longtime NCMS member and President-elect of the NCMS Foundation Board of Trustees Katie Lowry, MD, MPH as ‘Best Pediatrician.’

Dr. Lowry grew up in the area and returned to practice medicine in the community as part of the NCMS Foundation’s Community Practitioner Program (CPP), which is celebrating its 30th anniversary this year. Dr. Lowry now has her own practice, Robeson Pediatrics in Lumberton, and employs two current CPP’ers, Victoria Locklear, PA-C and Benjamin McMillan, CPNP.

Congratulations, Dr. Lowry!

In the News

Global Measles Cases At 13-year High, Becker’s Hospital Review, 8-13-19

Learning Opportunity

The Duke Center for Healthcare Quality and Safety is offering its Patient Safety Leadership Course, Sept. 16-18 at the University Club in Durham. This course is where safety, science, and psychology meet in a comfortable common ground. Content covered includes data, structures, tools and frameworks for patient safety, quality improvement, evidence-based executive rounding, safety culture and more. This course is applicable to anyone who works in a health care setting (clinical or non-clinical). Learn more and register.


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