North Carolina medical journal
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Since 2005, Piedmont Behavioral Healthcare (PBH) has operated North Carolina's only managed care Medicaid waiver program. Legislation was recently passed requiring that the waiver program be expanded statewide by January 2013. Experience with the PBH model suggests that this expansion can result in significant savings without compromising quality or access.
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This commentary explores transitions in care for people who have severe and persistent mental illnesses and reside in long-term care communities. Challenges and historical approaches as well as barriers to successful transitions are examined. Recent policy changes in North Carolina are discussed and contextualized in emerging evidence-based practices that emphasize intentional collaborative efforts.
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Community Care of North Carolina initiated efforts to improve care transitions for North Carolina Medicaid recipients in 2008. The transitions program is now statewide, serving more than 4,000 patients every month, virtually every North Carolina hospital, and more than 1,400 primary care practices. This commentary describes program components, early outcomes, and future challenges.