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North Carolina State Health Plan to pull most Atrium Health providers out of network
Starting January 2027, most Atrium Health providers will be considered out of network for thousands of teachers and state employees in North Carolina.
Judge’s order explains decision in State Health Plan, Atrium dispute
A North Carolina Business Court judge offered a written explanation Wednesday for his decision not to issue a temporary restraining order or injunction in a dispute between the State Health Plan and Atrium.
NC State Health Plan moves most Atrium providers out of network
An ongoing dispute between the North Carolina State Health Plan (SHP) and Atrium Health intensified on Wednesday, with the SHP moving most Atrium providers from the non-preferred tier to the out-of-network tier for its 750,000 members, effective Jan. 1.
State Health Plan labels Atrium Health "out of network"
The battle between the N.C. State Health Plan and Atrium Health escalated Wednesday when the plan said the largest N.C. system's hospitals and clinics in the Charlotte and Triad would be deemed out of network for 2027.
State Health Plan moves some Atrium sites out of network after court setback
Atrium hospitals already designated as “access” level facilities under a September agreement, largely rural ones, would be exempt.
NC State Health Plan moves Atrium out-of-network in response to new pricing plan
The move comes a day after a Superior Court judge denied the State Health Plan's request for a temporary restraining order against Atrium's new pricing plan.
Atrium Health shifted out of network for State Health Plan
(The Center Square) – Atrium Health on Jan. 1 will be moved to out-of-network tier for the State Health Plan in North Carolina, first-term Republican state Treasurer Brad Briner said Wednesday.
State Health Plan to take Atrium Health out of network, NC treasurer says
Atrium Health and the North Carolina State Health Plan have been fighting for months over healthcare pricing.
Judge won’t halt Atrium’s cheaper copays for State Health Plan members, for now
After the ruling, the State Health Plan warned premiums could more than double in 2028.
State Treasurer warns that Health Plan premiums could go up by $50 a month if Atrium plan proceeds
A Wake County Superior Court judge denied the State Health Plan's request for a temporary restraining order against Atrium's proposed plan to charge state employees less for services.
State Treasurer warns that Health Plan premiums could go up by $50 a month if Atrium plan proceeds
A Wake County Superior Court judge denied the State Health Plan's request for a temporary restraining order against Atrium's proposed plan to charge state employees less for services.
Judge rejects NC State Health Plan's request to block Atrium affordability program
Atrium Health scored an early courtroom win on Tuesday when a judge rejected the state of North Carolina’s request for a temporary restraining order on an affordability program the health system pl | The state's treasurer has said the large health system's Affordability Protection Program, a response to being left out of a preferred provider program, would bankrupt the public health plan.
Atrium Health plan gets judge’s approval
(The Center Square) – Monthly premiums may go up as much as $50 per month in 2028 for members of the North Carolina State Health Plan regardless of their healthcare
Peach State Health Plan Highlights Impact of School-Based Health Centers in New "The Power of Partnership" Video
For many families, getting to a health appointment can mean navigating transportation challenges, limited provider availability and time away from work or school. School-based health centers offer...
Injunction hearing set Tuesday in Health Plan suit against Atrium
An injunction hearing is scheduled Tuesday morning in the State Health Plan’s lawsuit against Atrium. Superior Court Judge Matthew Houston will hold the hearing in Sanford.
NC's State Health Plan moves to block Atrium program it calls an 'unlawful pricing scheme'
North Carolina's State Health Plan announced Friday it had requested a temporary restraining order in Wake County Superior Court to halt Atrium Health’s new “affordability program.”
NC State Health Plan sues Atrium to block new pricing program
The NC State Health Plan (SHP) filed a lawsuit against Atrium Health in Wake County Superior Court on Friday to stop the launch of a new program for SHP members on Jan. 1, 2027.
NC sues state’s biggest hospital chain, extends enrollment deadline for State Health Plan
North Carolina Treasurer Brad Briner is suing Atrium Health over new payment strategies he says could endanger the financial health of the State Health Plan, which insures 750,000 state workers and others.
NC’s State Health Plan sues Atrium, saying it can’t set plan members’ copays
The plan says it may not be able to pay its bills by January and is counting on its new tiered network to save $135 million.
NC treasurer: Atrium affordability program could bankrupt state employees’ health plan
State Health Plan officials say Atrium's new affordability program is "trickery" that will drive up costs for plan members and taxpayers
Treasurer criticizes new Atrium affordability program ahead of State Health Plan open enrollment period
State Treasurer Brad Briner criticized a new Atrium affordability plan, announced less than a week before the State Health Plan's open enrollment period.
Atrium promises state workers lower copays beyond its State Health Plan deal
Treasurer Brad Briner said the program will raise members’ costs in the long run and “violates the spirit of who gets to run” the plan.
NH state retirees face 85% health premium hike
New Hampshire retirees in the state health plan will see premiums rise 85% in January under a one-year Anthem extension, while the state prepares to seek compet...
