NCMGMA News is an official news resource of the North Carolina Medical Group Management Association (NCMGMA).
Articles published in NCMGMA News contains the expressed opinions and experiences of the authors and do not necessarily represent the position of NCMGMA.
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Our membership is growing! Here’s the list of healthcare professionals and students who have recently joined NCMGMA (April 11, 2024, through May 3, 2024):
Active
Linda Davis, Carolina Kidney Associates, Greensboro, NC
Michael Dudley, Pearl Health, New York, NY
Noah England, Piedmont Plastic Surgery & Dermatology, Lowell, NC
Delores McNair, Duke Health, Durham, NC
Emily Reid, Triangle Practice Management, LLC, Durham, NC
Linda Rossitch, Presbyterian Pathology Group PLLC, Charlotte, NC
Janet Stroughton, MedNorth Health Center, Wilmington, NC
Daryl Taylor, Maria Parham Physician Practices, Henderson, NC
Student
Melinda Nguyen, University of North Carolina Wilmington, Raleigh, NC
2024 Alliance feature article courtesy of Relatient
With multiple locations in the Raleigh area, Raleigh Orthopaedic was on a mission to provide the highest quality of musculoskeletal care – which included providing faster, more convenient care access to patients. Provider preferences became increasingly difficult to manage, which resulted in unbalanced provider schedules and created longer appointment wait times for patients.
Hear the Issues. Meet the Experts. Take Action Now
June 11-12, 2024 NC Medical Society Offices Raleigh, NC
This year, join us as we host our 13th annual Advocacy Days which we promise to be packed full of information you cannot afford to miss! There is no shortage of issues at hand in NC and NOW is the time to be heard!!
Registration is open so sign up today and make plans to join us in Raleigh in June!
2:00pm – 2:15pm Welcome & Introductions NC Medical Society Offices Jacob Rodman, CMPE, NCMGMA Advocacy Co-chair Melissa White, NCMGMA Advocacy Co-chair
2:15pm – 3:00pm Presentation NC Medical Society Offices Dale R. Folwell, CPA State Treasurer of North Carolina
3:00pm – 3:15pm Refreshment Break
3:15pm – 4:00pm Presentation by NCDHHS
4:15pm – 5:00pm Presentation: NC Healthcare Update Hannah Rice NC Medical Society
5:30pm – 7:00pm Networking Reception Jimmy V’s Sponsored by Curi
Wednesday, June 12th
8:00am – 8:30am Gather at NC Medical Society Offices Discuss talking points
8:30am – 12:00pm Legislative Visitswith NCMS’s White Coat Wednesday NC General Assembly
Networking Reception Sponsor
Speakers
Dale R. Folwell, CPA Treasurer State of North Carolina Dale R. Folwell, CPA, was sworn in as State Treasurer of North Carolina in January 2017. As the keeper of the public purse, Treasurer Folwell is responsible for a $100 billion state pension fund that provides retirement benefits for more than 900,000 teachers, law enforcement officers and other public workers. Under Folwell’s leadership the pension plan was rated among the top five highest-funded in the country and won accolades for proactive management and funding discipline. In 2020 the state’s coveted AAA bond rating was reaffirmed by every major rating agency, making North Carolina one of only 13 states in the country to hold that distinction. Treasurer Folwell also oversees the State Health Plan, which provides medical and pharmaceutical benefits to more than 720,000 current and retired public employees and is the largest purchaser of health care in North Carolina.
Hannah Rice Director, Political Fundraising and Grassroots Advocacy NC Medical Society Hannah was born in Wilmington, North Carolina, and earned her BA in history with minors in political science and criminal justice from UNC Charlotte. During her undergraduate career, Hannah worked on a Governor’s campaign, interned for a United States Congressman, and interned for a public health initiative in Cabarrus County: Smart Girls Know. Since graduating, she has worked in various fundraising roles as the Political Fundraising Manager for the North Carolina REALTORS®, and Distinguished Events Coordinator for the American Cancer Society. In her free time, Hannah enjoys reading, trying new restaurants, watching baseball or football, and traveling with her husband and dog.
Hotel Information Reserve your room now at the Sheraton Raleigh Hotel. Limited standard rooms available at the discounted rate of $189/night for single/double occupancy plus tax. To reserve your hotel room, please follow the button link.
Hotel Information Reserve your room now at the Sheraton Raleigh Hotel. Limited standard rooms available at the discounted rate of $189/night for single/double occupancy plus tax. To reserve your hotel room, please follow the button link.
Registration Advocacy Days online registration is now open. The cost to register is $95 for NCMGMA members, $125 for non-members and $10 for students. To register today, please follow the online registration link below.
NCMS Reception NCMS is hosting a reception on Wednesday, June 12th at their offices – to learn more and register (separately) for this event, please visit their website at the button link provided.
New from the NCMGMA Advocacy Committee, we are featuring a weekly digest, “Did You Know?” spotlighting important healthcare advocacy news and events. Keep checking back and subscribe to NCMGMA News to stay current on all the latest updates!
NC Medicaid Social Determinants of Health Study
NC Medicaid is conducting a study to better understand how Clinically Integrated Networks and Advanced Medical Homes screen beneficiaries for unmet social needs, process data, and make referrals for interventions.
To learn more and participate in the study, please follow the button link below.
