How Managed Care Organizations Will Be the Downfall of Mental Health in NC


Lately, mental health has been a topic of great interest to many people.  Tragedies like the Navy Yard shooting bring the mental health issue even more to the forefront.  Remember, the shooter had complained about auditory hallucinations prior to the horrible event.

Yet North Carolina, like many other states, has implemented the managed care system for Medicaid behavioral health.  These managed care organizations (MCOs) will be the downfall of the mental health care system.

That’s a pretty strong statement, huh? How could these MCOs be the downfall of mental health?

Let me explain…

Currently, in NC we have hundreds of thousands of mental health care providers across the state.  Most of the behavioral health care providers are not huge companies.  Many thousands of these providers are small businesses with under 10 staff, although there are certainly some that staff numerous psychiatrists and hundreds of employees.  Regardless, in the aggregate, these…

View original post 1,274 more words

About kemanuel

Medicare and Medicaid Regulatory Compliance Litigator

Posted on September 23, 2013, in Medicaid. Bookmark the permalink. 2 Comments.

  1. Daymark, a 501(c)3 sin-off from the early days of reform, has become the foot soldier for the LMEs/MCOs. Piedmont/Cardinal and Smoky send them in after a private/public provider goes under (whatever the reason). Daymark is everywhere. They are moving to be that single state-wide provider.
    SMC in the early days of the Medicaid waiver put the “White Paper” on their web site, it may still be there, where SMC, Piedmont/Cardinal and East Carolina proposed to carve the state into 3 sections Western, Piedmont and Eastern and together they manage the behavioral healthcare for North Carolina. The Democratic Governor rejected such an axis of managed care, but this Republican Governor seems to be tacitly authorizing such a plan, the only change may be that Alliance is the 3rd axis member instead of East Carolina. “11,10, 9…3 open up pearlie gates ain’t got time to wonder why whoopi we are all going to lose behavioral healthcare”.. And the sound you hear are the boots on the ground of Daymark executing the Axis plan.

  1. Pingback: The Future of Managed Care in Medicaid and the Fear of the Unknown | medicaidlaw-nc

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: