by Jonathan Ingram, Katherine Restrepo
John Locke Foundation
October 22, 2013
The current debate over the long-term sustainability of North Carolina’s Medicaid program pits defenders of the status-quo Community Care of North Carolina (CCNC) model against reformers touting Governor Pat McCrory’s proposed Partnership for a Healthy North Carolina. The Partnership embraces a Medicaid reform approach already up and running in states such as Florida, Kansas, and Louisiana. In these states, patient choice, competition among privately-run plans, innovation, and accountability have resulted in Medicaid patients who are healthier and happier with their care and millions of dollars in annual taxpayer savings. CCNC has failed to keep its promises of improved patient health and lower costs. In fact, the majority of North Carolina’s widely-tracked Medicaid patient health outcomes have been in decline, while Medicaid spending has dramatically grown.