Policy Documents

Lessons Learned: How the Partnership for a Healthy North Carolina Avoids Kentucky’s Medicaid Reform Mistakes

Jonathan Ingram, and Katherine Restrepo –
July 15, 2013

In this document from the John Locke Foundation, the authors argue that in 2011, Kentucky transitioned to a statewide Medicaid managed care program. Unfortunately, an ill conceived implementation timeline and the absence of key provisions resulted in several complications for patients, providers, and policymakers. This report examines these and other mistakes that left Kentucky with a botched Medicaid reform. It also explains the strategies and provisions included in the Partnership for a Healthy North Carolina that help to ensure North Carolina’s patient-centered Medicaid reform does not replicate Kentucky’s failings.