Medicaid

The head of Blue Cross and Blue Shield of North Carolina is speaking out in support of expanding Medicaid in the state.

Brad Wilson is President and CEO of Blue Cross and Blue Shield of North Carolina.

“As business leaders of North Carolina, you need to help us craft a solution to expand Medicaid," said Wilson.

Wilson tossed out that charge during this week’s Economic Forecast Forum in Research Triangle Park, sponsored by the North Carolina Bankers Association and the North Carolina Chamber of Commerce. 

Ralf Heb / Flickr/Creative Commons

In recent months, Governor Pat McCrory has said he’s considering proposing expansion of the state’s Medicaid program, which would allow more low-income people here to receive health care. Back in 2012, the General Assembly passed a bill blocking expansion and the formation of a state health exchange. The governor signed it into law. But now, many other Republican-led states are moving forward with enlarging eligibility for the program. Yet Republican leaders don’t have a consensus on what to do here.

A picture of a stethoscope.
jasleen_kaur / Flickr/Creative Commons

A Medicaid oversight subcommittee has approved recommendations laying out goals for reform of the state's health insurance program for low-income residents. But support for the measure was not unanimous among Republicans. 

The recommendations approved Tuesday will now go before the full Health and Human Services oversight committee.

Two-pages of findings sketch out general goals for Medicaid reform in the state. Overall, it reiterates the feeling among some lawmakers- including Senator Ralph Hise- that the primary goal in reforming Medicaid should be to cut costs.

Pat McCrory
Dave DeWitt

Governor Pat McCrory has filed a suit against House Speaker Thom Tillis and Senate Leader Phil Berger, saying he's trying to stop them from usurping executive powers.

The lawsuit, filed in Wake County Superior Court, alleges violations of the separation of powers, executive power, and appointments provisions of the state Constitution, the Raleigh News & Observer reported. Former governors Jim Hunt, a Democrat, and Jim Martin, a Republican, joined McCrory in the filing.

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

State health secretary Aldona Wos says North Carolina would likely need to change some of its Medicaid rules to expand the program under the Affordable Care Act. 

The health care law offered to pay for expanded Medicaid through 2016, but North Carolina was one of 24 states that rejected the expansion last year.  Gov. Pat McCrory said the state's Medicaid program was broken, and was not confident the federal government would cover the costs. 

But Wos says Medicaid is now more stable, and she plans to present the governor with options for expanding Medicaid. 

Aldona Vos, DHHS
North Carolina Department of Health and Human Services

    

North Carolina’s Medicaid program covers 1.7 million people at a cost of $14 billion per year.

The program for low-income and disabled residents has had a turbulent past. Last year, computer glitches created a long backlog of applications and payments for providers. And Medicaid has been a question mark in the budget, causing cost overruns for several years.

But health officials say the system is improving enough that the state could reconsider expanding Medicaid to half a million people who do not have health insurance.

DHHS Secretary Aldona Wos
Jessica Jones

North Carolina's Secretary of Health and Human Services spoke before a legislative committee Wednesday to explain organizational changes made in one of her divisions.

Secretary Aldona Wos explained the changes will help streamline the Division of Medical Assistance, which administers the state's Medicaid program. She also told legislators that a formerly enormous backlog in the IT system used to process Medicaid applications- called NC FAST- has been reduced by 81 percent. The Secretary says she expects the system to be caught up by the end of October.

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

North Carolina health officials say the state Medicaid program has a positive cash balance for the first time in years.

For years, the state health insurance for people who are poor or disabled has cost tax payers more than expected. We're talking hundreds of millions of dollars.

But that wasn't the case last year. Aldona Wos, the state secretary for Health and Human Services, says the Medicaid budget was in the black.

North Carolina will be missing out on $51 billion from Mediciad because they chose not to expand coverage.
http://eofdreams.com/money.html

    

Lawmakers in North Carolina decided to not to expand Medicaid under the Affordable Care Act. 

McCrory signs budget plan
Reema Khrais

Gov. Pat McCrory has signed into law the state’s $21.1 billion budget bill that was approved by the legislature last week.

The signing comes five weeks after the beginning of the fiscal year on July 1st, a deadline lawmakers did not meet because of stalled negotiations and debate largely over teacher pay and Medicaid funding. 

McCrory signed the 260-page budget deal on Thursday at the executive mansion, proudly noting that the spending plan includes raises for teachers and state employees, while not increasing taxes or making reductions in Medicaid eligibility.

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