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VIA/BioHealth updates Avery County on Taylor Plan membership, service volumes and budget uncertainty
Summary
A BioHealth representative briefed the Avery County commissioners on the Taylor Plan (managed care), local membership counts, provider volumes and pending state budget changes that could reduce service funding.
A representative from BioHealth (the managed-care organization operating as the Taylor Plan) presented data to the Avery County Board of Commissioners outlining local membership levels, provider volumes and potential funding impacts from the North Carolina General Assembly budget negotiations.
BioHealth reported that as of mid-June Avery County had 683 members enrolled in Medicaid Direct services and 312 individuals served under the Taylor Plan, for a combined total of 995 members in the county. The presenter said Daymark is the primary comprehensive provider in the area and that Daymark receives the county’s state-directed fund to provide services to residents who seek care.
The presenter briefed commissioners on several programmatic points: the Healthy Opportunities Pilot (HOP) funding ceased on July 1 and the future of that pilot is uncertain; no new Innovations waiver slots (for individuals with intellectual or developmental disabilities) were proposed in the current budget, though TBI (traumatic brain injury) waiver slots were proposed for expansion; and proposed budget cuts at the state level could reduce BioHealth’s statewide service-dollar allocations (the presenter cited a hypothetical $30 million senate reduction versus a $15 million house reduction, which would have local consequences for service dollars).
The presentation included program-volume details: the largest behavioral-health service type by volume was outpatient individual therapy followed by tailored care management; the largest physical-health visits were to primary care physicians with outpatient hospital services second. The presenter said Daymark was the largest single provider seen by members in Avery County.
Commissioners asked no substantive follow-up questions in the transcript excerpt. The presenter encouraged county officials to direct any residents with recovery or post-hurricane needs to BioHealth’s coordinated resources and a “Hope for NC” grant team that has been working with affected counties.
Ending: The briefing was informational; commissioners accepted the presentation and proceeded to the next agenda items.
