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Duke-Margolis Recommends North Carolina Pursue Most Comprehensive Approach to Integrate Medicare-Medicaid and Achieve Whole-Person Care

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Duke-Margolis Recommends North Carolina Pursue Most Comprehensive Approach to Integrate Medicare-Medicaid and Achieve Whole-Person Care


DURHAM, N.C., Oct. 24, 2022 /PRNewswire/ — New Duke-Margolis suggestions urge the North Carolina Division of Well being and Human Providers (NC DHHS) to pursue essentially the most complete stage of integration of the state’s Medicaid program with Medicare to make sure the 275,000 eligible North Carolinians have entry to the “whole-person care” that can handle the variety of their bodily, behavioral and social care wants. North Carolina is on the cusp of a serious transition of its state Medicaid program from fee-for-service (FFS) to managed care and NC DHHS is remitted to transition eligible NC residents, also called dual-eligible beneficiaries, into Medicaid managed care by 2026. 

The Duke-Margolis report, “North Carolina Medicare-Medicaid Integration: Advancing Entire-Particular person Care,” developed with assist from a grant by Arnold Ventures, gives NC DHHS with pragmatic, evidence-based choices for Medicare-Medicaid integration within the state. The report is accompanied by a sensible information for states focused on growing a tailor-made, evidence-based Medicare-Medicaid integration technique. These suggestions construct on the state’s 2017 report, and handle key coverage design and implementation questions, together with eligibility, construction, plan design, phase-in of populations and providers, and program oversight.

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“We’re excited to strengthen our partnership with our educational colleagues within the state to make sure that our strategy is an revolutionary and evidence-based mannequin that makes North Carolina a nationwide chief in offering prime quality, coordinated, and built-in take care of Medicaid and Medicare beneficiaries,” stated Dave Richard, Deputy Secretary for North Carolina Medicaid.

The report lays out a whole-person care imaginative and prescient for the state’s dual-eligible beneficiaries that prioritizes their wants and preferences and people of their households, leading to higher well being, well being fairness, and improved experiences.

“Too usually in well being care we don’t concentrate on what actually issues to folks, particularly essentially the most susceptible. Growing new person-centered approaches to delivering and financing take care of dual-eligible beneficiaries, just like the suggestions provided by the Duke-Margolis crew on this paper, will assist enhance well being and well being take care of this essential group throughout North Carolina,” stated Dr. Mark McClellan, Director of the Duke-Margolis Middle for Well being Coverage.

“Our imaginative and prescient and advisable technique for Medicare and Medicaid integration in North Carolina aligns with the state’s total transformation efforts and creates pathways for revolutionary collaborations within the state that may assist ship whole-person care and higher well being outcomes for dual-eligible beneficiaries,” stated Aparna Higgins, Senior Fellow, Duke-Margolis Middle for Well being Coverage and mission co-lead.

The report describes choices for growing ranges of Medicare-Medicaid integration for the state, and recommends essentially the most built-in strategy, together with key components wanted to assist beneficiary-centered, whole-person care:

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  • Use of major care and interdisciplinary care groups with fashions of care tailor-made to the distinctive wants of the dual-eligible beneficiary.
  • Enhanced beneficiary protections and providers, reminiscent of help with complaints and appeals or making connections to community-based assets.
  • Integration of current state efforts by means of Medicaid transformation and the Wholesome Alternatives Pilots with Medicare Benefit supplemental advantages to deal with beneficiary social wants.
  • Assist for the sturdy information and infrastructure functionality, state administration capability, and broader workforce assets wanted to efficiently implement and maintain integration.

The suggestions had been knowledgeable by a 21-month, multi-component Duke-Margolis mission encompassing in-depth evaluation of mixed NC Medicaid and Medicare information and intensive enter from NC stakeholders and nationwide consultants in Medicare-Medicaid integration.

“As North Carolina continues care transformation for Medicaid beneficiaries, our report brings into focus the distinctive experiences and challenges confronted by twin eligible beneficiaries and the way integration with Medicare plans has the potential to enhance care and outcomes for these people and their households,” stated Dr. Brystana Kaufman, Duke-Margolis Middle for Well being Coverage Core College Member and mission co-lead.

In regards to the Duke-Margolis Middle for Well being Coverage

The mission of the Robert J. Margolis, MD, Middle for Well being Coverage at Duke College is to enhance well being, well being fairness, and the worth of well being care by means of sensible, revolutionary, and evidence-based coverage options. For extra data, go to healthpolicy.duke.edu and comply with us on Twitter @DukeMargolis.

Media Contacts:

Patricia Inexperienced, Duke-Margolis Middle for Well being Coverage
[email protected]
+1 301 520 6482

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SOURCE Duke-Margolis Middle for Well being Coverage



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North Carolina

Kamala Harris sparks excitement for Asian Americans in North Carolina • NC Newsline

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Kamala Harris sparks excitement for Asian Americans in North Carolina • NC Newsline


Enthusiasm is growing among Asian Americans in North Carolina.

With Kamala Harris stepping into the race and the potential for the country’s first president of Asian American heritage, it’s ignited excitement in the community.

Sen. Jay J. Chaudhuri (Photo: ncleg.gov)

“I’ve already participated in a half dozen Zoom calls about ways members of the Asian American community can help and turn out the vote,” said Sen. Jay Chaudhuri, a Democrat representing portions of Wake County.

Harris marked many “firsts” when she became vice president after the 2020 election: she was the first woman, first Black person, and first Asian American in that position. Her father is Jamaican and her mother is Indian.

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Now she has the opportunity to become the first Asian American presidential candidate if she secures the Democratic Party’s nomination.

