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 want to understand how Medicaid reform is affecting health for low income, vulnerable North Carolinians by conducting three related statewide projects that collect baseline data and monitor three key domains where we see 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 want to understand how changes in insurance coverage impact health care utilization and outcomes for Medicaid-insured North Carolinians. We will describe churn (proportion of enrollees experiencing brief gaps in insurance coverage) among Medicaid-insured children and adults. We will also document 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

Publications: TBD

New Releases: TBD

 

Behavioral Health Utilization

We want to understand the geographic and racial/ethnic disparities in behavioral health and 1915(c) waiver service utilization as well as to identify the NC geographic areas with a low supply of providers delivering these services prior to the COVID-19 pandemic. Using more recent claims data during COVID-19, we will examine what services Medicaid beneficiaries with behavioral health needs or a 1915(c) waiver have gained and lost during the pandemic as a result of the policy flexibilities enacted by North Carolina Medicaid.

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

Publications: TBD

New Releases: TBD

 

New Medicaid Enrollees

We propose to use 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

Publications: TBD

New Releases: TBD

Funding

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

Duke-Margolis Affiliated Research Team

Charlene Wong

Charlene Wong, MD, MSPH

Assistant Professor of Pediatrics
Margolis Core Faculty
2020 Intern Mentor

whitaker

Rebecca Whitaker, PhD, MSPH

Managing Associate
Senior Team Member
2020 Intern Mentor

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

Picture of Rushina Cholera

Rushina Cholera, MD

Medical Instructor in the Department of Pediatrics
2020 Intern Mentor

Anderson

David Anderson

Research Associate, Health Policy Evidence Hub

Photo of Jessica

Jessica Beliveau, MPH

Project Manager