NCMS, Physicians Well-Represented on Medicaid Reform Subcommittees

As the North Carolina Department of Health and Human Services works toward transformation of its Medicaid program to managed care, it has formed several subcommittees of the Medical Care Advisory Committee (MCAC) to look at the practical aspects of this change. North Carolina Medical Society (NCMS) staff along with NCMS members representing a variety of practices are included on the subcommittees to ensure the physician and physician assistant perspectives are well represented.

The Credentialing subcommittee will review the credentialing approach; planning and preparing for a centralized credentialing organization and giving feedback on the transition for existing physicians and PAs to a new verification process. Conor Brockett, JD, NCMS vice president, legal and regulatory affairs and associate general counsel will serve on this subcommittee.

The Managed Care Quality subcommittee will provide guidance on processes to promote evidence-based medicine, coordination of care and quality of care as well as discuss measure reporting and timeline. Kristen Spaduzzi, NCMS director of value-based health care, will sit on this subcommittee. She will also serve on the Provider Outreach and Engagement subcommittee.

Other subcommittees include:

  • Network Adequacy, which will review network adequacy standards for primary, specialty and behavioral health providers including time and distance and appointment wait times; and
  • Beneficiary Engagement and Outreach, which will address methods to engage beneficiaries as well as communications and marketing strategies.

Physicians on the committees include NCMS leaders such as Board member Michelle Jones, MD, and Genie Komives, MD, co-chair of the NCMS Foundation’s Kanof Institute for Physician Leadership Physician Advisory Committee.

Review the subcommittees’ charges and membership.


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1 Comment

  • Kerry Allen Willis

    I might have chosen some physicians from small and rural practices and more than one or two who actually see Medicaid patients. Awesome choices