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Review
. 2024 Mar;85(2):85-88.
doi: 10.18043/001c.94840.

From Continuous Coverage to Medicaid Expansion: North Carolina's Changing Public Payer Landscape

Affiliations
Free article
Review

From Continuous Coverage to Medicaid Expansion: North Carolina's Changing Public Payer Landscape

Shannon Dowler. N C Med J. 2024 Mar.
Free article

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.

Keywords: Medicaid expansion; NC Medicaid; North Carolina; North Carolina Department of Health and Human Services; Shannon Dowler; health care; health policy; public health.

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Conflict of interest statement

Acknowledgments: S.D. served as Chief Medical Officer of NC Medicaid at the time of this writing and her guest editorship of this issue of the North Carolina Medical Journal. No further interests were disclosed.

References

    1. An Act to Transform and Reorganize North Carolina’s Medicaid and NC Health Choice Programs. NC Sess Law 2015-245 (HB 372, NC 2015).
    1. Fact Sheet: Transition of Care. Navigating North Carolina’s Transition to NC Medicaid Managed Care: A Fact Sheet for Members. Fact sheet. NC Medicaid. April 27, 2021. Accessed January 24, 2024. https://medicaid.ncdhhs.gov/documents/reports/transformation/caremanagem...
    1. Cooper R. Executive Order No. 121. North Carolina Office of the Governor. Accessed January 24, 2024. https://governor.nc.gov/documents/executive-order-no-121
    1. Tele-Transformation in North Carolina: Telehealth Policy Lessons Learned During the COVID-19 Pandemic and Beyond. NC Dept of Health and Human Services; September 2023. Accessed January 24, 2024. https://www.ncdhhs.gov/tele-transformation-north-carolina-sept-2023/down...
    1. States’ Medicaid Eligibility and Enrollment Actions Concluding the COVID-19 Public Health Emergency. Office of the Inspector General, US Dept of Health and Human Services. Accessed January 24, 2024. https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary...

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