NC Medicaid

Medicaid is always one of the biggest expenditures for states, and North Carolina is overhauling its program to try to make its budget more predictable. The overhaul is essentially a mixture of health care models that are gaining national prominence. The result will change who's in charge of keeping low-income patients healthy and how North Carolina pays for it.

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North Carolina lawmakers Tuesday passed fundamental changes to the state's Medicaid program. If Governor Pat McCrory signs it, it would change who's in charge of keeping patients healthy and how the state pays for it.

Leaders on health policy in the North Carolina House are pushing their version of a bill to overhaul the state's most expensive health care program: Medicaid. The lawmakers rolled out the bill in committee Wednesday.

House leaders want to overhaul Medicaid by putting groups of doctors and hospitals in charge of managing the program. The state would give them a set amount of money based on who they treat, and the doctors would face financial penalties or rewards based on how they do. 

Republican Representative Nelson Dollar is one of the bill's sponsors. 

Provided by the NC Medical Society – Chip Baggett – Jennifer Gasperini – Dave Horne

Doctors across North Carolina will soon have to pay back a chunk of what they earned treating Medicaid patients over the past 14 months. The retroactive pay cut is part of a law passed in 2013 and tweaked last year. As you can imagine, doctors aren't too happy about giving back money the state has already paid them.

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For the first time in five years, North Carolina will not end a fiscal year with hundreds of millions of dollars in Medicaid cost overruns. That's according to the General Assembly's fiscal research division. The improvement comes after the state hired a consulting firm to help with budgeting.

NC General Assembly

The North Carolina Senate tentatively passed an overhaul of the state's Medicaid program Thursday afternoon. It includes major differences from what Governor Pat McCrory and the House are pushing for.  

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North Carolina's Senate, House and governor are getting closer to an agreement on overhauling the state's Medicaid program. Senate leaders announced a new plan Wednesday that's similar to what House leaders and Governor McCrory want. But there are still two key differences to work out.

North Carolina is poised to overhaul how it pays for doctor's visits and other physical health services under Medicaid. Governor Pat McCrory, state House and Senate leaders agree on that front, although they still need to work out differences in their broader plans for Medicaid.

NC General Assembly

Republicans in the North Carolina Senate have rejected Governor Pat McCrory's proposed Medicaid overhaul. Senate leaders proposed their own overhaul in the budget they released this week.


The McCrory administration wants doctors and hospitals to play a much larger role in managing the state's Medicaid program. The administration submitted its new Medicaid overhaul to the General Assembly Monday.