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CCPN, NCPOP Join Forces to Serve NC Medicaid

CCPN, NCPOP Join Forces to Serve NC Medicaid

CCPN, NCPOP Join Forces to Serve NC Medicaid

Clinically-integrated network to provide care management, clinical support for advanced medical homes


Raleigh, N.C. (June 27, 2018) –– Community Care Physician Network, LLC (CCPN) and North Carolina Provider Owned Plans, Inc. (NCPOP) dba My Health by Health Providers announced plans today to partner with CCPN’s network of clinicians and the establishment of a care management arrangement supporting CCPN Advanced Medical Homes. The announcement comes as North Carolina prepares for a transition to a Medicaid managed care program in 2019. NCPOP is currently preparing to respond to the request for proposal being developed by North Carolina’s Department of Health and Human Services (DHHS). 

“We see great opportunity to work together under the new managed care Medicaid system,” said CCPN CEO Steve Wegner, MD. “CCPN will provide the primary care services of advanced medical homes, including management of transitions of care, closing gaps in care, identifying alternatives to avoidable emergency department use and addressing patients with rising risk. Together, we aim to improve quality, reduce costs and enhance both patient and provider experience.”

Through the arrangement with CCPN, NCPOP will ensure access to high-quality care for Medicaid beneficiaries by using both CCPN’s clinically-integrated primary care network and community-based care management. CCPN’s 2,200 member clinicians currently serve Medicaid beneficiaries in more than 700 practices across the state.

“This partnership reinforces the commitment that both NCPOP and CCPN have to the citizens and healthcare providers in North Carolina” said Dev Sangvai, MD, MBA, Associate Chief Medical Officer for Duke University Health System and co-chair of NCPOP’s Physician Leadership Council.  “By working together we can achieve the scale, scope, and geographic reach necessary be successful in value-based care.”

"NCPOP represents a unique collaboration among major health systems in the state; CCPN is one of the most important groups of affiliated independent primary care clinicians in the state” said Mike Steiner, MD, MPH, Division Chief, General Pediatrics & Adolescent Medicine for UNC Health Care and co-chair of NCPOP’s Physician Leadership Council.  “The partnership between our organizations ensures that North Carolinians will continue to receive great healthcare and supports achieving DHHS goals including measurably improving health and increasing access to care as we transition to Managed Medicaid.”

The partnership will allow both organizations to focus on improving outcomes for Medicaid beneficiaries.

“Independent practices are the backbone of primary care in North Carolina,” said Gregory L. Adams, MD, FAAP, a member of the CCPN Board of Managers and a pediatrician with Blue Ridge Pediatric and Adolescent Medicine in Boone, North Carolina. “CCPN’s clinician leadership will work collaboratively with NCPOP to strengthen these practices and improve care that is delivered to Medicaid beneficiaries. This will preserve access to care and help the new Medicaid system be successful.”

“Working with the independent providers leading CCPN is a natural fit for our organization” said My Health CEO, Lisa Farrell. “Our members are our patients and our patients are our members. The unique model of a provider-owned and -led health plan creates a unique focus on the needs of our communities. This arrangement will allow us to work closely with, and support the continued success of, CCPN clinicians that now collectively serve about 700,000 Medicaid recipients across the state.”

Full press release here


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