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New Program Partners with CVS Caremark, GoodRx, to Target Some High-Cost Prescriptions, Lowering Out-of-Pocket Costs for Members
New Program Partners with CVS Caremark, GoodRx, to Target Some High-Cost Prescriptions, Lowering Out-of-Pocket Costs for Members
 
North Carolinians who are on the State Health Plan (SHP) for their medical insurance will not see an increase in their premiums for the 2024 benefit year. State Treasurer Dale Folwell and the SHP Board of Trustees agreed to the freeze for the sixth year in a row.
North Carolinians who are on the State Health Plan (SHP) for their medical insurance will not see an increase in their premiums for the 2024 benefit year. State Treasurer Dale Folwell and the SHP Board of Trustees agreed to the freeze for the sixth year in a row.
 
A bipartisan House bill that would allow Blue Cross Blue Shield North Carolina to reorganize and create a holding company that could transfer billions in surplus policyholder money is on its way to the House Rules Committee after passing in the House Insurance Committee Wednesday.
A bipartisan House bill that would allow Blue Cross Blue Shield North Carolina to reorganize and create a holding company that could transfer billions in surplus policyholder money is on its way to the House Rules Committee after passing in the House Insurance Committee Wednesday.
 
It's about money: $4.6 billion in cash. But it's also about the role this company should play in our state.
It's about money: $4.6 billion in cash. But it's also about the role this company should play in our state.
 
“I will be the best governor money can’t buy,” said Folwell
 
To win, he must convince the Republican electorate that competence and electability are more important than charisma and force of will.
To win, he must convince the Republican electorate that competence and electability are more important than charisma and force of will.
 
Jim Bostian, Aetna’s market president for North Carolina, addressed the State Health Plan Board of Trustees at their meeting Wednesday, with promises of building upon a seamless transition as the new SHP third-party administrator beginning on Jan. 1, 2025.
Jim Bostian, Aetna’s market president for North Carolina, addressed the State Health Plan Board of Trustees at their meeting Wednesday, with promises of building upon a seamless transition as the new SHP third-party administrator beginning on Jan. 1, 2025.
 
Blue Cross Blue Shield of North Carolina is going to court to challenge the recent decision to award a major State Health Plan contract to Aetna.
Blue Cross Blue Shield of North Carolina is going to court to challenge the recent decision to award a major State Health Plan contract to Aetna.
 
The report states that North Carolina is among the most consolidated and least affordable for healthcare, but its hospitals were three times more profitable than the national average in 2019.
The report states that North Carolina is among the most consolidated and least affordable for healthcare, but its hospitals were three times more profitable than the national average in 2019.
 
Pledges "Seamless Transition" as the New Third-Party Administrator in 2025
 
The North Carolina State Health Plan and State Treasurer Dale Folwell released documents from the Plan’s Request for Proposal process to change its third-party administrator from North Carolina Blue Cross Blue Shield to Aetna at a media event Tuesday.
The North Carolina State Health Plan and State Treasurer Dale Folwell released documents from the Plan’s Request for Proposal process to change its third-party administrator from North Carolina Blue Cross Blue Shield to Aetna at a media event Tuesday.
 
The State Health Plan (Plan) received notice today that Blue Cross Blue Shield of North Carolina has filed a request for a contested-case hearing in the North Carolina Office of Administrative Hearings
The State Health Plan (Plan) received notice today that Blue Cross Blue Shield of North Carolina has filed a request for a contested-case hearing in the North Carolina Office of Administrative Hearings
 
The North Carolina State Health Plan announced in a press release on Friday that it had rejected protest appeals for the Third-Party Administrative Services (TPA) contract from Blue Cross Blue Shield of North Carolina and UMR, Inc.
The North Carolina State Health Plan announced in a press release on Friday that it had rejected protest appeals for the Third-Party Administrative Services (TPA) contract from Blue Cross Blue Shield of North Carolina and UMR, Inc.
 
On Thursday, Blue Cross Blue Shield of North Carolina (BCBSNC) submitted a 14-page formal protest to Sam Watts, acting administrator of the State Health Plan, opposing the award of the plan’s 2025-27 third-party administrator contract to Aetna.
On Thursday, Blue Cross Blue Shield of North Carolina (BCBSNC) submitted a 14-page formal protest to Sam Watts, acting administrator of the State Health Plan, opposing the award of the plan’s 2025-27 third-party administrator contract to Aetna.
 
