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NC State Health Plan Seeks New Vendor

NC State Health Plan Seeks New Vendor

Raleigh News Today | 2 Min News | The Daily News Now! · The Daily News Now!

March 12, 20261m 43s

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Show Notes

North Carolinas State Health Plan to Overhaul Health Coverage: A New Vendor to be Selected

After a two-year stint with Aetna, North Carolinas State Health Plan is set to make significant changes in its health coverage. The plan will issue a request for proposals in late March for a new vendor to take over starting January 1, 2028, skipping an optional two-year extension with Aetna. The move aims to find a contract that better suits the plans priorities. Aetna, the current administrator, remains proud of its service and cost control in a pricey market. The switch from longtime administrator Blue Cross, which was challenged but upheld by a judge, has seen new treasurer Brad Briner tackle money woes through premium hikes, plan design tweaks, and cost-transparent providers. The plan also issued a request for proposals for pharmacy benefits management last month, with details currently under wraps. The goal is to find partners that align incentives for members, providers, and the plan itself, aiming for better health outcomes, smoother experiences, and long-term financial stability.

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