North Carolina’s General Assembly reconvenes five weeks from now and it’s becoming clear that House and Senate Republicans are divided on the best approach for Medicaid reform.
At Tuesday’s meeting of the Joint Legislative Oversight Committee of Health and Human Services, House members backed away from a Senate’s plan that would allow out-of-state, managed-care companies (or MCOs) to participate in the reform efforts.
Health and Human Services Secretary Aldona Wos appealed to legislators to give the administration time to move forward with its plan to have accountable care organizations (or ACOs) handle the Medicaid system. Dr. Wos stressed the ACO model would work, but participating doctors would need more time and flexibility.
Wake County Representative Marilyn Avila likened the reform effort to finding the best recipe for a stew:
“One part of it may be ACOs, one part may be MCOs, one part may be just leaving it the heck alone, explained Rep. Avila. “But until we evaluate the stew that we got, against the stew that we want, we don’t know how to make the changes. Starting from scratch with a wholesale overhaul is probably the worst way to go about this.”
Look for things to get more heated in this kitchen when the legislature convenes January 14th. To hear part of Tuesday’s debate, click below.