North Carolina is asking CMS to revise medical-frailty guidance that state officials say could affect Medicaid coverage for more than 64,000 residents.
All tagged health care
NCDHHS forms advisory committee for $213 million rural health program
NCDHHS has formed a committee of more than 40 members to help guide the implementation of North Carolina’s federally funded Rural Health Transformation Program.
State health care affordability commission holds first meeting
North Carolina’s Health Care Affordability Commission will hold its first meeting July 21 as state officials seek recommendations to reduce health care costs.
State Health Plan and Atrium dispute 2027 provider-network decision
The State Health Plan says Atrium Health did not participate in its preferred-network contracting process, but discussions may continue before the 2027 network takes effect.
NC State Health Plan approves Blue Cross contracts and 2027 benefit changes
North Carolina's State Health Plan approved Blue Cross NC contracts, preferred provider agreements and new 2027 benefit and network changes.
Stein creates health care affordability commission
Gov. Josh Stein has created a Health Care Affordability Commission to develop recommendations on health care costs, transparency, competition, workforce shortages and rural affordability.
NCDHHS, NCDIT announce rural health technology programs
NCDHHS and NCDIT announced three programs tied to digital infrastructure for rural health care through North Carolina’s Rural Health Transformation Program.
NCDHHS, NCDIT launch rural health technology programs
NCDHHS and NCDIT announced three rural health technology programs, including a $20 million annual innovation fund and expanded digital health navigation.
Medicaid provider controls bill moves to Senate Rules
House Bill 34, a Medicaid provider controls bill, was reported favorably as a Senate committee substitute and sent to Senate Rules.
Senate panel to take up health care competition bill
Senate Bill 978, a health care competition measure tied to hospitals, patient rights and state oversight, is scheduled for Senate Judiciary review Tuesday.
State Health Plan board approves strategic plan, Medicare Advantage benefits
The State Health Plan Board of Trustees approved a 2026-2032 strategic plan and 2027 Medicare Advantage benefits.
NCDHHS says Medicaid pilot reduced monthly costs
RALEIGH — A North Carolina Medicaid pilot program reduced health care costs by an average of $164 per month for participating beneficiaries, according to study results announced by the N.C. Department of Health and Human Services.
Jackson joins lawsuit challenging federal student loan rule for health care degrees
RALEIGH, N.C. — North Carolina Attorney General Jeff Jackson has joined a multistate lawsuit challenging a U.S. Department of Education rule that his office says would restrict federal loan access for students pursuing advanced health care degrees.
NC’s 1 million ACA enrollees set to see higher health care costs in 2026
Open enrollment starts Nov. 1. Higher premiums and expiring tax credits could combine for spikes in costs.
'Approved or denied': Health care providers say insurers too often deny care for profit
Amanda Watson was diagnosed with breast cancer three weeks after having an emergency cesarean section to deliver her second son. Her test results showed she had one of the most aggressive forms of breast cancer, with a high recurrence rate and low survival rate.
Attorney General Josh Stein Announces Health Care Fraud Sentencing
Attorney General Josh Stein announced today that Valerie Ann Sinclair of Fayetteville pleaded guilty to 21 counts of obtaining property by false pretenses in Moore County Superior Court. Judge Regina M. Joe ordered Sinclair to surrender her clinical mental health counselor supervisor license and pay $71,046.04 in restitution to the North Carolina Medicaid program.
Attorney General Josh Stein Announces $2.45 Million Health Care Fraud Settlement
(RALEIGH) Attorney General Josh Stein today announced a $2.45 million settlement with Vista Clinical Diagnostics, LLC, for allegedly submitting or causing the submission of false claims to Medicare and Medicaid programs in North Carolina, Virginia, and Florida. These settlement funds will be returned to the Medicare and Medicaid programs.
Tillis, Colleagues Introduce Bipartisan Legislation to Incentivize Better Health Care at Lower Costs
Senator Thom Tillis and his colleagues recently introduced the Value in Health Care Act, bipartisan legislation that would update the program parameters of Medicare’s Alternative Payment Models (APMs) to incentivize participation in Accountable Care Organizations (ACO).
State Supreme Court rules government retirees had contractual health care right
The N.C. Supreme Court has ruled, 4-2, that 220,000 state government retirees had a contractual right to premium-free health care benefits that had been promised to them. Now a trial court will have to determine whether state changes to those benefits a decade ago violated the contract.
Attorney General Josh Stein wins nearly $1.5 million in health care settlements
Attorney General Josh Stein today announced two civil health care settlements through his office’s Medicaid Investigations Division (MID) that will refund nearly $1.5 million to the North Carolina Medicaid Program.