North Carolina State Treasurer Dale Folwell said Tuesday the decision to go with Aetna as the third-party administrator for the State Health Plan was in the best interest of plan members.
North Carolina State Treasurer Dale Folwell said Tuesday the decision to go with Aetna as the third-party administrator for the State Health Plan was in the best interest of plan members.
 
Blue Cross and Blue Shield of North Carolina will no longer be the third-party administrator for the State Health Plan come Jan. 1, 2025.
Blue Cross and Blue Shield of North Carolina will no longer be the third-party administrator for the State Health Plan come Jan. 1, 2025.
 
It's not about health care, its about staying on the gravy-train
It's not about health care, its about staying on the gravy-train
 
Two Years from Now, in 2025, the New Contract with Aetna Will Bring Lower Costs, Transparency, and Generate $140 Million in Administrative Savings
Two Years from Now, in 2025, the New Contract with Aetna Will Bring Lower Costs, Transparency, and Generate $140 Million in Administrative Savings
 
The industry surrounding transgender surgeries is expected to reach $5 billion by the end of the decade.
The industry surrounding transgender surgeries is expected to reach $5 billion by the end of the decade.
 
On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.
On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.
 
Less than a week before lawyers on both sides of the case were scheduled to head to the N.C. Court of Appeals, a lawsuit challenging key decisions in North Carolina’s Medicaid “transformation” is going away.
Less than a week before lawyers on both sides of the case were scheduled to head to the N.C. Court of Appeals, a lawsuit challenging key decisions in North Carolina’s Medicaid “transformation” is going away.
 
The North Carolina Department of Health and Human Services is pleased that yet another court ruling has affirmed the integrity and fairness of the department’s Medicaid Managed Care procurement process.
The North Carolina Department of Health and Human Services is pleased that yet another court ruling has affirmed the integrity and fairness of the department’s Medicaid Managed Care procurement process.
 
The NC Department of Health and Human Services (NCDHHS) is pleased to announce that once again court rulings affirm the integrity and fairness of the Departments’ managed care procurement process.
The NC Department of Health and Human Services (NCDHHS) is pleased to announce that once again court rulings affirm the integrity and fairness of the Departments’ managed care procurement process.
 
North Carolina teachers and other state employees won’t pay out-of-pocket for coronavirus treatments through June 1.
North Carolina teachers and other state employees won’t pay out-of-pocket for coronavirus treatments through June 1.
 
ECU Physicians launches virtual visit technology to triage suspected COVID-19 patients
ECU Physicians launches virtual visit technology to triage suspected COVID-19 patients
 
State retirees and their dependents beginning next year won’t pay premiums on Medicare Advantage plans.
 
Gov. Roy Cooper is a likeable and experienced politician. But he’s not made of Teflon.
Gov. Roy Cooper is a likeable and experienced politician. But he’s not made of Teflon.
 
Health management company Aetna has charged the N.C. Department of Health and Human Services with manipulating the process for awarding Medicaid managed care contracts to favor Blue Cross N.C.
Health management company Aetna has charged the N.C. Department of Health and Human Services with manipulating the process for awarding Medicaid managed care contracts to favor Blue Cross N.C.
 
North Carolina continues to roll out Medicaid managed care, despite a lack of funding from the legislature and a lawsuit pending against one of the insurers slotted to become a managed care organization.
North Carolina continues to roll out Medicaid managed care, despite a lack of funding from the legislature and a lawsuit pending against one of the insurers slotted to become a managed care organization.
 
Aetna, a CVS Health business, is growing its presence in North Carolina and will add more than 300 new employees in High Point by the end of 2020, Governor Roy Cooper announced today
Aetna, a CVS Health business, is growing its presence in North Carolina and will add more than 300 new employees in High Point by the end of 2020, Governor Roy Cooper announced today
 
Today, the Foundation for Health Leadership & Innovation (FHLI) announced the selection of NCCARE360 to build the North Carolina Resource Platform-a new statewide tool to make it easier for providers, insurers and community-based organizations to connect people.
Today, the Foundation for Health Leadership & Innovation (FHLI) announced the selection of NCCARE360 to build the North Carolina Resource Platform-a new statewide tool to make it easier for providers, insurers and community-based organizations to connect people.
 
Some lawmakers hope to allow family farmers, small farm-related businesses, and others to band together for more affordable health coverage. The move could help hundreds of thousands of North Carolinians
Some lawmakers hope to allow family farmers, small farm-related businesses, and others to band together for more affordable health coverage. The move could help hundreds of thousands of North Carolinians
 
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