At #NCGA #Medicaid committee, hearing from @ncdhhs that Medicaid enrollment continues to grow. Nonetheless, because of increased federal matching rate, the program finished FY 21-22 w a surplus. @ncdhhs Lambeth: In other words, feds changed criteria, they also changed formula. Number eligible went up (many in low cost categories). At some point, we'll be left holding the bag.

Sen Hise notes there will be a "cliff at the end" will create a gap for us into the coming year.

Here: northcarolinahealthnews.org/2017/03/16/nur… And others.

"Need to effectively utilize #CNMs has never been greater," says Kohl from midwife.org

Finding a supervising provider may prove difficult.
Body of evidence has consistently shown that although these barriers do not improve care.

Now hearing from Guilamo-Ramos, from @DukeU nursing school.
US spends $4T in health care annually, we spend about 50% of $$$ on 5% who are the sickest. Need to spend more on wellness, prevention. Nurses can do this well. Being questioned by Rep Kidwell. @DukeU Rep Baker: appreciate your concern for access. Talk about the grad nurse demo project, had access outcomes.
Guilamo-Ramos: that finding was from @NASEM_Health no recommendation comes from them that hasn't been vetted. STat from them is that 70p of shortages would be relieved

#medicaid presentation. We've had budget surpluses for years. Any issues could be covered.
"This is a year unlike any other in the 50 year history"
convergence of new managed care program and pandemic uncertainty.
Pandemic has increased costs for providers, the program The good news is that the bump up in #Covid_19 spending has continued longer than we expected. Even tho there are more beneficiaries, there's more federal $$ flowing into program. Projected higher budget, but @ncdhhs had difficulty projecting by how much

#ncsen budget proposal bumps up #childcare center reimbursement by 2%, with increase intended to go to teacher salaries. #ncga #ncpol #NCsen budget increases the #medicaid Innovations Waiver slots by 420 this fall, by another 580 in 2022, subject to @CMSGov approval, etc. distributed statewide.
There are 15,000 on wait list that is often >10 years long. #ncga #ncpol

First up from the #ncsen budget: state/ county special assistance #medicaid rates for adult care homes unchanged. Last time we saw a budget, it was $1182 for regular residents, $1515 for people with dementia. #ncga And the personal needs allowance for residents in those facilities goes from $46/ month to $70
We wrote about this back in 2019, two years later, the bump up remains the same. northcarolinahealthnews.org/2019/06/24/fun…