Healthy Opportunities Pilot Projects: A New Dimension in Medicaid Services

It is now a well-documented fact that only about 10%-20% of a person’s health is a direct result of the specific health care services they actually receive and that the remaining percentage is a by-product of the other factors that affect them including physical environment, socio-economic factors, health behaviors, and heredity. To help address these social determinants in North Carolina, Medicaid Transformation, which is a shift from fee-for-service to managed care, includes a unique component: Healthy Opportunities Pilot Projects.

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Heather Rothrock
Provider Perspectives on NC Medicaid Transformation: An interview with Dr. Anna Miller-Fitzwater

North Carolina’s Medicaid delivery system will transition to managed care July 1, 2021 offering a different experience for providers and beneficiaries as Prepaid Health Plans (PHPs) replace the historically single-payer design. Though helpful resources are available, the preparation for this shift involves many questions- what changes can patients expect? What are Medicaid providers most concerned about? What are clinics doing to prepare? In this interview, these questions and more are explored between Emtiro Health’s Heather Rothrock and Dr. Anna Miller-Fitzwater.

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Heather Rothrock
National Influenza Vaccination Week- A Reminder to Stay Protected, Despite Flu Activity Trending Below Average

The 2020-2021 flu season is underway. The first full week of December is dedicated to raising flu and flu vaccine awareness. According to the Centers for Disease Control and Prevention’s (CDC) weekly Fluview surveillance report, seasonal flu activity in the US continues to be lower than usual for this time of year, despite record-breaking projections.

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Heather Rothrock
Managing Social Isolation and Loneliness: What Can Medical Professionals Do?

In the face of an unrelenting pandemic, societies across the world are beginning to grapple with the dramatic effects of two very important, yet often overlooked health conditions: social isolation and loneliness. Though these conditions have been ever-present, they have been significantly exacerbated by the quarantine environment required to manage the spread of the COVID-19 outbreak.

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Guest User
Demystifying the Medical Home: A Practical Guide for Patients

The healthcare industry is notorious for its acronyms and jargon. As a patient, navigating this space not only requires a great deal of patience but also a glossary of industry terminology and buzzwords. The purpose of this article is to introduce one such medical term that is a central tenet in care delivery innovations and transformation: The Medical Home.

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Guest User
Value: In the Eye of the Stakeholder

The shift from quantity to quality has, in many ways, overhauled the health care industry, with noticeable effects across the spectrum from patients to providers. Originally aimed at fulfilling the quadruple aim—improving population health, enhancing the patient experience, reducing cost, and improving provider satisfaction—most would agree the shift was well-intended, though maybe not always well received.

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Guest User
Tailored Plans: What’s Next for North Carolina Medicaid’s Mental Health System?

Over the past 20 plus years, the Mental Health/Substance Use Disorder/Intellectual Developmental Disabilities (MH/SUD/IDD) delivery system has become accustomed to change. In this time, the system has transitioned from the one-stop-shop “Area Authorities,” to the Local Management Entities (LME) system and privatization of services to the current Local Management Entities/Managed-Care Organizations (LME/MCO) structure.

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Guest User
Helping Children Understand COVID-19

Understandably, many people right now are experiencing increased levels of stress due to numerous unknowns surrounding the COVID-19 pandemic. It is important for us as adults, parents, caregivers, and practitioners, to understand that this anxiety is shared by children.

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Guest User