North Carolina's Medicaid Transformation: the Early Enrollee Experience.

ABSTRACT:

Introduction

On July 1, 2021, North Carolina's Medicaid Transformation mandatorily switched 1.6 million Medicaid beneficiaries from fee-for-service to managed care plans. We examined the early enrollee experience in terms of engagement in plan selection, provider continuity, use of primary care visits, and assistance with social needs.

Methods

Using electronic health records (EHR) covering pre- and post-transition periods (1/1/2019-5/31/2022) from the largest provider network in western North Carolina, we identified all children and adults under age 65 with continuous Medicaid or private coverage. We conducted primary surveys of a random sample of Medicaid-covered enrollees and obtained self-reported rates of engagement in plan selection, continuity of provider access, and r

SUBMITTER: Hanchate AD 

PROVIDER: S-EPMC10682315 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature