Medicaid

The North Carolina Department of Health and Human Services says it's working to reduce the error rate in Medicaid payments to providers and hospitals.

A new report from State Auditor Beth Wood says North Carolina improperly spent $835 million last year.

A picture of a young man with his head in his hands.
Sander van der Wel / Wikipedia

More adults are coming under the legal authority of guardians. Many adults who are declared incompetent by a court have a relative who takes over guardianship. But for those who don't, the state takes over that role.

The North Carolina Department of Health and Human Services said in an e-mail that there were about 3,000 adults with public guardians in 2007. That number is expected to double by about 2017.

ICD-9 logo
http://icd9cm.drgily.com/ / Wikipedia

Doctors and hospitals will have a higher bar to clear when submitting insurance claims, starting today.

Federal law requires them to begin tracking patient care and submitting insurance claims using the more specific ICD-10 coding system. The broader ICD-9 had been in place for decades.

Julie Henry is a spokeswoman for the North Carolina Hospital Association.

Jorge Valencia / WUNC

Bill Would Ban The Sale Of Fetal Tissue From Abortions

Republicans in the Senate's rules committee cleared a bill on Wednesday  that would ban the sale of fetal tissue from abortions.

House Bill 297  is a reaction to a national controversy after an anti-abortion group’s undercover videos suggested Planned Parenthood was selling fetal tissue from abortions.  

Legislators Approve Medicaid Privatization Plan

Sep 23, 2015
The chambers of the NC State House
Jorge Valencia / WUNC

The North Carolina House and Senate approved on Tuesday afternoon a long-awaited plan to overhaul the state's Medicaid system. The proposal could affect more than 1.5 million people who receive health care through the publicly-funded program, but it could take years for it to be fully implemented.

Top Republicans celebrated on Tuesday as they passed a proposal they've been working on for four years. Medicaid serves about 1.8 million people who qualify as low-income or disabled, almost one fifth of the state population.

About 1.8 million people in North Carolina receive healthcare through Medicaid. The program provides for those who are low income and is funded by federal and state dollars.

A recent state audit found that the organization overseeing most Medicaid patients has saved taxpayers more than a billion dollars since 2002. Still, state lawmakers have been poised for years to overhaul the system, and it appears now that a deal is close.

A picture of a woman with a bathtub balance seat.
Richard Duncan / CDC

North Carolina's population is aging quickly, increasing the demand for personal caregivers. But a report from a poverty advocacy organization says elderly people might have trouble finding reliable care unless caregivers' wages increase.

The North Carolina legislative office building
Wikipedia

State lawmakers passed a temporary spending measure this week to keep North Carolina’s government running for 45 days.

The move allowed lawmakers to avoid the midnight deadline tonight that marks the end of the fiscal year. Legislators to continue to debate differences over tax structure, education spending and Medicaid. 

Host Frank Stasio talks with WUNC capitol reporter Jorge Valencia about the latest. 

NC Lawmakers React To SCOTUS Upholding Obamacare

Jun 26, 2015
A picture of a dctor holding a stethoscope.
Alex Proimos / Flickr

North Carolina lawmakers have chosen to not expand Medicaid eligibility under the Affordable Care Act.

Republican state leaders, including Senate Leader Phil Berger and House Speaker Tim Moore, have said that, even if the federal government initially subsidizes new people enrolling in Medicaid, the program would eventually cost the state more than it saves.

Medicaid illustration: A Caduceus symbol and a dollar sign
Neff Conner / Flickr

The North Carolina House of Representatives approved a plan Tuesday to allow non-profit groups of hospitals and doctors to manage care for most of the state’s 1.8 million Medicaid health recipients, formally setting the stage for a clash with the Senate over how to revamp the program.
 

The House plan, which lawmakers have discussed since at least 2011 when Republicans took over a majority in both chambers, would allow state health officials to pay the non-profits a predetermined amount of money for the medical care of each patient and would be phased in by as early as 2020.

Photo: The North Carolina seal in front of the state legislative building
Jorge Valencia

Lawmakers take up the state's budget with a month-end deadline looming. Senate leaders passed their plan this morning. It increases pay for new teachers but cuts back on teaching assistants. 

The $21 billion plan also puts Medicaid under the control of an outside agency. But the Senate plan differs greatly from the House proposal and the Governor's plan. Lawmakers need to reconcile the differences before June 30 or pass a continuing resolution to keep the government funded.

NC General Assembly; State Legislature.
Dave Crosby / Flickr Share-Alike

The North Carolina Senate gave preliminary approval on Wednesday afternoon to a two-year budget that would cut funding for thousands of public school teaching assistant positions, and would make significant policy changes to the state's tax code and Medicaid program.

The proposed $21.5 billion budget, which represents an almost 2 percent increase from the current year and was approved by Republicans along a party-line vote of 30-19, is scheduled for a final vote on Thursday.

N.C. General Assembly, State Legislature
Dave DeWitt / WUNC

State Senate leaders held a news conference Monday to discuss details of their $21.47 billion budget proposal. The proposal is smaller than the state House’s budget plan released almost a month ago, and  would create a separate state agency to administer North Carolina’s Medicaid program.

WUNC Capitol Reporter Jorge Valencia said the Senate has only given a general idea of its budget proposal, and includes increasing the starting salary pay for teachers to $35,000 a year, a $2,000 increase.

Medicaid illustration: A Caduceus symbol and a dollar sign
Neff Conner / Flickr

A North Carolina House committee has approved a plan to remake the state’s costly Medicaid program by allowing hospitals and physicians to manage the money spent to care for each patient.

The plan, which would shift much of the financial risk of growing Medicaid costs to provider-led entities, was approved after more than two hours of heated debate in the House of Representatives health committee. The bill is expected to be scheduled for a hearing in the appropriations committee on Thursday morning.

Image of tools in doctor's office
Morgan / Flickr/Creative Commons

The Affordable Care Act is still attracting big enrollment numbers in North Carolina.

Nearly 500,000 people in the state have coverage, but premiums could rise by as much as 40 percent next year for some health plans.

   

And the Obama administration says more than 300,000 people still are not covered because the state did not expand Medicaid. 

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