North Carolina (NC) is actively seeking feedback on its innovative Healthy Opportunities Pilots, a set of Health Care Pilot Programs designed to address non-medical drivers of health. Key technical documents released on July 15, 2019, outline critical program components and solicit input from stakeholders, especially frontline human service providers.
Healthy Opportunities Pilots: Service Definitions and Pricing
The first document focuses on defining pilot services and establishing a pricing methodology. This crucial step aims to create a fair and transparent fee schedule for services provided within the health care pilot programs. Stakeholders are encouraged to review the detailed service definitions and pricing information and provide feedback using the provided template. This feedback will directly inform the development of an equitable payment system, ensuring the sustainability and effectiveness of the pilot programs. The deadline for feedback submission is August 2, 2019.
Lead Pilot Entity (LPE) Role in Health Care Pilot Programs
The second document outlines the role of Lead Pilot Entities (LPEs) within the Healthy Opportunities Pilots. LPEs will serve as critical connectors between traditional health care systems and human service organizations. They will play a vital behind-the-scenes role in establishing networks of frontline providers, facilitating service delivery, and connecting these networks to Pre-paid Health Plans. Organizations interested in serving as LPEs are asked to submit a non-binding Statement of Interest (SOI). The deadline for SOI submission is August 12, 2019. Supplementary guidance is available to assist potential applicants in understanding the responsibilities and expectations associated with the LPE role.
Collaboration and Transparency in Health Care Pilot Programs
The compiled SOI submissions will be publicly available to foster community awareness and encourage collaboration among potential LPEs and other relevant organizations, including health care and human service providers. This transparency promotes a collaborative environment, facilitating the development of strong partnerships essential for the success of the health care pilot programs. A Request for Proposals (RFP) will be released in Fall 2019 to formally procure two to four LPEs through a competitive bidding process, with selection anticipated in early 2020. Submitting an SOI is not mandatory for RFP participation and will not influence RFP evaluations.
Ongoing Updates on Health Care Pilot Programs
The Healthy Opportunities website provides ongoing updates and news regarding the progress of the pilot programs. Stakeholders are encouraged to regularly check the website for the latest information and announcements related to these important health care initiatives.
