Bob Atlas Featured in “NC Legislature Passes Hybrid Medicaid MCO Bill That Includes PLEs”

Medicare Advantage News

Bob Atlas, President of EBG Advisors, was featured in Medicare Advantage News, in “NC Legislature Passes Hybrid Medicaid MCO Bill That Includes PLEs.”

Following is an excerpt:

All this will take quite a bit of time. The legislation, Atlas notes, gives DHHS until January 2017 to come up with the specifics of the capitated managed care plan. But it also must submit by June 1, 2016, its request to CMS for a waiver to allow the program. CMS could take more than a year to approve a waiver, and the bill says that the start of enrollment in capitated plans would begin 18 months after the waiver authorization.

This is “not a highly aggressive timetable” compared with other states launching Medicaid managed care, Atlas acknowledges to MAN. But it is in keeping, he adds, with North Carolina’s history of trying to balance the interest of all parties, including providers, and thus is a “suitable approach.” Provider organizations have been very powerful politically in North Carolina for many years.