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Care4Carolina

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Sign as a Business Leader

As a North Carolina business leader, I endorse the following statement:

We, as North Carolina business leaders, understand that a strong economy and a thriving workforce require healthy families. Right now, too many hard-working families are uninsured. In fact, about two-thirds of all uninsured adults in North Carolina work. They are construction workers, farmers, child care providers, and even veterans. We urge the North Carolina General Assembly to achieve a bi-partisan solution to close the health insurance coverage gap. Now is the time to act. There are proposals on the table that would require no investment of state tax dollars and closing the gap would create an estimated 37,000 jobs and billions in economic activity. Much of this economic activity would benefit our rural communities and other areas most in need of an economic boost. Closing the health insurance coverage gap is a good deal for the health of North Carolina families and for our economy. We urge you to work together and achieve a policy solution that closes the health insurance coverage gap.

Business Leaders for Closing the Coverage Gap

By signing this statement you are granting permission to Care4Carolina to publicize your endorsement. Your personal information will only be used for the purposes of this public endorsement statement and will not be shared with any other entity. Personal contact information will not be shared in endorsement statements listings or ads. Employer affiliation will be used for identification purposes only. For example: “Mr./Ms./Mrs. John Doe, CEO, ABC Corporation*; Anytown, NC”.

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Sign as a Faith Community

Faith Leaders Addendum

As a North Carolina faith leader/ community of faith, I/we endorse the following statement:

We, as people of faith in North Carolina, believe that the Lord brings good news to the poor, binds up the broken-hearted, and comforts all those who mourn. We believe that when we work to ease the burdens of our neighbors who are struggling the most, we are caring for God. And, we believe we are called to follow our God by doing good, not only in the halls of our congregations, but by seeking justice in the wider world.

That means we cannot stand silent when presented with the opportunity to provide healthcare coverage for hundreds of thousands of our brothers and sisters. We understand that a community cannot flourish while its people lack access to affordable, quality healthcare. Healthy families are the bedrock of our communities of faith and of our local economies. Uninsured North Carolinians include members of our congregations, pastors, child care providers, farmers, construction workers, small business owners, neighbors, and friends. We urge the North Carolina General Assembly to work together across bi-partisan lines to close the health insurance coverage gap for all of these children of God.

Signing Disclosure

By signing this statement you are granting permission to Care4Carolina to publicize your endorsement. Your personal information will only be used for the purposes of this public endorsement statement and will not be shared with any other entity. Personal contact information will not be shared in endorsement statements, listings, or ads. Employer information will be used for identification purposes only. For example: “Rev. John Doe, Pastor, ABC Church, Anytown, NC.”

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Sign as a Grassroots Group

As legislation progresses to enact a North Carolina solution to close the health insurance coverage gap, it is critical that we have a grassroots team ready to mobilize. By signing up as a member of the Care4Carolina Grassroots Action Network, you agree to activate your group/organization when action is requested during the campaign. Action requests may include but are not limited to reaching out to legislators, sharing posts on social media, and relaying information to other contacts.

Your work as a grassroots group/organization is essential to our efforts, and Care4Carolina appreciates your support in ensuring that our mission is achieved. Together, we will find a North Carolina solution to close the health insurance coverage gap.

*By signing on as a member of the Care4Carolina Grassroots Action Network, your group/organization’s information will not be shared externally. The information collected through this form is for internal use only.

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A Medicaid Expansion Valentine for North Carolina Healthcare Providers

February 13, 2023 by Hannah Robinson Leave a Comment

By Peg O’Connell, Chair, Care4Carolina

How do I love thee, Medicaid Expansion?  Let me count the ways…*

I love thee for the 600,000 people in North Carolina’s coverage gap who will finally have an affordable option for health insurance for themselves and their families;

I love thee for the stability that you will bring to our rural hospitals and healthcare system;

I love thee for the big cupid’s arrow to the heart you will give to our state’s economy by drawing down billions of dollars in federal funding that are currently going to other states;

And now I love thee for a new reason—you will help our state’s healthcare providers by boosting their financial performance and improving their payer mix.

Love is complicated and the issues of provider financial performance and payer mix (that means how and by whom, hospitals, doctors and other health care professionals get paid) are also complicated but are very important components in the larger discussion around Medicaid Expansion.

The Kaiser Family Foundation recently published an issue brief which summarized a variety of studies over several years looking at how provider financial performance and payer mix were impacted in state’s that expanded Medicaid.  The short answer is that things got better—even during the pandemic. And things got especially better for our rural hospitals and providers.

The study findings were divided into two topic areas: the impact on payer mix and providers’ financial performance.

The earlier studies indicated that Medicaid expansion was associated with improvements in payer mix for hospitalizations, emergency department visits, community health center visits, and safety-net clinic visits. The payer mix improvements include noted declines in uninsured patients and increases in Medicaid-covered patients.

These studies also found that Medicaid expansion was tied to lower uncompensated care costs overall and for specific types of hospitals, including rural facilities.

According to Kaiser, findings from more recent studies revealed that Medicaid expansion improved the financial performances of hospitals and healthcare providers.

These studies found that expanding Medicaid helped boost hospital revenue overall and for specific services. Some studies also suggested that Medicaid expansion helped reduce the number of annual hospital closures.  However, outcomes varied by provider type and some studies indicated that financial performance improvements were greater for rural and small hospitals.

Considering that North Carolina has lost six rural hospitals in the past 9 years and seen a recent acceleration in the closing of clinics in rural areas, expanding Medicaid expansion is becoming absolutely urgent for our 80 rural counties.

There are many reasons to love Medicaid Expansion and to work for its enactment.  The folks at the Kaiser Family Foundation have just given us a big Valentine bouquet full of new reasons to expand Medicaid now!

*With all apologies to Elizabeth Barret Browning.

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