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Results found for "state health plan"


The full slate of 4th Circuit US Court of Appeals judges offered Thursday contrasting views over a dispute involving North Carolina State Health Plan coverage for transgender health care.
The full slate of 4th Circuit US Court of Appeals judges offered Thursday contrasting views over a dispute involving North Carolina State Health Plan coverage for transgender health care.
 
UNC Health and ECU Leave State Employees and Taxpayers with a $1 Billion Bill and Threaten the Tax-Exempt Status of the Pension Plan
Published: Thursday, December 28th, 2023 @ 5:07 pm By: ENC NOW
UNC Health and ECU Leave State Employees and Taxpayers with a $1 Billion Bill and Threaten the Tax-Exempt Status of the Pension Plan
 
High Medication Cost Leads State Health Plan to Consider Removing GLP-1 Drugs from Coverage
Published: Saturday, December 23rd, 2023 @ 3:32 am By: ENC NOW
High Medication Cost Leads State Health Plan to Consider Removing GLP-1 Drugs from Coverage
 
New Program Partners with CVS Caremark, GoodRx, to Target Some High-Cost Prescriptions, Lowering Out-of-Pocket Costs for Members
Published: Tuesday, December 5th, 2023 @ 2:24 am By: ENC NOW
New Program Partners with CVS Caremark, GoodRx, to Target Some High-Cost Prescriptions, Lowering Out-of-Pocket Costs for Members
 
The North Carolina Department of Health and Human Services today announced recent updates to the NC State Health Improvement Plan, which includes priorities for addressing the full set of factors that impact a person’s health
Published: Friday, November 17th, 2023 @ 5:57 pm By: ENC NOW
The North Carolina Department of Health and Human Services today announced recent updates to the NC State Health Improvement Plan, which includes priorities for addressing the full set of factors that impact a person’s health
 
Medicaid expansion is likely to increase the cost of healthcare for all North Carolinians, including those on the State Health Plan (SHP), according to state Treasurer Dale Folwell.
Medicaid expansion is likely to increase the cost of healthcare for all North Carolinians, including those on the State Health Plan (SHP), according to state Treasurer Dale Folwell.
 
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.
 
The 4th U.S. Circuit Court of Appeals has scheduled Sept. 21 for oral arguments in a case involving N.C. State Health Plan coverage of treatments used by transgender patients.
The 4th U.S. Circuit Court of Appeals has scheduled Sept. 21 for oral arguments in a case involving N.C. State Health Plan coverage of treatments used by transgender patients.
 
Government retirees object to a proposed "writ of prohibition" from the N.C. Supreme Court that would stop them from pursuing a class-action lawsuit. The retirees want the state to restore premium-free health benefits they enjoyed before a change in state law in 2011.
Government retirees object to a proposed "writ of prohibition" from the N.C. Supreme Court that would stop them from pursuing a class-action lawsuit. The retirees want the state to restore premium-free health benefits they enjoyed before a change in state law in 2011.
 
6th Straight Year Premium Rates Remain Steady, Benefiting Teachers and State Employees
Published: Sunday, August 13th, 2023 @ 8:13 am By: ENC NOW
6th Straight Year Premium Rates Remain Steady, Benefiting Teachers and State Employees
 
State Health Plan Rate Decision Will Be Focus of Monthly Ask Me Anything Q&A
Published: Friday, August 11th, 2023 @ 8:46 pm By: ENC NOW
State Health Plan Rate Decision Will Be Focus of Monthly Ask Me Anything Q&A
 
Lawyers representing the state government health and retirement plans and Treasurer Dale Folwell seek a rare "writ of prohibition" from the N.C. Supreme Court. The writ would block a 2022 ruling linked to government retirees' health benefits.
Lawyers representing the state government health and retirement plans and Treasurer Dale Folwell seek a rare "writ of prohibition" from the N.C. Supreme Court. The writ would block a 2022 ruling linked to government retirees' health benefits.
 
Twenty-one states, including three of North Carolina's neighbors, support N.C. State Treasurer Dale Folwell and the State Health Plan in a legal fight involving health care requested by transgender patients.
Twenty-one states, including three of North Carolina's neighbors, support N.C. State Treasurer Dale Folwell and the State Health Plan in a legal fight involving health care requested by transgender patients.
 
Nearly 10,000 Members Added to Humana Plans Results in Savings to Help Unfunded Liability
Published: Friday, May 19th, 2023 @ 12:40 pm By: ENC NOW
Nearly 10,000 Members Added to Humana Plans Results in Savings to Help Unfunded Liability
 
The full 4th U.S. Circuit Court of Appeals will consider a lawsuit in September challenging State Health Plan restrictions against coverage for treatments used by transgender patients.
Published: Friday, May 12th, 2023 @ 1:03 am By: Carolina Journal
The full 4th U.S. Circuit Court of Appeals will consider a lawsuit in September challenging State Health Plan restrictions against coverage for treatments used by transgender patients.
 