Jimmy Patel-Nguyen
Jimmy Patel-Nguyen (Photo: NC Asian Americans Together)

“What people are excited about is recognizing the historical significance of it, that her lived experiences as an Asian American and Black woman really bring a different, inclusive level of representation to the highest level of government,” North Carolina Asian Americans Together communications director Jimmy Patel-Nguyen said.

The organization is focused on channeling that energy into voter outreach efforts, as well as raising awareness and education about key down ballot races.

The Asian American and Pacific Islander population in North Carolina has steadily increased in recent years.

It’s grown 63.3 percent since 2012 for a population size of about 456,655 in 2024, according to AAPIVote — a nonpartisan group dedicated to strengthening civic engagement for Asian American and Pacific Islander communities.

There are roughly 235,900 eligible Asian American and Pacific Islander voters in North Carolina, marking a 55.4 percent growth in voter eligibility from 2012 to 2022.

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Asian Americans and Pacific Islanders make up 2.97 percent of the electorate in the swing state. In 2020, then-President Donald Trump narrowly won North Carolina by less than 75,000 votes.

“It’s really important for us to acknowledge that major campaigns cannot ignore us anymore,” Patel-Nguyen said. “We are too consequential to elections — every election, local, state, and federal, where we’re changing the political landscape in North Carolina.”

The population is concentrated around urban areas. Wake, Mecklenburg, Guilford, Durham, and Orange counties have the highest proportions of Asian Americans and Pacific Islanders.

Nearly 60 percent of Asian American adults in North Carolina speak a language other than English at home, according to AAPIVote.

Rep. Maria Cervania
State Rep. Maria Cervania )Photo: ncleg.gov)

Along with low voter contact, language barriers have accounted for low voter turnout for Asian Americans.

“We do see the gaps when it comes to language access and communication,” Rep. Maria Cervania, a Democrat representing portions of Wake County, said. “We know that we need to continue that and more so now.”

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That’s why groups like NCAAT work to make voting as accessible as possible. In the past, NCAAT has translated mailers into different languages and made an effort to reach out to voters in their native tongue.

Another issue is avoiding treating the Asian American community as a monolith. With so many different backgrounds and cultures, there’s a wide variety of views across the political spectrum.

“A majority of AAPI voters in North Carolina are registered unaffiliated,” Patel-Nguyen said. “We’re really independent thinkers who are voting on issues and not all party lines.”

Top issues vary for individual voters, but there are general themes.

Younger voters prioritize lowering the cost of living, protecting abortion access and reproductive rights, and making healthcare more affordable, according to a poll by NCAAT. Older voters are more concerned about crime and public safety, as well as the economy and job creation.

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The Harris campaign has invested more money into more media than ever in order to reach Asian American voters, according to the campaign.

“In just the first week since Vice President Harris became the presumptive nominee of our party, we’ve seen a groundswell of support from AANHPI voters across North Carolina who are fired up to elect Kamala Harris as the first Asian American president in U.S. history,” according to Natalie Murdock, the campaign’s North Carolina political and coalitions director.



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North Carolina Gov. Roy Cooper Drops Out of Harris’ Veepstakes

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North Carolina Gov. Roy Cooper Drops Out of Harris’ Veepstakes


North Carolina Gov. Roy Cooper on Monday withdrew his name from contention to serve as Vice President Kamala Harris’ running mate. In a social media statement, Cooper thanked Harris for her campaign’s consideration and reaffirmed his confidence in her victory. “This just wasn’t the right time for North Carolina and for me to potentially be on a national ticket,” he said. “She has an outstanding list of people from which to choose, and we’ll all work to make sure she wins.” A source told The New York Times, which reported Cooper’s veepstakes exit before his announcement, that his team had reached out to Harris’ campaign a week ago to say he did not want to be considered. Sources told Politico and NBC News that Cooper had dropped out for a few reasons, including a possible U.S. Senate run in 2026 and fears that North Carolina’s conservative lieutenant governor, Mark Robinson, might try to seize power if he left the state to campaign. Harris is aiming to announce her pick for No. 2 by Aug. 7, when the Democratic Party kicks off its virtual nomination process. The party convention is slated to begin Aug. 19 in Chicago.

Read it at The New York Times



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North Carolina Gov. Roy Cooper backs out of consideration to be Harris’ running mate

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North Carolina Gov. Roy Cooper backs out of consideration to be Harris’ running mate


North Carolina Gov. Roy Cooper has informed Kamala Harris’ presidential campaign that he does not want to be under consideration in her search for a vice presidential candidate, the governor said Monday night.

Cooper said in a statement explaining his decision that although he was taking himself out of consideration for the role, he’s still backing Harris’ candidacy.

“I strongly support Vice President Harris’ campaign for President,” Cooper said. “I know she’s going to win and I was honored to be considered for this role. This just wasn’t the right time for North Carolina and for me to potentially be on a national ticket.”

“As I’ve said from the beginning, she has an outstanding list of people from which to choose, and we’ll all work to make sure she wins,” he added.

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The New York Times first reported that Cooper was withdrawing his name from consideration.

One source directly involved in Harris’ search for a running mate said Cooper took himself out of the mix because he wants to run for the U.S. Senate in 2026. The source said Cooper never indicated to the campaign that he wanted to be vice president and told Harris aides that he did not want to be considered.

NBC News previously reported that interviews with some Democratic insiders pointed to Cooper, along with Sen. Mark Kelly of Arizona and Gov. Josh Shapiro of Pennsylvania, as top contenders to join Harris on the Democratic ticket.

Other governors, including Kentucky’s Andy Beshear and Minnesota’s Tim Walz, and Transportation Secretary Pete Buttigieg are among those who have also been floated as potential running mates.

The Harris campaign previously said she plans to select a running mate by Aug. 7.

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