Under the Dome

Doctors angle for leverage on Medicaid changes

Doctors' groups don't like Gov. Pat McCrory's proposal to have managed care organizations run Medicaid. The N.C. Academy of Family Physicians hopes patients agree.

The Academy has put up a website and petition about McCrory's Medicaid proposal that asks the administration to involve family doctors in talks on how to change Medicaid, the government insurance program for the poor, elderly and disabled.

McCrory has proposed that the state put the state's $13 billion a year Medicaid business out to bid, opening the program to management by managed care companies. Under the proposal, two to four organizations would offer health plans and be paid a set amount of money for each patient enrolled.

Doctors prefer the system the state has built, called Community Care North Carolina, which helps patients manage chronic diseases such as asthma, and seeks to keep them getting so sick that the go to emergency rooms. Unlike the managed care system McCrory proposes, doctors and hospitals are paid for each Medicaid service.

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