In announcing his plan to privatize North Carolina’s award-winning Medicaid program, Community Care of NC, Governor Pat McCrory laid out five key reasons that in his view privatization is necessary. The only problem? None of them hold up under the even the most cursory scrutiny. I’ll thoroughly debunk each in turn:
McCrory’s #1 claim why NC should privatize: “[NC Medicaid Community Care] does not focus on measuring and improving overall health outcomes for recipients”
Community Care is proven to provide much better access to health care services that results in measurable improvements in health shown through changes in health service use.
For example, an exhaustive study last year of how children and others on NC Medicaid are using health services found that children with asthma enrolled in Community Care spent much less time admitted to the hospital and in the emergency room than children not enrolled. At the same time these children with asthma spent more time in their family doctor’s office and getting medication to manage their condition. This is the very definition of a better health outcome.
And Community Care doesn’t stop there. CCNC has a detailed process for measuring quality of care delivered by providers statewide and encouraging better quality– the “Quality Measurement and Feedback” program.
McCrory’s #2 claim why NC should privatize: “[NC Medicaid Community Care] lacks a culture of customer service and operates in silos, making it difficult for recipients to know where to go to receive the right care”
Governor McCrory might want to take a look at the actual Medicaid card sent to people on Medicaid when they sign up. It includes the name, address and phone number of the Medicaid recipient’s family doctor or health practice printed right on the card. You don’t get much easier direction as to who to call first when you get sick than that.