Informing North Carolina’s COVID-19 Pandemic Response: Projected Service Needs of Medicaid Beneficiaries

Informing North Carolina’s COVID-19 Pandemic Response: Projected Service Needs of Medicaid Beneficiaries


Overview

We sought to understand how Medicaid reform can affect health for low income, vulnerable North Carolinians by conducting three related statewide projects that collected baseline data and monitored three key domains where we saw the potential for widening health disparities as North Carolina shifts to Medicaid Managed Care (MMC). See below for details on each of the project domains.

 

Insurance Coverage Churn

We explored how changes in insurance coverage impact health care utilization and outcomes for Medicaid-insured North Carolinians. We described churn (proportion of enrollees experiencing brief gaps in insurance coverage) among Medicaid-insured children and adults. We also documented disparities in churn based on sociodemographic characteristics, identify beneficiary groups with the highest rates of churn, and evaluate the impacts of churn on utilization and outcomes.

Project Team: Rushina Cholera, MD, PhD; David Anderson, MS; Charlene Wong, MD, MSHP; Rebecca Whitaker, PhD, MSPH; Janet Prvu Bettger, ScD, FAHA; Sudha Raman, PhD; Brad Hammill, DrPH; Kevin Keith, MD, MPH; Jessica Beliveau, MPH, PMP

 

Behavioral Health Utilization

We used North Carolina Medicaid claims data to document sociodemographic disparities in behavioral health-related service needs among pediatric, adult, and adult dual-enrolled individuals in advance of North Carolina Medicaid transformation. 

Project Team: Gary Maslow, MD; Alexis French, PhD; Nicole Heilbron, PhD; Charlene Wong, MD, MSHP; Rebecca Whitaker, PhD, MSPH; Janet Prvu Bettger, ScD, FAHA; Jessica Beliveau, MPH, PMP

Fact Sheet: Behavioral Health Service Use Among Medicaid-enrolled Adults in North Carolina During 2018 - 2019

Fact Sheet: Behavioral Health Use Among Medicaid-enrolled Youth in North Carolina

New Medicaid Enrollees

We used North Carolina Medicaid enrollment and claims data to provide early evidence and actionable insights for NC DHHS leadership about the influence of COVID-19 on new enrollees in the Medicaid program to inform future state and federal policy responses. 

Project Team: Brad Wright, PhD (UNC-Chapel Hill); Paul Shafer, PhD, MA (Boston University); David Anderson, MS; Charlene Wong, MD, MSHP; Rebecca Whitaker, PhD, MSPH; Janet Prvu Bettger, ScD, FAHA; Jessica Beliveau, MPH, PMP

Publications:

Fact Sheet: How Covid-19 Unemployment and Social Vulnerability Affected Medicaid Enrollment Across North Carolina

Fact Sheet: Comparing Health Care Use and Costs Among New Medicaid Enrollees Before and During COVID-19

Funding

Funding for this project is provided by the Kate B. Reynolds Charitable Trust.

Duke-Margolis Affiliated Research Team

Charlene Wong

Charlene Wong, MD, MSHP

Assistant Professor of Pediatrics
Margolis Core Faculty
2020 Intern Mentor

whitaker

Rebecca Whitaker, PhD, MSPH

Managing Associate
Senior Team Member
2020 Intern Mentor
Anti-Racism and Equity Committee Member

Janet Prvu Bettger

Janet Prvu Bettger, ScD, FAHA

Director of Undergraduate Education and Research Initiatives, Margolis Center
Margolis Core Faculty
Associate Professor of Orthopaedic Surgery
2020 Intern Mentor
Anti-Racism and Equity Committee Member

Picture of Rushina Cholera

Rushina Cholera, MD

Medical Instructor in the Department of Pediatrics
2020 Intern Mentor
Anti-Racism and Equity Committee Member

Anderson

David Anderson

Research Associate, Health Policy Evidence Hub

Photo of Jessica

Jessica Beliveau, MPH

Project Manager