North Carolina Moves Toward Medicaid ACOs

A proposal in North Carolina would set up Medicaid accountable care organizations and have providers enrolling in July 2015, with a goal of having 90 percent of the state's Medicaid beneficiaries in ACOs in five years, according to a report by The Pilot.

If Medicaid ACOs were approved in the state, North Carolina would spend $987 million less on Medicaid over five years, according to the report. The plan still needs approval from the state legislature and federal government.

The state's deputy secretary of the N.C. Department of Health and Human Services is pushing for the proposal. "This is a good plan. It puts providers first. It's patient-centric. It addresses costs," Robin Cummings, MD, told The Pilot. "I have totally bought into it."

North Carolina's Medicaid program makes up $3.5 billion of the state's $20.6 billion budget, according to the report.

If the proposal is approved, North Carolina will join the ranks of states like Oregon and Vermont that have already rolled out Medicaid ACOs.

More Articles on Accountable Care Organizations:
5 Key Decisions for Future Medicare Shared Savings ACOs
Meet the Winners and Losers of Accountable Care
Majority of Physician Practices Avoiding ACOs, Study Finds

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