Transparency for North Carolina’s State Health Plan is a Two-Way Street
Your access to health care providers and services is under attack. The State Treasurer has proposed a shortsighted new model for the State Health Plan, which provides health insurance coverage to all state employees, teachers, state retirees and their dependents.
This risky scheme will affect healthcare consumers across the state, and place an undue burden on teachers, state employees, and retirees by limiting access to the care providers they know and trust.
The State Treasurer’s plan will cut payments for services at local doctors’ offices, hospitals and health systems by more than $400 million, forcing them to cut important services and jobs.
Transparency and Hypocrisy
The State Treasurer has made bold claims about a lack of transparency in contract rates for services provided by the state’s hospitals. Yet, the State Treasurer has the pricing information because he manages all the claims data. Not only does he have the prices generally, he has every price paid for every procedure for every patient covered by the State Health Plan.
It is also important for citizens and lawmakers to understand that Blue Cross Blue Shield of North Carolina is the administrator for the State Health Plan. BCBS-NC negotiates rates for payment on behalf of the State Health Plan along with other private insurance plans. As with other businesses, the plan administrator is responsible for sharing information about claims to help the Plan better manage its expenses. Don’t be fooled by the Treasurer’s political rhetoric. The State Treasurer has all the information he needs to save money.
Ironically, not only does the Treasurer have the information he needs, but he also has conveniently failed to acknowledge the serious damage his State Health Plan proposal will do to healthcare for state employees, teachers, and retirees. It not only limits access to providers and services, but it also fails to provide employees the wellness benefits they need to improve their health.
The State Treasurer seems more interested in politicizing the State Health Plan than working to improve it
THE TREASURER’S HEALTH PLAN WILL:
THE TREASURER’S PLAN FAILS TO:
The truth about how this affects us ALL
The proposed cuts to the State Health Plan will put the availability of health care services for everyone in North Carolina at risk. Aligning payments for North Carolina healthcare providers with federally mandated Medicare payments puts your healthcare in the hands of politicians. Low payments and continued financial uncertainty mean many hospitals across the state will face financial ruin that will lead to laying off employees, cutting vital health care services, and reducing the quality of remaining services.
If the State Treasurer’s goal is truly to cut costs, he needs to work with our doctors, hospitals, and health systems to focus on preserving access to healthcare necessities, coordinating healthcare services and prioritizing wellness and disease prevention, chronic disease management and weight reduction. A healthier workforce will save the state millions and increase employee satisfaction too.
Healthcare providers and the State Health Plan should partner to develop innovative solutions that put patients first and protect access and quality of care.
A Two Way Street
We can fix the State Health Plan – but blatant accusations and political gamesmanship won’t work. Our doctors, nurses and allied healthcare professionals work every day to ensure the wellbeing of our citizens. They don’t deserve to be caught up in a political agenda. We believe collaboration towards better outcomes is the only way to find real and sustainable solutions for our state health plan.
Doctors, hospitals and healthcare systems in North Carolina already are partnering with business, insurance and local governments to reduce cost, make healthcare spending more efficient and improve the general health of their communities. We stand ready to work with the State Treasurer to improve the State Health Plan, but it has to be a two-way street. Let’s stop pointing fingers and start working to build a smarter State Health Plan – protecting patients and supporting our providers.
Find out about a better path forward toward a smarter State Health Plan:
Take a stand for access to quality healthcare TODAY:
Contact your Legislators: https://www2.ncleg.net/RnR/Representation
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