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Lives Worth Saving: The Impact of Medicaid Expansion on Individuals in Recovery 值得拯救的生命：医疗补助扩展对康复者的影响
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94868
Kelly Crosbie
{"title":"Lives Worth Saving: The Impact of Medicaid Expansion on Individuals in Recovery","authors":"Kelly Crosbie","doi":"10.18043/001c.94868","DOIUrl":"https://doi.org/10.18043/001c.94868","url":null,"abstract":"A quarter of a million North Carolinians admit to experienc­ing opioid use disorder; over 1,000 die each year. Only 1 in 5 receives effective, evidence-based treatment. Medicaid covers treatment and will increase access for members with opioid use disorder, who have been found to fare better than those with private insurance.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Shared Success: Developing a Plan to Evaluate the Implementation and Impact of Medicaid Expansion in North Carolina 共享成功：制定计划以评估北卡罗来纳州医疗补助扩展的实施情况和影响
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94845
Shannon Dowler, Julia Lerche, Melanie Luques, Matthew Nash, Sam Thompson, Janelle White
{"title":"Shared Success: Developing a Plan to Evaluate the Implementation and Impact of Medicaid Expansion in North Carolina","authors":"Shannon Dowler, Julia Lerche, Melanie Luques, Matthew Nash, Sam Thompson, Janelle White","doi":"10.18043/001c.94845","DOIUrl":"https://doi.org/10.18043/001c.94845","url":null,"abstract":"The North Carolina Department of Health and Human Services plans to utilize a data-driven approach to evaluate the impacts of Medicaid expansion in the state. The evaluation plan includes tracking enrollment counts, creating metrics for monitoring of activities, setting measurable goals, and involving trusted community partners throughout.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
NC Medicaid’s Telehealth Evolution: Access and Utilization in a Post-Pandemic State 北卡罗来纳州医疗补助的远程医疗发展：一个大流行后州的获取和利用情况
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94867
Jessica Kuhn, Sam Thompson, Hannah Fletcher, Tess Koenigsmark, Shannon Dowler
{"title":"NC Medicaid’s Telehealth Evolution: Access and Utilization in a Post-Pandemic State","authors":"Jessica Kuhn, Sam Thompson, Hannah Fletcher, Tess Koenigsmark, Shannon Dowler","doi":"10.18043/001c.94867","DOIUrl":"https://doi.org/10.18043/001c.94867","url":null,"abstract":"Telehealth was instrumental in NC Medicaid’s ability to pro­vide health care during the COVID-19 pandemic. Analyses of utilization and survey data and interviews with key Medicaid payors and providers reveal trends in beneficiary access to and utilization of services, presenting NC Medicaid with opportunities to build upon lessons learned.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Medicaid Flexibilities in Action: North Carolina Member Testimonials 医疗补助灵活性在行动：北卡罗来纳州成员感言
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94871
Shannon Dowler
{"title":"Medicaid Flexibilities in Action: North Carolina Member Testimonials","authors":"Shannon Dowler","doi":"10.18043/001c.94871","DOIUrl":"https://doi.org/10.18043/001c.94871","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Changes on the Ground: Dispatches on Medicaid Expansion from Two North Carolina Federally Qualified Health Centers 实地变化：北卡罗来纳州两家联邦合格医疗中心对医疗补助扩展的看法
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94874
Kim A. Schwartz, Leslie Wolcott, Erica Powell, Pamela Tripp
{"title":"Changes on the Ground: Dispatches on Medicaid Expansion from Two North Carolina Federally Qualified Health Centers","authors":"Kim A. Schwartz, Leslie Wolcott, Erica Powell, Pamela Tripp","doi":"10.18043/001c.94874","DOIUrl":"https://doi.org/10.18043/001c.94874","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
NC Medicaid’s Early Experience with a Hospital at Home Program During the Public Health Emergency 北卡罗来纳州医疗补助计划在公共卫生紧急状况期间实施居家医院计划的早期经验
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94869
