Community Care of North Carolina

To assist CCPN practices experiencing Medicaid rate cuts, CCNC is immediately advancing 2024 earnings for all five prepaid health plans to provide additional revenue to member practices. Although final settlements from the health plans have not yet occured, it is our hope that this will provide some immediate financial assistance in the form of PHP Quality Incentive payments and shared savings. CCNC is distributing approximately $19 million in funds, which CCPN Advanced Practice Medical Home practices earned for outstanding 2024 performance. With prospective payments distributed earlier this year, over $24 million will have been paid out after this additional distribution. While uncertainty surrounds the status of Medicaid rate cuts, CCNC and CCPN will continue to support members in every way we can. #PrimaryCare #ValueBasedCare #IndependentPractice #FamilyMedicine #CommunityHealth #NCHealth

The October issue of Business North Carolina spotlights Seven Peaks Family Medicine in West Jefferson, Ashe County, which was founded this spring by three young physicians who chose rural practice over big-city opportunities. Drs. Victoria Knox, Jason Karimy, and Jessica Stevens met during their residencies in Boone and realized they all shared a commitment to serving rural North Carolina. With support from Community Care of North Carolina, they secured a low-interest loan, built their 5,000-square-foot clinic, and launched a thriving independent practice. “The business of medicine is not something they teach you in medical school,” Knox said. “We couldn’t have done it without CCNC’s help.” Congratulations to the Seven Peaks team for advancing access to high-quality, community-based primary care in Western North Carolina. Read the full story: https://bit.ly/4pfNWd5 #PrimaryCare #RuralHealth #FamilyMedicine #CommunityHealth #NCHealth

Mark your calendars! Practices in and around Winston-Salem, Charlotte, and Concord have opportunities to connect directly with UnitedHealthcare this week. The Winston-Salem-area listening session will take place Wed., Nov. 19, with the Charlotte- and Concord-area session happening on Thurs., Nov. 20. These in-person Medicaid Mobile Service Center sessions will focus on provider needs, including online tools, billing, pre-authorization, and other support resources. Details and registration information are included in our latest CCNC newsletter. #Medicaid #NCHealthcare

November is National Diabetes Awareness Month, and CCPN is proud to spotlight the outstanding work of our Advanced Primary Care Management (APCM) Team. APCM is a comprehensive, turnkey care management solution. Each enrolled practice gains access to a dedicated care team, including a clinical pharmacist, registered nurse, and health navigators who all work directly with patients managing one or more chronic conditions. Together, we’re helping North Carolinians live healthier lives through coordinated, patient-centered care. If your practice would like to enroll or learn more about APCM, contact programs@communitycarenc.org. #DiabetesAwarenessMonth #ChronicCareManagement #PrimaryCare #PopulationHealth #NCHealth #ValueBasedCare

Check out CCNC’s new data brief: “Effectiveness of Care Management for Engaging Patients with Their Medical Homes” The evaluation explores how care management influences Medicaid patients’ engagement with their primary care providers. Key findings include: • Patients who received care management outreach were significantly more likely to visit their primary care provider than those who did not. • The longer it had been since a patient’s last visit, the greater the impact. For example, patients who hadn’t seen their provider in 4+ years were 68% more likely to reconnect due to care management.. Overall, care management shows the strongest results among patients historically less connected to their medical home – highlighting where focused efforts can make the biggest difference. See the brief for more: https://bit.ly/4qVhkXD #CareManagement #Medicaid #PrimaryCare #HealthEquity #NCHealth

Earlier this month, CCNC let CCPN plans know about PicassoMD and Live Health Online for all Healthy Blue lines of business. This real-time curbside consultation platform connects PCPs to specialists, helping practices see fewer unnecessary ER visits and referrals, with average savings of $500 per consult. PicassoMD also guides patients to high-value specialists, fast tracks urgent consults, supports chronic care management for high-risk patients, and offers a referral management dashboard across 30+ specialties. Interested in getting started? Check the latest issue of the Community Care Connection for more details. #ValueBasedCare #CareCoordination #PrimaryCare #SpecialtyCare #Telehealth

CCPN practices, are you on track to earn 100 points on the Practice Engagement Index (PEI) this year? The deadline for all activities and attestations is Dec. 31. PEI points are earned and tracked in alignment with the Medicaid performance year (Jan. 1–Dec. 31). Practices must earn 100 points to qualify for the maximum financial incentives. Be sure to submit information about all completed activities before the deadline. For full program details, see our latest newsletter. #ValueBasedCare #PracticeEngagement #QualityImprovement #PrimaryCare #Medicaid

Join NC AHEC for the next Back Porch Chat on Thursday, Nov. 20, hosted by Dr. Janelle White, chief medical officer for NC Medicaid. This session will share critical updates on the Children and Families Specialty Plan (CFSP) launching on Dec. 1. Managed by Healthy Blue Care Together, CFSP will provide seamless, coordinated care for children, youth, and young adults currently or formerly in foster care. Representatives from Healthy Blue Care Together will join to share implementation details and answer questions. The session will also include a discussion on H.R.1, covering key updates and impacts on Medicaid. Don’t miss this opportunity to prepare for an important transition in North Carolina’s Medicaid landscape. Check the latest newsletter for the registration link. #NCMedicaid #CommunityHealth #PublicHealth

CCPN is proud to celebrate a strong year partnering with Invision Diagnostics to bring vital breast cancer screening to our communities. The Invision Mammogram Bus visited 14 CCPN practice sites this year, screening hundreds of patients and helping close care gaps for Medicare and Commercial populations. Thank you to our adult Blue Premier practices that hosted the bus. The custom event T-shirts added a unified touch and helped boost visibility. Interested in hosting in 2026 and contracted with Blue Premier or Humana MA? Contact programs@communitycarenc.org. #BreastCancerAwareness #EarlyDetection #PreventiveCare #CommunityHealth #NCHealth

Navigating NCTracks can be tricky. Even small errors, like an outdated address or panel limit, can result in auto-assignments that are difficult to correct later. The CCPN provider relations representative team is here to help. We’ll guide your practice through updates, review your setup, and flag potential issues before they cause problems. Make sure your information is up to date with both NCTracks and CCPN. Visit https://bit.ly/3WVHNXv for a step-by-step guide. #NCHealth #PrimaryCare #ValueBasedCare #CommunityCare