The full 4th U.S. Circuit Court of Appeals will hold an "en banc" hearing of a case challenging the N.C. State Health Plan's exclusion of treatment for transgender services.
The full 4th U.S. Circuit Court of Appeals will hold an "en banc" hearing of a case challenging the N.C. State Health Plan's exclusion of treatment for transgender services.
 
Blue Cross North Carolina only Losing Bidder to Proceed with Litigation Against State Health Plan
Published: Friday, May 5th, 2023 @ 2:51 am By: ENC NOW
Blue Cross North Carolina only Losing Bidder to Proceed with Litigation Against State Health Plan
 
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.
 
Pledges "Seamless Transition" as the New Third-Party Administrator in 2025
Published: Wednesday, March 1st, 2023 @ 11:15 pm By: ENC NOW
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
Published: Tuesday, February 21st, 2023 @ 9:33 am By: ENC NOW
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.
 
Assertions Made Were Without Merit
Published: Wednesday, January 25th, 2023 @ 1:33 am By: ENC NOW
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.
 
We welcome the opportunity to engage in a factual, thoughtful and transparent review of the State Health Plan’s contracting process for third party administration services going into effect two years from now.
Published: Sunday, January 15th, 2023 @ 10:33 pm By: ENC NOW
We welcome the opportunity to engage in a factual, thoughtful and transparent review of the State Health Plan’s contracting process for third party administration services going into effect two years from now.
 
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
Published: Thursday, January 5th, 2023 @ 11:05 pm By: ENC NOW
Two Years from Now, in 2025, the New Contract with Aetna Will Bring Lower Costs, Transparency, and Generate $140 Million in Administrative Savings
 
The North Carolina State Health Plan and Rice University's Baker Institute for Public Policy Find that the Majority of North Carolina's Hospitals Are Overcharging Patients While Profiting Off Medicare
Published: Sunday, October 30th, 2022 @ 9:17 am By: ENC NOW
The North Carolina State Health Plan and Rice University's Baker Institute for Public Policy Find that the Majority of North Carolina's Hospitals Are Overcharging Patients While Profiting Off Medicare
 
The U.S. Supreme Court will not consider a case involving a dispute over N.C. State Health Plan premiums for government retirees.
The U.S. Supreme Court will not consider a case involving a dispute over N.C. State Health Plan premiums for government retirees.
 
The N.C. attorney general is urging the U.S. Supreme Court to take up a case involving disputed premiums for government retirees on the State Health Plan.
The N.C. attorney general is urging the U.S. Supreme Court to take up a case involving disputed premiums for government retirees on the State Health Plan.
 
Funded Level Grows More Than Fourfold Since Treasurer Folwell First Took Office
Published: Thursday, September 8th, 2022 @ 11:55 am By: ENC NOW
Funded Level Grows More Than Fourfold Since Treasurer Folwell First Took Office
 
North Carolina has seen a $7 billion improvement over the past year in the shortfall for government retirees’ health benefits. That’s according to a new report from The Segal Group.
North Carolina has seen a $7 billion improvement over the past year in the shortfall for government retirees’ health benefits. That’s according to a new report from The Segal Group.
 
Health equity, education and economic stability for all North Carolinians are key strategies in the 2022 North Carolina State Health Improvement Plan (NC SHIP), which the North Carolina Department of Health and Human Services released today.
Published: Saturday, September 3rd, 2022 @ 1:18 pm By: ENC NOW
Health equity, education and economic stability for all North Carolinians are key strategies in the 2022 North Carolina State Health Improvement Plan (NC SHIP), which the North Carolina Department of Health and Human Services released today.
 
Moody's states that the average family is spending nearly $6,000 more than last year.
Moody's states that the average family is spending nearly $6,000 more than last year.
 
The State Health Plan will comply with a federal court order to fund sex transition operations.
The State Health Plan will comply with a federal court order to fund sex transition operations.
 
(Raleigh, N.C.) – State Treasurer Dale R. Folwell, CPA, and the State Health Plan (Plan) Board of Trustees (Board) announced today that the Board will not enforce the Plan’s benefit exclusion regarding treatment or studies leading to or in connection with sex transition or modifications and related
(Raleigh, N.C.) – State Treasurer Dale R. Folwell, CPA, and the State Health Plan (Plan) Board of Trustees (Board) announced today that the Board will not enforce the Plan’s benefit exclusion regarding treatment or studies leading to or in connection with sex transition or modifications and related
 
The N.C. House passed a bill Tuesday evening 101-6 that would direct the state’s health agency to come up with a Medicaid Modernization Plan.
Published: Friday, July 8th, 2022 @ 8:19 am By: Carolina Journal
The N.C. House passed a bill Tuesday evening 101-6 that would direct the state’s health agency to come up with a Medicaid Modernization Plan.
 
The North Carolina House Health Committee discussed a bill Thursday that would direct the state health agency to come up with a Medicaid Modernization Plan, to expanding Medicaid with work requirements for the expansion enrollees.
The North Carolina House Health Committee discussed a bill Thursday that would direct the state health agency to come up with a Medicaid Modernization Plan, to expanding Medicaid with work requirements for the expansion enrollees.
 

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