North Carolina

North Carolina established one of the first statewide PCMH networks in the country through Community Care of North Carolina (CCNC). CCNC served as an early model for improving health care delivery through a strong model of community-based primary care teams in partnership with public health and both public and private payers of heatlh care. CCNC leaders describe the evolution of the program and key partnerships on their website. Supported through legislation (Session Law 2010-31), CCNC continues to serve as the anchor program in North Carolina for most of its health improvement and cost-containment efforts including Care Coordination for Children (CC4C), Dual-eligible initiative, Multi-payer Advanced Primary Care Practice Project (MAPCP), and Palliative Care Initiative, just to name a few. All of these programs continue to build on the CCNC medical home approach to care. The state's participation in the MAPCP demonstration ended 12/31/2014.

CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
Yes
CPCi: 
No
SIM Awards: 
No
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
9,638,800
Uninsured Population:
16%
Total Medicaid Spending FY 2013: 
$11.9 Billion 
Overweight/Obese Adults:
66.1%
Poor Mental Health among Adults: 
30.4%
Medicaid Expansion: 
No

State of Arkansas Taps CCNC Expertise in Care Management, Medical Homes and Population Health

Award-winning Care Management Program Selected to Assist in PCMH Project

Community Care of North Carolina (CCNC) has been selected by the Arkansas Department of Human Services/Division of Medical Services from among bidders seeking to provide care coordination support and population health services for the State of Arkansas. Arkansas is seeking a partner to train and support primary care practices in care management, quality improvement, performance measurement and utilization of data for performance improvement and to assist the state in assessing program performance in these areas.

Aetna Patient-Centered Medical Home (PCMH) - Cornerstone Health Care

Cornerstone Health Care began participating with Aetna in the health benefits company’s national Patient-Centered Medical Home (PCMH) program in 2012. The program recognizes primary care physicians who more actively coordinate and manage their patients’ care across the health care system. By strengthening the role of primary care doctors, the PCMH program aims to improve patient health outcomes.

Care Coordination for Children (CC4C)

Care Coordination for Children (CC4C) is an at-risk population management program that serves children from birth to 5 years of age who meet certain risk criteria. The main goals of the program are to improve health outcomes and reduce costs for enrolled children. The CC4C Program began March 1, 2011 as a partnership between Community Care of North Carolina (CCNC), the NC Division of Public Health (DPH) and the NC Division of Medical Assistance (DMA).

IMPaCTing Meaningful Improvements in Primary Care Practice

2014-05-05 12:00 - 13:30

Primary care extension programs improve the quality of primary care services by educating providers on new and innovative practices in areas such as preventive medicine, health promotion, and chronic disease management. Section 5405 of the Affordable Care Act authorizes the establishment of a national primary care extension program.

Announcement Type: 

Cigna Collaborative Accountable Care Program - Boice-Willis Clinic

Cigna and the Boice-Willis Clinic, one of the largest and oldest multi-specialty, physician-owned practices in Eastern North Carolina, have launched a collaborative accountable care  initiative to improve patient access to health care, enhance care coordination and achieve the “triple aim” of improved health, affordability and patient experience. The program became effective October 1, 2013.

Cigna Collaborative Accountable Care Program - Cornerstone Health Care

Under the program, Cornerstone Health Care monitors and coordinates all aspects of an individual's medical care. Patients continue to go to their current physician and automatically receive the benefits of the program. Individuals who are enrolled in a Cigna health plan and later choose to seek care from a doctor in the medical group will also have access to the benefits of the program. There are no changes in any plan requirements regarding referrals to specialists.

Novant Health Medical Neighborhood Demonstration - North Carolina

This award is part of the Health Care Innovation Awards program, a Department of Health and Human Services initiative investing up to $1 billion to test promising new approaches that aim to improve health care and lower program costs for recipients of Medicare, Medicaid and the Children's Health Insurance Program (CHIP).

On the "Front Lines" of Health Reform: Reinventing Team-Based Care

With millions more Americans now eligible for health insurance coverage, health care organizations and providers throughout the U.S. are experiencing increasing pressure to balance the growing demand for health care services. At the same time, providers are being asked to improve quality and lower costs.

News Author: 
Kavita Patel, Jeffrey Nadel

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