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NC’s State Health Plan Sues Atrium, Saying It Can’t Set Plan Members’ Copays
The plan says the program undercuts its tiered network and could shift more costs to state employees.
- North Carolina officials sued hospital giant Atrium Health on Friday, seeking a temporary restraining order to block a new program that state leaders claim illegally interferes with the State Health Plan's pricing strategy.
- Earlier this year, the State Health Plan moved to a tiered network system, categorizing providers as "preferred," "access," or "non-preferred" to reduce costs for more than 750,000 state workers, retirees, and family members.
- State Treasurer Brad Briner alleges Atrium's "Affordability Protection Program" bypasses state-set copays and deductibles, threatening the plan's long-term viability and confusing members about their actual coverage options.
- To accommodate the legal dispute, the state extended open enrollment to Nov. 6, while Judge Matthew Houston scheduled arguments on the restraining order for Tuesday in Sanford at the Lee County Courthouse.
- Facing $21.95 billion in liabilities, Briner warns that Atrium's actions could force higher premiums on all members, while bankruptcy of the plan would threaten the state's credit rating if the program proceeds.
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11 Articles
11 Articles
ashepostandtimes.comReposted by 
Reflector
ReflectorHearing Tuesday in dispute between Atrium, State Health Plan
(The Center Square) – On behalf of nearly 750,000 teachers, state employees, retirees, lawmakers active and retired, and members of higher education, the State Health Plan and state Treasurer Brad Briner have asked for a temporary injunction against Atrium Health.
NC’s State Health Plan moves to block Atrium program it calls an ‘unlawful pricing scheme’
North Carolina’s State Health Plan announced Friday it had requested a temporary restraining order in Wake County Superior Court to halt Atrium Health’s new “affordability program.” State Treasurer Brad Briner, whose office oversees the State Health Plan, said while Atrium’s…
·Madison, United States
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News & RecordReposted by 
Winston-Salem Journal
Winston-Salem JournalAtrium Health's new coverage plan sparks legal showdown with state
Atrium promises lower copays. State officials call it an unlawful pricing scheme. Now a judge could decide what happens next.
·Cherokee County, United States
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Coverage Details
Total News Sources11
Leaning Left5Leaning Right1Center5Last UpdatedBias Distribution46% Left, 45% Center
Bias Distribution
- 46% of the sources lean Left, 45% of the sources are Center
46% Left
L 46%
C 45%
Factuality
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