North Carolina’s 1115 Medicaid Waiver Advances Accountable Care

North Carolina hit a milestone in Medicaid reform on June 1, 2016, when Governor Pat McCrory submitted North Carolina’s Medicaid Reform plan (Section 1115 demonstration) application to the federal Centers for Medicare & Medicaid Services (CMS). The waiver includes the state’s provider-led entities, which are ACO-like organizations that will be accountable for full financial risk for those they serve.

“One of the most important responsibilities that I have as governor is to help citizens in our state reach their full potential. To help achieve this goal, reforming Medicaid has been a top priority since the day I entered office,” said Governor McCrory. “Our proposal provides a North Carolina Medicaid Plan that focuses on patient-centered care and improves health outcomes at more predictable costs.”

ACO News is a feature of the Medicaid Accountable Care Organization Resource Center, an online collection of tools designed to help Medicaid agencies develop and launch accountable care organizations.