Impact of Medicaid transformation in North Carolina on people with intellectual and developmental disabilities

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Matthew G. James (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Carl Lashley

Abstract: The purpose of this study was to analyze the legislation, SL 2015-245, and the relevant North Carolina Department of Health and Human Services guidance/regulatory documents, using a critical policy analysis to determine if the legislation and proposed value-based measures to date are designed to achieve improved quality of life outcomes for people with Intellectual and Developmental Disabilities receiving LTSS. The findings show that quality of life improvement is specifically identified as a goal for this population of people within the language of the Medicaid transformation and requirements are established to person-center outcomes for the delivery of those services; yet no specific measurement strategy has been identified that aligns with best practices in monitoring quality of life or linking it with value-based payments. Therefore, this reform represents the free-market belief that more competition will improve services and decrease costs, while ignoring voices of the thousands in crisis who are not receiving adequate support or services.

Additional Information

Language: English
Date: 2023
Disabilities, Disability Services, Intellectual and Developmental Disabilities, Managed Care, Medicaid, North Carolina
Medicaid $z North Carolina
People with mental disabilities $x Services for $z North Carolina
Developmentally disabled $x Services for $z North Carolina

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