In-network access to healthcare for State Health Plan
members is no longer at risk in North Carolina.

On behalf of our member organizations, which include more than 130 hospitals and health systems across our state, The North Carolina Healthcare Association is excited to announce that there will be no threat to in-network access for State Health Plan members in 2020.

We are thankful for the State Treasurer’s willingness to work with us and our member organizations to find a reasonable solution for State Health Plan members. State employees, retirees, and their families will continue to have in-network access to their trusted North Carolina hospitals and doctors without any disruption to their healthcare coverage, risk of paying higher out-of-pocket costs, or driving further distances.

In 2020, in addition to the North Carolina State Health Plan Network, the State Health Plan will continue to include the Blue Options Network, which means that those hospitals and health systems that did not sign on to the proposed changes to the State Health Plan will continue to be in-network and be accessible for patients as they always have.


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. We are pleased that the treasurer decided to work with our members to find a solution that ensures 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.

While we appreciate the treasurer’s interest in initiatives to reduce the costs of care – efforts that we are actively working on, as well – it is important to note that healthcare providers and hospitals are only a piece of the puzzle and that there are many other factors that are also contributing to 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.

We believe that State Health Plan members deserve health insurance that provides them in-network access to high-quality care with their trusted local physician or specialist. 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.