State Health Plan Provider Network Plan Could Lower NC Costs for some Members, Raise Them for Others

State Health Plan provider network plan could lower NC costs for some members, raise them for others

RALEIGH, N.C. (WNCN) -- The cost of healthcare for more than 750,000 North Carolina state employees, teachers and retirees could soon depend on which doctor or hospital they choose. The State Health Plan Board of Trustees moved a step closer Friday to adopting a new three-tier provider system that would reward members who use certain [...]

State Health Plan raises Medicare rates, shifts provider tiers to cut costs

At their board meeting on Friday, the North Carolina State Health Plan Board of Trustees voted unanimously to raise rates on its Medicare Advantage plans for older workers and retirees and discussed a new tier system for providers in the state. The Humana Medicare Advantage Plans have nearly 177,000 enrolled members. Changes in the Medicare Advantage Plan will save the Plan $54 million, close to closing the projected $58 million gap for 2027. “I…

State Health Plan hikes prices for older state workers, retirees

People on the Medicare Advantage version of the State Health Plan will pay higher drug prices, medical copays and deductibles as the state grapples with rising healthcare costs.