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CaroMont Health to Partner with North Carolina State Health Plan on New Patient Centered Medical Home Pilot


Plan Aims to Improve Member Care, Achieve Better Health Outcomes and Manage Costs for Plan Members

CaroMont Health announced today a new pilot initiative with North Carolina State Health Plan. The two-year Patient-Centered Medical Home (PCMH) pilot initiative is designed to engage physicians in the care of Plan members, improve member experience and outcomes, and ultimately impact healthcare costs. The pilot initiative began on May 1, 2015.

“We are pleased to partner with State Health Plan on this pilot program for a number of reasons, namely the benefit to our patients by improving access, quality and health outcomes,” said Doug Luckett, President and CEO at CaroMont Health. “Patient Centered Medical Home is a care model we adopted many years ago to strengthen the patient-physician relationship for the purpose of enhancing care coordination and long-term health impact, so this pilot is a great fit for CaroMont.”

The pilot embraces the concept of the Patient-Centered Medical Home (PCMH). The PCMH is a provider’s office that has received special recognition for efficient, coordinated, high quality care centered on the patient. A PCMH develops a trusted, long-term relationship with a patient and becomes the hub of that patient’s health care.

“Our goal is to improve members’ health and the quality and affordability of the care they receive. Public private partnerships like the one between the State Health Plan and these local health care providers help us to better achieve our goal,” said Janet Cowell, State Treasurer.

Specifically, the pilot utilizes a tiered approach in the payment of per-member per-month care fees to Providers who met specified infrastructural and quality standards with the opportunity to increase the payment over time by continuing to improve select clinical quality of care metrics. The initiative supports the Plan’s strategic priorities of improving member health and ensuring a financially stable Plan. The Plan worked with its Population Health Management Vendor, Active Health Management in the development of this initiative.

The health care systems for this pilot project include the following practices:

  • CaroMont Health in Gaston and Mecklenburg counties
  • Eagle Physicians and Associates in Guilford County
  • Carolinas Health Care in New Hanover and Onslow counties

The self-insured State Health Plan provides health care coverage to more than 680,000 teachers, state employees, retirees, current and former lawmakers, state university and community college personnel, and their dependents. The Plan is a division of the Department of State Treasurer.

Categories: Health