North Carolina Medicaid Reform: A Bipartisan Path Forward

148 Pages Posted: 19 Jun 2019

See all articles by Barak D. Richman

Barak D. Richman

Duke University, School of Law

Allison Rice

Duke University School of Law

Donald H. Taylor

Duke University - Center for Health Policy, Law and Management

Susan Kline

affiliation not provided to SSRN

Leigh Ann Simmons

affiliation not provided to SSRN

Hilary Campbell

affiliation not provided to SSRN

Amanda McMillan

affiliation not provided to SSRN

Date Written: April 25, 2017

Abstract

The North Carolina Medicaid program currently constitutes 32% of the state budget and provides insurance coverage to 18% of the state’s population. At the same time, 13% of North Carolinians remain uninsured, and even among the insured, significant health disparities persist across income, geography, education, and race.

The Duke University Bass Connections Medicaid Reform project gathered to consider how North Carolina could use its limited Medicaid dollars more effectively to reduce the incidence of poor health, improve access to healthcare, and reduce budgetary pressures on the state’s taxpayers.

This report is submitted to North Carolina’s policymakers and citizens. It assesses the current Medicaid landscape in North Carolina, and it offers recommendations to North Carolina policymakers concerning: (1) the construction of Medicaid Managed Care markets, (2) the potential and dangers of instituting consumer-driven financial incentives in Medicaid benefits, (3) special "hotspotting" strategies to address the needs and escalating costs of Medicaid's high-utilizers and dual-eligibles, (4) the emerging benefits of pursuing telemedicine and associated reforms to reimbursement, regulation, and Graduate Medical Education programs that could fuel telemedicine solutions to improve access and delivery.

Note: The NC Medicaid Reform Advisory Team includes: Deanna Befus, Duke School of Nursing, PhD ‘17 Madhulika Vulimiri, Duke Sanford School of Public Policy, MPP ‘18 Patrick O’Shea, UNC School of Medicine/Fuqua School of Business, MD/MBA '17 Shanna Rifkin, Duke Law School, JD ‘17 Trey Sinyard, Duke School of Medicine/Fuqua School of Business, MD/MBA '17 Brandon Yan, Duke Public Policy, BA '18 Brooke Bekoff, UNC Political Science, BA '19 Graeme Peterson, Duke Public Policy, BA ‘17 Haley Hedrick, Duke Psychology, BS ‘19 Jackie Lin, Duke Biology, BS '18 Kushal Kadakia, Duke Biology and Public Policy, BS ‘19 Leah Yao, Duke Psychology, BS ‘19 Shivani Shah, Duke Biology and Public Policy, BS ‘18 Sonia Hernandez, Duke Economics, BS '19 Riley Herrmann, Duke Public Policy, BA '17.

Keywords: Medicaid Reform, Medicaid Managed Care, Hotspotting, Consumer-Driven Medicaid Reform

Suggested Citation

Richman, Barak D. and Rice, Allison and Taylor, Donald H. and Kline, Susan and Simmons, Leigh Ann and Campbell, Hilary and McMillan, Amanda, North Carolina Medicaid Reform: A Bipartisan Path Forward (April 25, 2017). Duke Law School Public Law & Legal Theory Series No. 2019-40. Available at SSRN: https://ssrn.com/abstract=2968580 or http://dx.doi.org/10.2139/ssrn.2968580

Barak D. Richman (Contact Author)

Duke University, School of Law ( email )

210 Science Drive
Box 90362
Durham, NC 27708
United States
919-613-7244 (Phone)
919-613-7231 (Fax)

Allison Rice

Duke University School of Law

210 Science Drive
Box 90362
Durham, NC 27708
United States

Donald H. Taylor

Duke University - Center for Health Policy, Law and Management ( email )

Box 90253
Durham, NC 27708
United States
(919) 684-2361 (Phone)
(919) 684-6426 (Fax)

Susan Kline

affiliation not provided to SSRN

Leigh Ann Simmons

affiliation not provided to SSRN

Hilary Campbell

affiliation not provided to SSRN

Amanda McMillan

affiliation not provided to SSRN

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