Medicaid managed care

North Carolina outsources Medicaid to 5 private companies

A physician assistance examines a young girl on an exam table.
Medicaid treats low-income people and children. Photo: John Moore/Getty Images

North Carolina's Medicaid agency has chosen 5 companies to administer its Medicaid program: AmeriHealth; a joint venture between Anthem and Blue Cross Blue Shield of North Carolina; a joint venture between Centene and local doctors; UnitedHealthcare; and WellCare Health Plans.

Why it matters: North Carolina now joins the ranks of other large states in embracing Medicaid managed care. The switch will mean billions of dollars in new business for the companies involved, but some states, like Iowa, have reported higher costs and unhappy patients tied to their recent privatization efforts.

Feds propose rolling back Medicaid's doctor network requirements

A doctor examines a patient in a clinic.
A new proposal would eliminate rules around Medicaid doctor networks. Photo: Joe Raedle/Getty Images

The Centers for Medicare & Medicaid Services is proposing to eliminate rules that require state Medicaid programs to set limits on how long or far people have to travel to get to their doctors.

Why it matters: The rollback, if approved, could allow health insurers that run state Medicaid programs to create weaker provider networks — which could limit access to care.

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