North Carolina hospitals and doctors say the state's push to institute Medicaid managed care will reduce services for the poor and shortchange providers despite the legislation giving them the opportunity to bid on the contracts.
Late last month, Republican Gov. Pat McCrory signed legislation enabling changes that will move the state's $12.7 billion Medicaid program serving 1.9 million residents from fee-for-service payments made directly to providers to capped payments to managed care insurers. North Carolina must get approval from the CMS before making the change.