State Health Plan Reinstates Blue Cross NC as Administrator, Aims for Cost Savings
The Board of Trustees for the State Health Plan (SHP) in North Carolina 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, which was a controversial move by the then-Treasurer Dale Folwell. The new contract with Blue Cross NC, which also includes the role of Pharmacy Benefit Manager, is set to run through December 2031, with options for renewal. The SHP covers nearly 750,000 individuals, including teachers, state employees, and retirees. The board also approved preferred provider contracts with Novant Health and UNC Health, effective January 1, 2027, and set premium rates for 2027. The decision is part of a broader strategy to reduce healthcare costs and improve access to high-quality care.