Need Support? Call Us. (866) 272-7826

NC DHHS unveils new Medicaid reform plan

After nearly 15 months of discussions, and three public meetings with the Medicaid Reform Advisory Group, the North Carolina Department of Health and Human Services (DHHS) presented its Medicaid reform plan to the General Assembly this month.


"We have an obligation - an obligation we have willingly accepted as a state - to help those in need. And we must, at the same time, be good stewards of taxpayer resources," said DHHS Secretary Aldona Z. Wos, M.D. "We believe this Medicaid reform plan is responsive to both those obligations."

Monarch CEO Dr. Peggy Terhune served on the five-member advisory group to help collaborate and provide input for the reform.

“The whole plan is very exciting, and the final report reaches the three goals that we were given to achieve: budget predictability and sustainability, efficiency for providers and whole person patient care that unites physical and behavioral health,” Terhune said.

The plan proposes that providers collaborate through Accountable Care Organizations (ACOs), a model that allows physicians and other providers who care for patients to take control of improving quality and healthy outcomes by collaborating together.

“For example,” Terhune explained, “If you go to your primary care doctor who orders blood tests, it is likely that later in the month when you visit your endocrinologist or cardiologist, that doctor will also order the same tests. With an ACO, there is a shared record, so instead of duplication, the second doctor can look at the results from the first doctor’s order, and can take action from there. This eliminates extra tests or waiting.”

On top of the new plan, DHHS is also leading efforts to improve the Division of Medical Assistance (DMA) operations to support Medicaid reform. Secretary Wos recently named Deputy Secretary of Health Services and Acting State Health Director Robin Gary Cummings, M.D., to lead the DMA transformation.        

Photo Credit: Rose Hoban                       

Latest from @MonarchNC

  • #FBF Vice President of Operations, Long-term Services and Support Christy Shaver was given a surprise "thank you" l……
  • Congrats to our Vocational Opportunities Center bowlers. Our team had a great time competing in the Special Olympic……
  • Stanly Industrial Services' Chris Bauer and Tracy Roberts feel volunteering is important work. Read why giving thei……
  • RT @800273TALK: In honor of International Survivors of Suicide Loss Day this week, join us TOMORROW, 11/14, for a #SOSChat about survivors…
  • Stanly Industrial Services' Chris Bowers and Tracy Roberts feel volunteering is important work. Read why giving the……
  • Fall calls for festival fun! Tori Macdonald from Bladen Opportunities Center hosted a table at the Grape Festival i……

    Keep In Touch.

    click here to sign up

    Administrative Office: 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001
    Phone: (866) 272-7826 | Fax: (704) 982-5279