NC Medicaid Reform

After floating a trial balloon for privatizing Medicaid that sunk rapidly among the health care providers of the state, Deputy Assistant Guvnor Pat has now rolled out his proposed Medicaid reform plan, which relies heavily on Accountable Care Organizations. This plan has a far more favorable view from healthcare providers and payers.

Yeah, we know it's hard to believe that (1) Queen Aldona and DAG McCrony could apparently get something largely right (still to be determined); and (2) Queen Aldona and DAG McCrony could actually admit that their initial proposal was a disaster and make actual substantive changes.

Still, this proposal seems to have some legs and seems to have a reasonable amount of support.

While several physician and hospital organizations praised the plan forwarded to legislative leaders by Monday's deadline...

Of course, there will be naysayers, including those who will continue to insist in privatization key senator and plan adviser already has criticized it as falling short on the aims of reform.

It will be interesting to see how our legislators line up on this proposal.

One thing that could send it off the rails is if the legislators find out that Affordable Care Organizations are defined and regulated by the Affordable Care Act (and if they also find out that the Affordable Care Act is actually Obamacare). They've already demonstrated that they'll throw the citizens of NC under the bus just to prove that they hate Obamacare.


The initial naysayer

is Sen. Louis Pate.

We'll wait to see if he's the right-wing nut job bellwether.

"I will have a priority on building relationships with the minority caucus. I want to put substance behind those campaign speeches." -- Thom Tillis, Nov. 5, 2014