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.
Dual Eligible | 2703 SPA | CPC | CPC+ | PCMH QHP | PCMH Legislation | Private Payer |
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Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
---|---|---|---|---|
Community Care of North Carolina (CCNC) | Multi-Payer | Statewide | ACA Section 2703 Health Homes | |
Multi-Payer Advanced Primary Care Practice - North Carolina | Multi-Payer | Statewide |
Legislation | Status | Year |
---|---|---|
North Carolina Session Law 2010-31 The legislation supports Community Care of North Carolina (CCNC) to continue serving 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. |
Enacted | 2010 |
S 595 S 595 would establish a Primary Care Payment Reform Task Force charged with defining primary care, reporting on current primary care spend, and identify data systems to inform establishment of a primary care investment target for the state. A version of this bill was enacted as part of S. 259, the 2023 Appropriations Bill. |
Enacted as part of another bill | 2023 |
HB 259 Charges the North Carolina Primary Care Payment Reform Task Force with developing a definition of primary care that is applicable to the NC Medicaid program and commercial insurance, measuring how much insurance plans spend on primary care, determining the quality of the primary care delivery system in North Carolina, studying the primary care payment landscape in states that implement a minimum primary care spend, and collecting data to inform a primary care investment target for insurance plans. |
Enacted | 2023 |