Healthcare providers bring ideas to improve members' health, lower costs

North Carolina healthcare providers are ready to help build a better State Health Plan — one that is focused both on improving members’ health and lowering costs over time.

While the State Treasurer has not been willing to work collaboratively with NCHA and our member organizations, we are not waiting to publicly share our ideas for how to modernize the State Health Plan and put it on track for a secure future.

That’s why your trusted North Carolina hospitals and doctors are bringing forward five pillars for a better design for the State Health Plan — a design that will deliver better health for members and better value for all North Carolinians.  The approach is called value-based healthcare. It’s the direction where healthcare delivery and reimbursement are moving, both here in North Carolina and across the country.

The five recommended pillars for the proposed State Health Plan design are to:

  • Incentivize and pay for better health
  • Provide current, full-picture data to healthcare providers and enrollees
  • Creative a benefit design that improves quality and lowers cost
  • Stimulate clinical innovation to meet population health needs
  • Require that the third party administrator of the plan must partner with the healthcare provider community and the State to share in performance risks and rewards.


The  State Health Plan  (SHP) covers more than 720,000 members, including teachers, state government employees, law enforcement officers, retirees, current and former lawmakers, state university and community college personnel, and their families. In any new approach to designing and delivering healthcare to enrollees, we think it is important that all of these individuals – our patients — can continue to see their trusted physicians, specialists, and local hospitals for the care they need and deserve.

North Carolina health systems, hospitals and healthcare providers are already implementing many initiatives to reduce the costs of care. They are only a piece of the puzzle for addressing rising healthcare costs. NCHA and our member organizations look forward to continuing to work with the treasurer and the General Assembly to develop a stronger, sustainable, and transparent future for the State Health Plan for North Carolina’s overall healthcare environment.

Our hospitals and doctors across the state work hard every day to provide important healthcare services to all of their patients, which include State Health Plan members. We need the State Health Plan to do its job and fulfill its promise of providing the in-network access and insurance coverage its members deserve.

million saved
By Coastal Plains Network, LLC,
in 2017
million saved
By Triad HealthCare Network
in 2016
million saved
By Duke Health’s Accountable Care Organization in 2017

Visit our YouTube channel to learn more about how hospitals are implementing value-based care across North Carolina.

Chronic disease is the most common reason for preventable emergency departments visits and hospital readmissions. Through a partnership with local EMS, Johnston Health is helping patients with chronic obstructive pulmonary disease (COPD) stay healthy at home.

Learn how your community hospital is working 24 hours a day, 7 days a week, every day of the year to help you and your family. Our hospitals enhance the quality of life in North Carolina by partnering with other community organizations and committing valuable resources to keep people healthy. Not only do our hospitals and health systems have to be prepared for minor illnesses and major catastrophes, they also care for the sickest and most vulnerable of our neighbors.

In its first year of operation, an employee health clinic operated by Vidant Health helped the City of Greenville save more than $140,000 in healthcare costs. The value-based care offered through this partnership offers employees and families quality healthcare with no co-pays to incentivize care for minor illnesses and injuries before they become costly problems.

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We look forward to working with the State Treasurer as we come together to find a solution for members of the State Health Plan.