New NC Senate Bill Proposes 4-6 MCOs!! And the Creation of ARPLOs!!
Senate Bill 568 was filed today!!! It is a bill that you should follow!
SB 568 reads: “It is the intent of the General Assembly to transform the State’s health care purchasing methods from a traditional fee-for-service system into a value-based system that provides budget predictability for the taxpayers of this State while ensuring quality care to those in need.”
It proposes, among other things, a consolidation of the 9 current managed care organizations (MCO) here in North Carolina to “not more than 6” and “no less than 4” MCOs.
It further establishes another acronym: ARPLOs.
“At-Risk Provider-Led Organizations (ARPLOs). ARPLOs are capitated health plans administered by North Carolina’s provider-led Accountable Care Organizations that will manage and coordinate the care for the Patient Population, outside of the PCMHs, pending waiver approval where appropriate for this transformation by the Center for Medicare & Medicaid Services.”
Remember, the House has pushed for ACOs and the Senate has pushed for MCOs. See blog.
Is the Senate bending toward the House??????
More to come…
Posted on March 26, 2015, in "Single State Agency", Accountable Care Organizations, Administrative Costs, Agency, CMS, CMS Proposal, DHHS, Division of Medical Assistance, Doctors, EastPointe, ECBH, General Assembly, Health Care Providers and Services, Legislation, MCO, Medicaid, Medicaid Advocate, Medicaid Appeals, Medicaid Attorney, Medicaid Providers, Medicaid Reform, Mental Health, NC, North Carolina, Primary Care, Primary Care Physicians, Provider Medicaid Contracts and tagged Accountable Care Organizations, ACO, Aldona Wos, ARPLOs, At-Risk Provider-Led Organizations, Behavioral health, DHHS, Division of Medical Assistance, DMA, General Assembly, Health care provider, House, Managed care, Managed Care Organizations, MCO, Medicaid, Medicaid Reform, NC Medicaid, North Carolina, Senate, Senate Bill 568, Taxpayers. Bookmark the permalink. 7 Comments.