North Carolina Medicare-Medicaid Integration: Advancing Whole-Person Care


North Carolina Medicare-Medicaid Integration: Advancing Whole-Person Care

October 24, 2022 — 12:00PM–1:00PM


Contact Information

Luke Durocher
Event Graphics Including Name Time and Date of Event



North Carolina is in the midst of a major shift from fee-for-service to Medicaid managed care and other value-based care transformation efforts. As part of these reforms, North Carolina is required to integrate care for dual-eligible beneficiaries within five years of Medicaid managed care launch. The Duke-Margolis Center for Health Policy, with support from Arnold Ventures, has developed potential options for Medicare-Medicaid integration in the state. 



·        Present proposed vision, goals, and potential options for Medicare-Medicaid integration in North Carolina.

·        Discuss challenges, opportunities, and lessons learned from Medicare-Medicaid integration efforts


In this report, we describe the proposed vision, goals, and options to support beneficiary-centered Medicare-Medicaid integration in NC. Our recommendations were informed by a 21-month, multi-component project encompassing a targeted literature review; interviews with more than 60 participants.

Duke-Margolis Planning Team


Aparna Higgins

Senior Policy Advisor


Mark Japinga, MPAff

Research Associate


Brystana Kaufman, MSPH, PhD

Assistant Professor, Population Health Sciences
Margolis Core Faculty

Samantha Repka Headshot

Samantha Repka, MS

Research Associate

Montgomery Smith Headshot

Montgomery Smith, MPH

Senior Policy Analyst

Corinna Sorenson

Corinna Sorenson, PhD, MHSA, MPH

Faculty Director of Undergraduate and Graduate Studies
Senior Advisor and Founding Director, Margolis Scholars Program
Assistant Professor in Population Health Sciences and Public Policy
Margolis Core Faculty
Anti-Racism and Equity Committee Member


Sandra E. Yankah, Ph.D.

Postdoctoral Research Associate