Vol. 85, Issue 2, 2024 | Published by North Carolina Medical Journal

Intro: Expanding Medicaid, Expanding Life in North Carolina

Peter J. Morris

This issue of the journal lays out the ambitious plans to make it easier for people in our state to participate in caring for their own health.

Policy Forum: Issue Brief

From Continuous Coverage to Medicaid Expansion: North Carolina’s Changing Public Payer Landscape

Shannon Dowler

During COVID-19, people who may have otherwise lost Medicaid coverage kept it without the need to reapply. In 2023, this coverage began to unwind as NC prepared to expand Medicaid.

Policy Forum: Invited Commentaries & Sidebars
Keeping People Enrolled During Medicaid Expansion and COVID-19 Continuous Coverage Unwinding
Emma Sandoe
North Carolina chose to build upon the existing Medicaid Family Planning program to maintain access to health care while launching Medicaid expansion.
Policy Forum: Invited Commentaries & Sidebars
Reflecting on Nearly Two Years of North Carolina’s Healthy Opportunities Pilots
Amanda Van Vleet
This article reflects on nearly two years of the Healthy Opportunities Pilots, including early findings and lessons learned to date.
Policy Forum: Invited Commentaries & Sidebars
Shared Success: Developing a Plan to Evaluate the Implementation and Impact of Medicaid Expansion in North Carolina
Shannon DowlerJulia LercheMelanie LuquesMatthew NashSam ThompsonJanelle White
The evaluation plan for Medicaid expansion in North Carolina includes tracking enrollment counts, creating metrics for monitoring of activities, setting measurable goals, and involving trusted community partners throughout.
Policy Forum: Invited Commentaries & Sidebars
Keeping North Carolina Insured: Strategies to Support County Departments of Social Services and Continuous Enrollment
Melanie Bush
To support county Departments of Social Services, NC Medicaid worked quickly to improve automation, provide flexibility, and streamline processes.

Policy Forum: Invited Commentaries & Sidebars

NC Medicaid’s Telehealth Evolution: Access and Utilization in a Post-Pandemic State

Jessica KuhnSam ThompsonHannah FletcherTess KoenigsmarkShannon Dowler

Analyses of utilization and survey data and interviews with key Medicaid payors and providers reveal trends in beneficiary access to and utilization of telehealth services.

Policy Forum: Invited Commentaries & Sidebars

Lives Worth Saving: The Impact of Medicaid Expansion on Individuals in Recovery

Kelly Crosbie

A quarter of a million North Carolinians admit to experiencing opioid use disorder; over 1,000 die each year. Only 1 in 5 receives effective, evidence-based treatment.

Policy Forum: Invited Commentaries & Sidebars

NC Medicaid’s Early Experience with a Hospital at Home Program During the Public Health Emergency

Arianna KeilRyan FairWendy QiSam ThompsonShannon Dowler

NC Medicaid allowed the Hospital at Home model during the Delta COVID-19 surge and subsequently completed an evaluation of the outcomes for Medicaid members.

Policy Forum: Invited Commentaries & Sidebars
Impact on Appendix K Flexibilities in the NC Innovations Waiver During the COVID-19 Public Health Emergency
Deb GodaLaCosta Parker
This paper examines the impact of Appendix K flexibilities and the subsequent decision to sunset them, with a focus on the Innovations Waiver.
Policy Forum: Invited Commentaries & Sidebars
Medicaid Flexibilities in Action: North Carolina Member Testimonials
Shannon Dowler
Listening to stakeholders is an important role of state policymakers. We are including some testimonials from Appendix K waiver recipients receiving Medicaid via the NC Innovations Waiver.
Policy Forum: Invited Commentaries & Sidebars
Is Primary Care Adapting to Medicaid Managed Care in North Carolina? Implications for Expansion and Future Managed Care Transitions
Lydia NewmanStan TaylorDenise Levis HewsonTom Wroth
Realizing North Carolina’s comprehensive vision for Medicaid transformation requires strengthening the state’s primary care infrastructure.
Policy Forum: Invited Commentaries & Sidebars
Changes on the Ground: Dispatches on Medicaid Expansion from Two North Carolina Federally Qualified Health Centers
Kim SchwartzLeslie WolcottErica PowellPamela Tripp
Leaders from Roanoke Chowan Community Health Center and CommWell Health share their perspectives.
Policy Forum: Invited Commentaries & Sidebars
Integration of Social Service Delivery with Health Care— A Foundation’s Role in North Carolina’s Healthy Opportunities Pilot Program
Susan R. MimsLaurie Stradley
The addition of private funding to a significant government investment enables flexibility to cover areas of need not funded through public dollars.
Policy Forum: Invited Commentaries & Sidebars
Q&A: Continuous Coverage Unwinding and Medicaid Expansion on the Ground in Two North Carolina Counties
Shannon Dowler
In this Q&A, two local public health leaders share their experiences, concerns, and hopes for the future with Medicaid expansion in North Carolina.
Original Research
Opportunities for Integration in the Dual Medicare-Medicaid Population: North Carolina Landscape Analysis
Salama S. FreedNicole FrascinoKelley A. JonesAbhigya GiriLucas StewartKeren HendelAmy G. ClarkCourtney Van HoutvenAparna HigginsBrystana G. Kaufman
Medicare-Medicaid integration presents an opportunity to improve the value of care for dual-eligible beneficiaries and aligns with the goals of NC Medicaid transformation.
Original Research
Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program
Connor DrakeEugenia McPeek HinzBradi B. GrangerIsa GranadosAbigail RaderAriana PitcherShemecka McNeilWilliam K. BleserCarolyn AveryJanet Prvu BettgerElena TenenbaumMegan Shepherd-BaniganEleanor WertmanLisa McNerneyMarissa MortiboyJohn PurakalDev SangvaiSusan Spratt
The shift to value-based care is an opportunity to embrace structural solutions to health and social care fragmentation.

Vol. 85, Issue 2, 2024 From Unwinding to Expansion: North Carolina’s Changing Public Payer Landscape

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Vol. 85, Issue 2, 2024
From Unwinding to Expansion: North Carolina’s Changing Public Payer Landscape