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Aetna picked to operate North Carolina employee health plan

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Aetna picked to operate North Carolina employee health plan


RALEIGH, N.C. — Insurance coverage big Aetna will administer North Carolina’s well being protection plan for state authorities workers, lecturers, retirees and their relations beginning in 2025, the State Treasurer’s Workplace introduced Wednesday.

The corporate received the contract and can exchange Blue Cross and Blue Defend of North Carolina, which the State Well being Plan stated has held the third-party administrator’s job for over 40 years. Aetna would start with a three-year contract, with the choice afterward for 2 agreements that will final one yr every.

Blue Cross, the state’s largest well being insurer, stated in a written assertion that it is pursuing an enchantment of the State Well being Plan’s contract award on Dec. 14, and advised North Carolina residents might lose their jobs within the transition. Within the aggressive bid course of, UMR Inc. additionally submitted a contract proposal together with Blue Cross and Aetna.

Given the plan’s shear measurement, the administrator chosen to deal with paperwork for well being care bills, guarantee claims are paid and construct out a supplier community is important.

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The plan, which sits inside Treasurer Dale Folwell’s division, covers greater than 740,000 folks, with bills paid for by state funds and member premiums. The contract oversees well being care spending of greater than $17.5 billion over 5 years, the information launch stated. Blue Cross does not carry out administrative providers for the roughly 185,000 retirees who’re enrolled in Medicare Benefit plans, nonetheless.

About $79 million in administrative bills are anticipated be paid to Blue Cross through the 2022 calendar yr as a part of its third-party contract, in response to the well being plan. Folwell and the plan stated in a information launch that the Aetna contract might lead to $140 million in price financial savings ought to it lengthen to 5 years.

“A change of this magnitude is a superb alternative for a recent perspective, and we look ahead to working intently with Aetna to create new methods to offer value transparency, improve entry and high quality whereas decreasing the price of well being care for individuals who educate, shield and serve, and taxpayers like them,” stated Folwell, a Republican elected to a second time period as treasurer in 2020.

Blue Cross stated it was “deeply upset” by the State Well being Plan’s determination, saying it “threatens North Carolina jobs.” The corporate additionally stated it will search extra info via a public data request.

The State Well being Plan tried to counter any narrative about misplaced jobs. The information launch stated Aetna already workers over 10,000 staff within the state, and that 600 workers had been assigned Wednesday to work on the transition with interim plan director Sam Watts. Plan members will not need to be contemplate adjustments till 2024, earlier than the 2025 enrollment interval begins.

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Folwell stated he is spoken with prime Blue Cross leaders, who “guarantee me that they are going to end robust for the subsequent two years.”

Whereas the plan wields nice weight in well being care in North Carolina, Folwell and others have been pissed off at instances with Blue Cross’ administration, accusing it of opaque decision-making.

Blue Cross has stated some data on plan member claims that Folwell has needed would put the corporate at a aggressive drawback. Compromise state laws permitted in 2022 might assist the State Well being Plan work out higher monetary agreements with well being care suppliers.

Ardis Watkins, govt director of the State Workers Affiliation of North Carolina, a union representing state staff, expressed warning concerning the adjustments however stated the affiliation is open to listening to Aetna’s plans.

“State workers are at all times cautious of change,” Watkins stated, however “it has been our expertise that the plan’s management has the pursuits of state workers and retirees at coronary heart.”

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Watkins stated much more price financial savings are wanted within the coming years to forestall bills from falling more and more on plan members. Folwell has been battling with the state’s hospitals on that entrance.

Copyright © 2023 by The Related Press. All Rights Reserved.



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North Carolina

Vigil held to protest expected veto override of North Carolina immigration bill HB 10

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Vigil held to protest expected veto override of North Carolina immigration bill HB 10


RALEIGH, N.C. (WTVD) — A vigil was held outside the state legislature to protest HB 10 — the bill changing the laws on how North Carolina’s sheriffs will need to process undocumented people that they’ve arrested.