Arianna Keil, Ryan Fair, Wendy Qi, Sam Thompson, Shannon Dowler
{"title":"NC Medicaid’s Early Experience with a Hospital at Home Program During the Public Health Emergency","authors":"Arianna Keil, Ryan Fair, Wendy Qi, Sam Thompson, Shannon Dowler","doi":"10.18043/001c.94869","DOIUrl":"https://doi.org/10.18043/001c.94869","url":null,"abstract":"A quarter of a million North Carolinians admit to experienc¬ing opioid use disorder; over 1,000 die each year. Only 1 in 5 receives effective, evidence-based treatment. Medicaid covers treatment and will increase access for members with opioid use disorder, who have been found to fare better than those with private insurance.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
From Continuous Coverage to Medicaid Expansion: North Carolina’s Changing Public Payer Landscape 从持续覆盖到医疗补助扩展：北卡罗来纳州不断变化的公共支付格局
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94840
Shannon Dowler
{"title":"From Continuous Coverage to Medicaid Expansion: North Carolina’s Changing Public Payer Landscape","authors":"Shannon Dowler","doi":"10.18043/001c.94840","DOIUrl":"https://doi.org/10.18043/001c.94840","url":null,"abstract":"During the COVID-19 pandemic, people who may have otherwise lost Medicaid coverage kept it without the need to reapply annually. In 2023, this continuous coverage began to unwind just as North Carolina prepared to expand Medicaid. This issue of the North Carolina Medical Journal tracks the evolution of the state’s public payer landscape in unprecedented times of change, with data, analysis, and personal experiences from public health, philanthropy, clinicians, and Medicaid members.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact on Appendix K Flexibilities in the NC Innovations Waiver During the COVID-19 Public Health Emergency 在 COVID-19 公共卫生紧急事件期间对北卡罗来纳州创新豁免附录 K 灵活性的影响
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94870
Deb Goda, LaCosta Parker
{"title":"Impact on Appendix K Flexibilities in the NC Innovations Waiver During the COVID-19 Public Health Emergency","authors":"Deb Goda, LaCosta Parker","doi":"10.18043/001c.94870","DOIUrl":"https://doi.org/10.18043/001c.94870","url":null,"abstract":"In March 2020, the COVID-19 public health emergency compelled NC Medicaid to implement Appendix K flexibilities to change the 1915(c) Home & Community-Based Services Waivers. This paper will examine the impact of these flexibilities and the subsequent decision to sunset them, with a focus on the Innovations Waiver.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflecting on Nearly Two Years of North Carolina’s Healthy Opportunities Pilots 反思北卡罗来纳州近两年的 "健康机会 "试点项目
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94844
Amanda Van Vleet
{"title":"Reflecting on Nearly Two Years of North Carolina’s Healthy Opportunities Pilots","authors":"Amanda Van Vleet","doi":"10.18043/001c.94844","DOIUrl":"https://doi.org/10.18043/001c.94844","url":null,"abstract":"In March 2022, the North Carolina Department of Health and Human Services launched a first-in-the-nation program, the Healthy Opportunities Pilots, to reimburse for evidence-based, non-medical services through Medicaid. This article reflects on nearly two years of the pilot, including early findings and lessons learned to date.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Integration of Social Service Delivery with Health Care— A Foundation’s Role in North Carolina’s Healthy Opportunities Pilot Program 社会服务与医疗保健相结合--基金会在北卡罗来纳州 "健康机会 "试点计划中的作用
North Carolina Medical Journal Pub Date : 2024-03-17 DOI: 10.18043/001c.94876
S. Mims, Laurie Stradley
{"title":"Integration of Social Service Delivery with Health Care— A Foundation’s Role in North Carolina’s Healthy Opportunities Pilot Program","authors":"S. Mims, Laurie Stradley","doi":"10.18043/001c.94876","DOIUrl":"https://doi.org/10.18043/001c.94876","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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