Provider-Led Innovation
At Carolina Complete Health Network, we believe that the best innovation comes from those who are closest to the patient-clinician relationship. Therefore, we strive to elevate and support the amazing innovation happening within practices, health centers and other providers across the state.
Amplifying innovation from providers for providers to improve patients' lives.
- At the end of May 2021, members of the North Carolina Medical Society were surveyed on the mission and activities of the provider-led entity at the heart of the state’s Medicaid transformation: the Carolina Complete Health managed care plan and its partial owner and partner, Carolina Complete Health Network. The results from this survey suggested our mission, who leads us, and what we do are important to physicians and clinicians. Read the executive summary of the Network Consult survey in full for more details (PDF).
- Carolina Complete Health Network partnered with Neighbor Health Center Inc. to serve the needs of the underserved in the Raleigh area. The pilot set out to integrate behavioral health services in the office. Throughout the pilot, Neighbor Health has been able to successfully reach level 4 on the SAMSHA scale of Collaboration/Integration (PDF) which states close collaboration onsite with some system integration and serve an outstanding 472 individuals! Read more about this case study here (PDF).
- Carolina Complete Health Network worked to help a large community healthcare provider — Jacksonville Children’s and Multispecialty Clinic (JCMC) — get ready for North Carolina’s transition to Medicaid managed care. The Network funded the case study and brokered partner relationships with two entities: Emtiro Health and Atlantic Medical Management Healthcare (AMM). Emtiro Health led a comprehensive assessment to identify areas of opportunity for JCMC to successfully transition. Emtiro then worked with clinical and quality staff from JCMC and AMM to close gaps and enhance workflows. Read more about this case study here (PDF).
In partnership with providers, Carolina Complete Health is already helping to lead the way on medical policy and initiatives that can innovate and improve care for Medicaid members. One recent example is the expansion of the Medicaid for Pregnant Women program to one year postpartum (after birth) vs. three months. Providers discussed this idea as part of Carolina Complete Health’s review of medical policies. The postpartum Medicaid service expansion will go into effect on April 1, 2022. Read on about our provider-led medical policy innovation.