New from the NCMGMA Advocacy Committee, we are featuring a weekly digest, “Did You Know?” spotlighting important healthcare advocacy news and events. Keep checking back and subscribe to NCMGMA News to stay current on all the latest updates!
Humana Plans to Leave Some Medicare Advantage Markets in 2025
According to Becker’s Payer Issues, “The company reported its first quarter earnings April 24. Humana posted a $741 million in net income in the first quarter of 2024, beating investor expectations, but pulled its 2025 earnings guidance.”
New from the NCMGMA Advocacy Committee, we are featuring a weekly digest, “Did You Know?” spotlighting important healthcare advocacy news and events. Keep checking back and subscribe to NCMGMA News to stay current on all the latest updates!
Collaborative Care Model (CoCM) Training Series New Modules Released!
NC AHEC is excited to announce the release of modules 16 & 17 in the CoCM Training Series. View the details below!
Module 16: Tools for Financial Sustainability Using CoCM Speaker: Lori Raney, MD This webinar builds on an earlier webinar entitled Billing the Collaborative Care Codes and presents a deeper dive into barriers and solutions to financial sustainability of CoCM in your organization. The codes are briefly described and include the responsibilities of each team member. It also reviews key concerns often voiced by compliance teams and proposes solutions. Finally, steps towards developing a robust reimbursement plan are presented. It is recommended to first watch Billing the Collaborative Care Codes to better understand some of the concepts presented in this webinar.
Module 17: Challenging Clinical Situations Speaker: Monica Harrison, MSW, LCSW CoCM allows patients to receive both physical and mental health treatment from a multidisciplinary team within the primary care setting. The patient, Primary Care Provider, Psychiatric Consultant and Behavioral Health Care Manager (BHCM) are all critical members of this multidisciplinary team. The role of the BHCM can be fulfilled by a variety of clinicians including licensed mental health providers and clinical psychologists. A substantial body of evidence has shown that CoCM is more effective than usual care for treating common mental health conditions such as depression and anxiety in the primary care setting. Five core principles for effective Collaborative Care are discussed.
Click on the blue button below to learn more and register for the CoCM Training Series.
The NCMGMA Medical Employee Salary & Benefits Online Survey data, collected from 2023 practice metrics, is designed to bring you the information you need to see trends specific to the healthcare industry, and provide comparative information your organization can use to assist in making crucial business decisions.
The cost is $400 for NCMGMA members and $600 for non-members. To purchase your data access, please follow the link below.
Our membership is growing! Here’s the list of healthcare professionals and students who have recently joined NCMGMA (March 22, 2024, through April 10, 2024):
Active
Erin Bell, Horizon Family Medicine, Clayton, NC
Kayla Bowman, Digestive Health Specialists, PA, Winston-Salem, NC
Linda King, Viewmont Optometry PLLC, Hickory, NC
Julie Liles, Privia Health LLC, Charlotte, NC
Stephen Walters, Carolina Arthritis, Wilmington, NC
Affiliate
Mike Halsema, Med Practice Insights, Matthews, NC
Steve Cox, Read’s Uniforms, Charlotte, NC
Student
Tyra Bethea, Wake Forest University, Winston-Salem, NC
Dennis White, Wake Forest University, Winston-Salem, NC
2024 Alliance sponsor feature article courtesy of Nuance Communications, Inc.
As long‑time users of Dragon Medical One, Fisher‑Titus Medical Center was accustomed to using speech recognition technology to ease the burden of clinical documentation. But as they looked to deepen their Nuance footprint with DAX, their administration was unsure how it would fit into their existing workflows. Since deploying Nuance DAX, Fisher‑Titus has reaped the benefits of using the two solutions in tandem to optimize productivity, enhance the patient‑provider experience, improve the quality of documentation, and drive better outcomes.
New from the NCMGMA Advocacy Committee, we are featuring a weekly digest, “Did You Know?” spotlighting important healthcare advocacy news and events. Keep checking back and subscribe to NCMGMA News to stay current on all the latest updates!
New Resources to Learn More About NC Medicaid’s Tailored Plans
Starting July 1, 2024, some people with NC Medicaid will get a new health plan — a Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan (Tailored Plan). Tailored Plans cover physical health, prescription and behavioral health needs, including mental health, severe substance use disorder, I/DD and Traumatic Brain Injury (TBI) needs, all in one plan.
NCDHHS has created a Transition to Tailored Plans toolkit webpage. Access the page at the button link below.
Medicaid Managed Care Special Webinar Total Cost of Care (TCOC) Dashboard Launch for Providers
This month, NC Medicaid is launching a Total Cost of Care (TCOC) Dashboard for Advanced Medical Homes (AMHs). This tool will allow AMHs to access and analyze data related to resource use and total cost of health care received by Medicaid members assigned to their practices. The TCOC Dashboard aims to help AMHs identify potential drivers of overuse and inefficiency and assist them in making informed decisions when engaging in value-based arrangements with Medicaid prepaid health plans.
NC AHEC is providing three opportunities to learn more about this important new tool. In the webinar, NC AHEC will provide an overview of the dashboard and its metrics, walk through the login process, and demonstrate various functionalities for users of the AMH TCOC Dashboard.
CMS has made available the presentation from their Jurisdictions J/M Part B Office/Outpatient Evaluation and Management Visit Complexity webinar. The webinar focused on the use of the HCPCS code G2211, an E&M add-on code to address complexity of visit.