About Us
Partnership for Health Management(P4HM) developed the model under the leadership of physician champion, Dr. Marian Earls, a Developmental and Behavioral Pediatrician. Since that time it has been replicated throughout the state and in 2004 "ABCD" was endorsed by the CCNC clinical directors as a statewide initiative. Lessons learned from the pilot have come to shape changes in NC's Medicaid policy. A formal, standardized developmental screening tool is now required at the following well child (EPSDT) visits: 6 months, 12 months, 18 or 24 months, 36 months, 48 and 60 months. The service must also be identified on the claim with a separate procedure code.
Partnership for Health Management is a non-profit organization comprised of: Primary Care Providers, Hospitals/Health Care Systems, County Health Departments and County Departments of Social Services. We are charged with improving the health outcomes and reducing the care costs of the Carolina Access Medicaid and NC Health Choice populations in Guilford, Rockingham and Randolph Counties. We are one of 15 similar networks participating in the statewide Medicaid quality improvement strategy called Community Care of North Carolina (CCNC). In addition to serving NC Health Choice and Carolina Access Medicaid populations, we help uninsured patients in Guilford County access medical care via Project Access of Guilford County.
Our Purpose
Identifying and minimizing barriers to healthcare. Helping primary care providers in our network to better utilize evidence-based disease state management guidelines. Providing Case management services to patients to reinforce what their provider's treatment plan and to better manage their chronic conditions.
Our Results
Audits indicated that our member practices are improving their use of national, evidence based treatment guidelines, and case managers are helping patients better manage their chronic diseases. The results are improved quality of care, better patient health outcomes, and reduced care costs. Statewide, the Community Care of North Carolina Program saved North Carolina taxpayers more than $231 million in state fiscal years 2005 and 2006 and won the top award for government programs, the 2007 Innovations in American Government Award from Harvard University.