State Treasurer remains 'profoundly concerned' after WakeMed/Atrium merger approved by Wake County
After Wake County commissioners approved a WakeMed/Atrium merger, State Treasurer Brad Briner said it would raise State Health Plan prices.
NYC Health + Hospitals and Maimonides Health Transaction Moves Forward After New York State Health Planning Council Vote
New York, NY – In a unanimous vote, the full New York State Public Health and Health Planning Council (PHHPC) today approved the proposal for Maimonides
In new State Health Plan program, a cluster of rural NC hospitals could cost patients more
State employees will likely pay more for healthcare if they use hospital systems in four rural counties north of the Triangle.
NC State Health Plan, Atrium Health partner to expand options for 750,000 members
RALEIGH, N.C. — The North Carolina State Health Plan and Atrium Health have announced a new partnership that will expand coverage options for plan members begin
New NC State Health Plan agreement will avoid big cost hikes for using some Atrium hospitals
NC State Health Plan reaches an agreement with Atrium Health to move some of its hospitals and clinics to a lower expense tier.
NC Medicaid, State Health Plan strategies diverge on GLP-1 coverage
More than 34,500 Medicaid beneficiaries had $47.9 million in weight-loss GLP-1 claims in June, while State Health Plan coverage remains limited.
NC House GOP leader blasts State Health Plan’s new network. Others have concerns
NC lawmakers are “alarmed” by the new network, Majority Leader Brenden Jones says.
Health systems buck at state health plan
Atrium Health and WakeMed leaders said they were shocked to learn they were left out of the top-tiered status in the new North Carolina State Health Plan.
NC State Health Plan overhauls insurer, hospital network and premiums. What to know
State employees will see numerous changes.
WakeMed warns of impact from State Health Plan's new tier designation
WakeMed is raising concerns after being designated a non-preferred provider under the State Health Plan's new four-tier network,
NC State Health Plan adds Duke Health to its access tier, meaning members will pay more for WakeMed
The State Health Plan's board last week approved tiered benefits beginning in 2027.
Two Triangle hospital systems considered for key State Health Plan status. Who got it?
Duke Health and WakeMed were under consideration for the plan’s new access tier as officials worked to finalize the 2027 network.
State employees, retirees to be charged extra for using WakeMed
For the 750,000 members of North Carolina’s State Health Plan, using WakeMed could cost thousands of dollars extra starting next year. But using UNC Health could lead to equally large discounts.
Duke Health to Continue Caring for State Health Plan Members Under New Access Provider Network
DURHAM, N.C. — Duke Health has been selected as an Access Provider in the North Carolina State Health Plan’s new tiered provider network for 2027, ensuring state employees and their families can continue receiving care through Duke beginning January 1, 2027.
Blue Cross to return as the NC State Health Plan’s third-party administrator
Blue Cross will be back as the the N.C. State Employee Health Plan's third party administrator in 2028. Plan trustees had dumped Blue Cross for the current administrator, Aetna, in 2023.
For NC State Health Plan members, Blue Cross NC is back in 2028
Blue Cross NC served as the State Health Plan's third party administrator for 40 years until then-Treasurer Dale Folwell sought a change. Beginning in 2028, Blue Cross will again have that role.
What’s coming for state employees’ insurance in the coming year? Here are the details.
State Health Plan leaders say premiums will rise this year, but they’ve designed the plan so that employees can save big if they take advantage of new incentives.
State Health Plan ditches Aetna, sends business back to Blue Cross
Blue Cross Blue Shield of North Carolina will take over control of state employee’s insurance, returning to what had been the status quo for decades — until 2023, when the board voted to shift control to Aetna.
State Health Plan ditches Aetna, sends business back to Blue Cross
Blue Cross Blue Shield of North Carolina will take over control of state employee’s insurance, returning to what had been the status quo for decades — until 2023, when the board voted to shift control to Aetna.
NC’s State Health Plan switching who administers its members’ benefits, again
The State Health Plan announced who won its health and pharmacy benefits contracts.
NC State Health Plan raises premiums, offers new tiered benefits that could help members cut costs
The N.C. State Health Plan's Board of Trustees voted Friday morning to raise premiums for many of its 770,000 members.
Premiums rise, but overall costs could fall for NC State Health Plan members under a new system
Significant changes coming for the health insurance plan for NC teachers and state workers, including premium increases and a tiered system for hospital choices.
NC State Health Plan approves new premium hikes, picks preferred network hospitals
It’s the latest round of changes for the plan.
State Health Plan board to vote on major coverage changes for 750,000 NC members
Big changes could be coming to North Carolina's State Health Plan. A key vote Friday could affect coverage and costs for nearly 750,000 members.
State Health Plan premiums could rise again, and some might pay more to keep their doctors
The State Health Plan is scheduled to vote Friday on a preferred provider program and whether to raise premiums on many of its 750,000 members.
