Doctors, rather than out-of-state corporations, should take the lead in carrying out Medicaid reform in North Carolina, a state medical care commission reported recently. The General Assembly is looking at ways to rein in costs for covering low-income children, parents and disabled adults. Two proposals are on the table: One of which relies on accountable care organizations run by physicians (ACOs) and another that allows for-profit managed care organizations (MCOs) to compete. The bipartisan N.C. Medical Care Commission, with members appointed by current Republican Gov. Pat McCrory and earlier Democratic governors, sided with the first approach. Members include Charlotte dentist Paul McGill and Mary Piepenbring, vice president for health care of the Charlotte-based Duke Endowment.
