NC Flashcards

1
Q

NC Region 1 Metro Area

A

Asheville (border w/ Tennessee, South Carolina, Georgia)

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2
Q

NC Region 2 Metro Area

A

Winston Salem (border w/ Virginia, lesser extent Tennessee)

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3
Q

NC Region 3 Metro Area

A

Charlotte (border w/ South Carolina)

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4
Q

NC Region 4 Metro Area

A

Raleigh Durham (border w/ Virginia)

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5
Q

NC Region 5 Metro Area

A

Wilmington/Fayetville (South Carolina)

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6
Q

NC Region 6 Metro Area

A

Greenville/New Bern/Nag’s Head (border w/ Virginia)

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7
Q

NC Region 1- Major Health Systems

A

Mission

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8
Q

NC Region 2- Major Health Systems

A

Atrium (Wake Forest Baptist)
Novant (Forsyth Memorial)
Cone Health

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9
Q

NC Region 3- Major Health Systems

A

Atrium (Hospitals in Charlotte, Concord, Shelby)
Novant (Presbyterian Medical in Charlotte)
Caromont Health (hospital in Gastonia)
Catawba Valley Medical

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10
Q

NC Region 4- Major Health Systems

A

Duke
UNC
WakeMed
Cone Health
Nash General

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11
Q

NC Region 5- Major Health Systems

A

Novant
Cape Fear Valley
FirstHealth

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12
Q

NC Region 6- Major Health Systems

A

ECU
CarolinaEast Health System
Nash General

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13
Q

List the 4 Network Win Themes for NC

A

BH Integration and Innovation,
Workforce Development,
Whole Person Care
Health Equity/SDOH

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14
Q

Managed Care start date

A

July 2021

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15
Q

5 Incumbants

A

Healthy Blue (546,982)
Wellcare (443,636)
United (422,443)
Amerihealth (361,141)
Carolina Complete (257,299)

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16
Q

NCCARE 360

A

Prior Auth platform used for entire medicaid market. Launched March 2022