When it comes to health care value, North Carolina’s got it backwards.
While North Carolina’s health care costs continue to skyrocket, the state’s outcomes remain far below average. In 2019, North Carolina was ranked 36th in America’s Health Rankings—dropping three spots since 2018. This is unacceptable. The NC Chamber is committed to improving our state’s overall competitiveness, and the health of our populace, by pushing for a value-driven model health care delivery.
The Current Challenge
As the number one payers of health care, be it through premiums, self-insuring or state and federal taxes, job creators have the power to improve value and lead transformative change. However, the road to value-driven health is winding and complex; the process requires commitment from stakeholders across the health care supply chain, and deliberate action by employers to demand that their health care data be treated as a common good. This is key if North Carolina is to become a top-ten state for health care value.
Value-driven health care: In 2018, the NC Chamber Foundation commissioned the study The Roadmap to Value-Driven Health: Benchmarking Study Results and Implications for North Carolina. The study benchmarks initiatives in states and regions that are successfully driving health care value, while also outlining possible next steps for North Carolina to do the same.
Acting as a convener, the NC Chamber has brought together job creators, providers, insurers and manufacturers. Now, job creators must take the reins. As home to RTP, leading research institutions, world-class data analytic and warehousing companies, a dominant insurance carrier, and some of the nation’s top medical systems and pharmaceutical manufacturers, North Carolina has every resource needed to drive change. The question is, does our state have the will to bring value-driven health care to life?
NC PPE Supply Chain: In the beginning of the COVID-19 pandemic, health care providers and the general public were faced with an immediate short supply of Personal Protective Equipment (PPE). As supply and demand settled, it became clear that the country needed a more readily available resource of tools and materials. Supply chain disruptions were common in myriad industries but none more critical than PPE. North Carolina’s rich history of textiles, manufacturing and technology make it a natural fit to become a leader in PPE production. The NC Chamber Foundation, partnering with EDPNC, is leading the effort to identify our assets, quantify our gaps, and build a fully functioning PPE supply chain that will exist for decades to come.
Association Health Plans: Additionally, association health plans (AHPs) could be instrumental in advancing health care value. If done right, AHPs could be an effective tool used to offer more affordable, high-quality health care options for North Carolinians. In 2019, the NC Chamber commissioned a feasibility study to better understand what an AHP could look like in the state. The study included several recommendations, which included a two-pronged strategy that allowed, in part, for employers with 50 employees or less to participate in a plan. You can find the executive summary of that study here.