North Carolina State Health Plan Reinstates Blue Cross NC Amid Rising Costs
The North Carolina State Health Plan (SHP) has decided to reinstate Blue Cross Blue Shield NC as its third-party administrator starting January 2028. This decision comes after a previous switch to Aetna in December 2022. The SHP, which is the largest purchaser of medical and pharmaceutical services in North Carolina, covers nearly 750,000 individuals, including teachers, state employees, and retirees. The board has also approved new premium rates for 2027, with increases ranging from less than $2 to around $8 for individual coverage. The plan aims to address a looming $58 million financial gap by 2027, despite the premium increases. Additionally, the SHP has introduced a tiered network strategy to categorize healthcare providers, which is expected to offer lower costs for members using preferred providers like Novant Health and UNC Health.