Marking a significant milestone in North Carolina’s healthcare landscape, nearly 600,000 residents have enrolled in Medicaid following the program’s expansion, with many beneficiaries residing in rural areas. This achievement was celebrated by Governor Roy Cooper and North Carolina Health and Human Services Secretary Kody H. Kinsley at a gathering held at ECU Health in Greenville. The event, which included participation from ECU Health CEO Dr. Mike Waldrum, Dr. Karen Coward, and several beneficiaries, is part of ongoing efforts to highlight the progress made in the state under Governor Cooper’s leadership.
Governor Cooper emphasized the impact of Medicaid expansion, stating, “For the last eight years, we’ve worked hard to lead our state with one health care innovation after another that will leave lasting impacts on generations of North Carolinians to come.” This expansion aims to provide health coverage to nearly 600,000 individuals, alleviate over $4 billion in medical debt, and pioneer new approaches in mental health care.
Secretary Kinsley added, “In the last year, hundreds of thousands of people have finally been able to afford going to the doctor, a dentist, get glasses, and fill their prescriptions. And most of all, they’ve had the peace of mind that a health emergency won’t bankrupt them and their families — something to be grateful for this holiday season.”
Dr. Michael Waldrum, CEO of ECU Health, noted the significant benefits observed in rural eastern North Carolina, where over 80,000 people have gained access to improved healthcare services. He stated, “Expanding access to primary care has immense positive impacts on the communities we serve, and it is absolutely vital to ECU Health’s efforts to improve the health and well-being of rural eastern North Carolina.”
Dr. Karen Coward shared insights from her practice, highlighting the transformation in patient care. “Medicaid expansion has been transformative for our rural communities, breaking down financial barriers that once kept so many from accessing essential care,” she said. These changes are evident as patients shift from relying on emergency services to establishing regular primary care routines.
Key Achievements in North Carolina’s Healthcare
Medicaid Expansion
Since its launch on December 1, 2023, Medicaid expansion in North Carolina has swiftly enrolled nearly 600,000 people—doubling the anticipated pace. The initiative was initially expected to take two years to reach this enrollment figure. The expansion has facilitated 3.8 million prescription fills and $58 million in dental service claims, significantly benefiting rural communities.
Medical Debt Relief
In addressing the pervasive issue of medical debt, North Carolina has introduced a groundbreaking program that alleviates $4 billion in medical debt for approximately two million residents. This initiative was made possible through enhanced Medicaid payments and has garnered participation from all 99 eligible hospitals in the state.
Investment in Mental Health
Governor Cooper’s administration has secured over $835 million to enhance mental health services across North Carolina. This funding supports those experiencing mental health or substance use crises, aims to reduce incarceration rates, and strengthens the behavioral health workforce.
Healthy Opportunities Pilots
Launched in 2022, the Healthy Opportunities Pilots program offers non-medical support to Medicaid recipients with high needs, focusing on housing, food, and transportation. Early results indicate a reduction in hospitalization rates and healthcare spending, with a monthly cost saving of approximately $85 per beneficiary.
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