Monday 14 December 2015

An agency of one: NC's Medicaid reform inaction

Miles of paperwork to go before we're through:

“It’s going to be really difficult,” Larson said. “They’re going to set the foundation for what the system is going to look like.” And according to the bill, that waiver application needs to go to the federal government on June 1, 2016. An outline for the waiver has to be submitted to the General Assembly by March 1.

As yet, the new state agency that will run the updated Medicaid program has one employee. And Richard pointed out that existing employees at DHHS have to keep the current program running as they prepare for all these documents under a compressed timeline.

One might ask "why" a new Cabinet-level agency would still have only one employee at this stage of the game, and how could that one person possibly accomplish all the tasks needed in the next few months? The answer is simple, as Queen Aldona taught us so well during her tenure:


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