NC Gov. Stein tabs Treasurer Briner, Health Secretary Sangvai to lead probe of rising health costs
North Carolina has some of the fastest-rising healthcare costs in the country. Now, Treasurer Brad Briner, who oversees the State Health Plan, and DHHS Secretary Dev Sangvai will try to fix them.
Changes to the NC State Health Plan will make retirees pay more. Here’s what it means for you
Retirees on the state’s Medicare Advantage plans will pay more for hospital stays, specialist visits and some drugs next year.
NC State Health Plan board approves Medicare Advantage plan benefit changes despite retiree concerns
Retirees on the state's Medicare Advantage will face higher out-of-pocket maximums next year, as well as higher copays for many medical services.
NC State Health Plan leaders say WakeMed-Atrium merger could cause premium increases
State Health Plan Executive Administrator Tom Friedman said Atrium charges between 15 and 40 percent more for services. If WakeMed adopts those reimbursement rates, the impact could ripple across hundreds of thousands of employees.
WakeMed-Atrium deal could lead to cost hikes for state workers, officials say. WakeMed pushes back
WakeMed says its proposed merger with Atrium Health would lower costs. North Carolina State Health Plan officials say premiums could increase if WakeMed charges Atrium prices.
State Health Plan to vote on price hikes for older state workers, retirees
People on the Medicare Advantage version of the State Health Plan could soon face higher drug prices, copays and deductibles as the state struggles to pay for rising healthcare costs.
NC State Health Plan to propose benefit structure aimed at shifting care to 'preferred providers'
The new structure is necessary, plan administrators say, because costs are continue to outpace premiums. Those premiums are likely to increase next year.
Expected NC budget won’t restore GLP-1 weight-loss drug coverage for state employees, treasurer says
State Treasurer Brad Briner doesn’t expect North Carolina lawmakers to include funding in the upcoming budget to restore State Health Plan coverage of GLP-1 drugs for weight loss, as costs and competing budget priorities keep the benefit off the table.
Baystate Health expands services in Springfield and CT
Baystate Health plans to extend its health care services to additional areas in Springfield and Connecticut.
Savannah Impact Program & Peach State Health Plan Present “Spring Fling Health Fair”
SAVANNAH – The Savannah Impact Program (SIP) in partnership with Peach State Health Plan is presenting a “Spring Fling Health Fair” at Temple of Glory Gymnasium on Saturday, May 2, from 9 a.m. to 1 p.m. At this free public event, different vendors will come together to provide the entire family with health assistance on […]
No qualifying bids, so State Health Plan will restart search for new insurer
The initial request for bids came in less than a year and a half after the state switched to Aetna from Blue Cross NC.
Oregon gave millions in erroneous benefits for state health plan, audit says
A free Oregon health care program for adults who make too much money to qualify for Medicaid could have improperly given out $15 million in payments related to benefits for recipients, according to a recent audit of state-managed federal programs.
Oregon gave millions in erroneous benefits for state health plan, audit says
By Shaanth Nanguneri, Oregon Capital Chronicle SALEM, Ore. -- A free Oregon health care program for adults who make too much money to qualify for Medicaid could have improperly given out $15 million in payments related to benefits for recipients, according to a recent audit of state-managed federal programs. The “questioned” funds surfaced in an 124-page
Oregon gave millions in erroneous benefits for state health plan, audit says
The findings come as Oregon is under pressure from the GOP’s 2025 federal tax and spending law to reduce miscalculations for benefits.
State health plan for teachers faces 'death spiral,' Treasury warns
Rates expected to go up at least 10%, actuarial report says, as local districts pull their employees from system in search of lower premiums
Big changes ahead for State Health Plan as trustees work to lower costs
The State Health Plan hopes to save significant money by steering plan participants to preferred providers.
Those on state health plan could see provider change again
The State Health Plan is seeking a new insurance provider just over a year into its contract with Aetna.
NC State Health Plan won’t extend Aetna or CVS contracts, will seek bids instead
“This administration has different priorities and would prefer a contract that is more in line with those priorities,” said a plan spokesperson.
NC state retirees challenged health plan benefit changes 13 years ago. They’re still fighting.
North Carolina government retirees continue with 2012 class-action lawsuit challenging state health plan changes
To control costs, State Health Plan leaders look to invest in members’ health
As NC Treasurer Brad Briner trims a massive budget deficit, he says part of the puzzle will be addressing the health of the workforce.
Pallone Welcomes Health Board Move To Defer Decision That Would Close Long Branch’s Hospital
U.S. Rep. Frank Pallone, Jr. (D-6) today welcomed the decision by the State Health Planning Board last night to defer their decision to issue a recommendation on the closure of Monmouth Medical Center (MMC) hospital in Long Branch. The decision by the Board to postpone issuing their final recommendation comes after the State’s final hearing[...]