Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Behavioral Health topic
No spam. Unsubscribe anytime.
Alliance Health reports Medicaid shift, proposes county funding for youth peer support and school-based care coordination
Summary
Alliance Health told commissioners Medicaid expansion raised the share of Medicaid-covered users at the Durham Recovery Center from about 17% to 41%; Alliance proposed reallocating county contract dollars into one‑time and ongoing investments including peer-support pilots, school-based care coordination, and expanded Latino/Hispanic services.
Alliance Health executives updated the board on utilization and funding changes tied to Medicaid expansion and outlined a proposal for shifting county funding. Kelly Goodfellow, Alliance chief financial officer, and Sean Schreiber, COO, reported that Alliance now covers thousands of Durham Medicaid-eligible members and that the proportion of people with Medicaid using the Durham Recovery Center rose to 41% in the first six months after expansion, up from about 17% previously.
The Alliance team proposed three funding categories using available county contract dollars: one‑time county investments for start-ups of programs; combinations of one‑time county dollars and ongoing Alliance/state or Medicaid funding to seed services; and ongoing county funding for services that remain county responsibilities. Proposed investments highlighted peer-support pilots for teens and young adults, a school-based care coordination team modeled on other counties' efforts, and expanded support for El Futuro’s culturally specific services. Commissioners asked how budget timing and state shifts would affect long‑term sustainability, and Alliance said staff would work with county budget staff and return with recommendations and quarterly updates.
