North Carolina State Transformation Collaborative

North Carolina State Transformation Collaborative


outline of north carolina with a heart and white cross in the middle with hands encircling the heart graphic

Latest Updates

 

Alignment Proposal

The North Carolina State Transformation Collaborative (NC STC) has issued its “Alignment Proposal:  Action to Advance Whole-Person Care in North Carolina,” which provides a practical, action-oriented vision to advance the  health and well-being for North Carolinians while supporting its health care workforce.  More than 30 health care, community, and state organizations serving all 100 counties in North Carolina have endorsed this proposal.  Click here to read it.

 

Background

The North Carolina State Transformation Collaborative (NC STC) was launched in February 2023 as a public-private partnership designed to promote high-value and whole-person care through multistakeholder partnerships. North Carolina is one of four states participating in the STC initiative, initially launched by the Health Care Payment Learning and Action Network (HCP-LAN) and the Centers for Medicare & Medicaid Services (CMS). In North Carolina, the STC is financially supported by the North Carolina Department of Health and Human Services (NCDHHS) with Duke-Margolis serving as the neutral convener. The NC STC represents a collective effort to shift from paying for health care services through a fee-for-service model to investing in health with a value-based, whole-person approach.

Since its launch, Duke-Margolis, in partnership with NCDHHS, established technical working groups and gathered strategic feedback to build a path forward to advance the NC STC goals across key priority areas: aligning quality measurement, strengthening coordinated and accountable primary care, enhancing health disparities data, and improving data exchange to enable advanced coordinated care models, starting with coordinated and accountable primary care. The image below summarizes the framework for North Carolina’s State Transformation Collaborative, including goals, key strategies, and approaches to achieve high-quality and whole-person care.
 

NC STC Framework graphic - goals, key strategies, and approaches.

The Value of the NC STC: Coordinating Across Other NC and Federal Initiatives

 

The NC STC leverages multistakeholder collaboration to advance shared goals of improving population health, addressing health disparities, enhancing patient experience, relieving provider burden, and reducing costs. These goals align with North Carolina’s significant investments in creating a whole-person system of care through Medicaid Transformation and other state transformation initiatives efforts like Medicaid Expansion in 2023, the Healthy Opportunities Pilots, landmark investments in behavioral health, the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan Launch, and the Primary Care Payment Reform Taskforce.

Transforming the health care system requires collaboration in multiple levels, including the patients, providers, payers, and state the federal agencies. The NC STC brings people together to address common challenges experienced across these disparate health transformation initiatives. There are opportunities to extend learnings from the NC STC state initiatives to further state and federal goals and make progress on health reform efforts.

 

More about the NC STC

Summary of STC Activities

Key Areas to Operationalize NC STC Strategies

Stakeholder Engagement Opportunities through the NC STC

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Duke-Margolis Project Team

Catie Armstrong's headshot

Catie Armstrong, MPH

Policy Analyst

Emily Proehl headshot

Emily Proehl, MPH

Policy Analyst

Samantha Repka Headshot

Samantha Repka, MS

Research Associate

Robert Saunders

Robert Saunders, PhD

Senior Research Director, Health Care Transformation
Adjunct Associate Professor
Executive Team Member
Margolis Core Faculty

Rebecca Whitaker Headshot

Rebecca Whitaker, PhD, MSPH

Research Director, North Carolina Health Care Transformation
Core Faculty Member
Senior Team Member