That bill, vetoed by Governor Cooper in September, is expected to be overridden by the state’s Republican supermajority this week.

The vigil came just hours after President-elect Donald Trump took to social media, confirming that he would declare a national emergency and use the military to carry out the mass deportations he promised along the campaign trail.

“Where there is injustice we will stand, we will push back,” said Ana Ilarazza-Blackburn, founder of Women Leading Together and an organizer for El Colectivo.

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Ilarazza-Blackburn’s been a vocal critic of HB 10 and made the drive up to Monday’s event from Moore County. She said she was stunned by the President-elect’s post about a national emergency on social media.

“It blows my mind. I never thought our country would come to this,” she said.

HB 10 would require North Carolina Sheriffs to follow new protocols should they learn someone who they’ve arrested is undocumented. It requires those sheriffs — once a court order has been issued — to keep those undocumented people in custody until federal agents from ICE can step in. It’s a law that advocates in the immigrant community say will devastate trust among North Carolina’s Latino community.

“What humane, civilized society targets at a community that has helped build them? Where’s the empathy for that and where’s the moral in that?” asked Ilarraza-Blackburn.

Willie Rowe and Clarence Birkhead, Sheriffs of Wake and Durham counties respectively, have publicly spoken out against HB 10 — arguing it takes away their ability to determine how to best serve their communities. Neither sheriff was available to comment for this story.

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Conversely, the North Carolina Sheriffs’ Association supports the latest version of HB 10, saying:

“The Association appreciates the legislature for its willingness not to impose onerous recordkeeping requirements on our state’s 100 sheriffs; and not to interject the Attorney General into these judicial matters.”

Monday’s vigil in opposition to that bill — attended by dozens of advocates for North Carolina’s Latino and immigrant communities — stuck a different tone.

“We can see the different ways that the attacks and the racism and the anti-immigrant sentiment is going to be more out there,” said Pilar Rocha-Goldberg, CEO of El Centro Hispano.

Rocha-Goldberg said they’ll continue to organize despite the news out of Washington on Monday.

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“We saw it in the past. We saw it here, ice coming to take people from our community with really not the right way to do it. So, yeah, we are very concerned about that,” she said.

Copyright © 2024 WTVD-TV. All Rights Reserved.



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Residential explosion leaves elderly couple injured, house severely damaged: See aftermath

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Residential explosion leaves elderly couple injured, house severely damaged: See aftermath


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Officials are investigating a residential explosion that left an elderly couple injured in a North Carolina neighborhood on Sunday.

First responders were called to a home in Weddington, North Carolina on Sunday morning after multiple 911 reports of a large explosion, according to a Union County Government news release. The home sustained “severe damage,” according a statement from the Union County Sheriff’s Office.

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Weddington is located about 20 miles south of Charlotte, North Carolina.

The elderly couple who lived in the home were injured, but both are expected to make a full recovery, according to the news release. The 82-year-old man sustained burn injuries and was in stable condition at a burn center, as of Sunday. His 83-year-old wife was treated at a local hospital and has been released.

“We are thankful for the swift and coordinated response from our first responder community,” Jon Williams, Union County fire marshal, said in the news release. “Our thoughts are with the couple and their family as they begin their recovery.”

The cause of the explosion remains under investigation, which is being led by the Union County Fire Marshal’s Office.

Greta Cross is a national trending reporter at USA TODAY. Follow her on X and Instagram @gretalcross. Story idea? Email her at gcross@gannett.com.

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2 are injured in North Carolina house explosion

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WEDDINGTON, N.C. (AP) — A house exploded and caught fire in suburban Charlotte, North Carolina, injuring two people, authorities said.

Reports came in Sunday morning of an explosion at a home in Weddington that was felt across Union County, the sheriff’s office said. First responders found severe damage to part of a home.

A man who was inside when the explosion happened was burned and taken to a hospital in Winston-Salem, where he was stable Sunday night, officials said. His wife was treated at a hospital and released, officials said. Both were expected to fully recover.

County officials said they believed the explosion was accidental, but the investigation continues.

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