North Carolina medical journal
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North Carolina has made progress toward improving the health of its citizens, yet much more needs to be done. Now is the right time for the state to transform its Medicaid and North Carolina Health Choice programs into a managed care delivery system that gives providers more flexibility to deliver care that focuses on the whole person and benefits people's lives beyond the medical setting. The North Carolina Department of Health and Human Services is focused on maximizing opportunities and managing challenges, and the department understands that collaboration of health care professionals and other stakeholders is essential to achieve the right results for North Carolinians.
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North Carolina's Medicaid reform plan legislation will continue the state's behavioral health care system of local management entities and managed care organizations for 4 years after the implementation of the 1115 waiver. Policymakers have options, including staying the course, but they must be deliberate and thoughtful in their decisions.