Cohen Mandy K
secretary, North Carolina Department of Health and Human Services, Raleigh, North Carolina
N C Med J. 2019 Sep-Oct;80(5):277-279. doi: 10.18043/ncm.80.5.277.
As North Carolina's Medicaid program transitions from fee-for-service to managed care, the Department of Health and Human Services is committed to building an innovative, whole-person-centered and well-coordinated system of care that addresses both medical and non-medical drivers of health. Delivering on that vision, and improving the health and well-being of North Carolinians, means shifting from thinking of payers as exclusively buying medical services to thinking of them as buying health for their beneficiaries. Operationalizing this complex work will require strong partnership from stakeholders across the state and will also provide North Carolina an opportunity to help drive a national agenda centered around how to buy good health.
随着北卡罗来纳州的医疗补助计划从按服务收费模式向管理式医疗转变，卫生与公众服务部致力于构建一个创新、以全人为中心且协调良好的医疗体系，以应对影响健康的医疗和非医疗因素。实现这一愿景并改善北卡罗来纳州居民的健康与福祉，意味着要从仅仅将支付方视为购买医疗服务的角色，转变为将他们视为为其受益人购买健康的角色。实施这项复杂的工作需要全州各利益相关方的紧密合作，同时也将为北卡罗来纳州提供一个机会，助力推动围绕如何购买优质健康服务的全国性议程。
