House Republicans are moving forward on a Medicaid overhaul road map that's got the support of Gov. Pat McCrory's administration and at least one key medical group. They'll still have to persuade senators to support the plan.
The House Health and Human Services Committee approved Thursday a plan to replace the current model in which hospital and doctors are paid for each service they perform. Instead, medical providers would assemble networks and receive a fixed amount for each patient they treat to control Medicaid costs. The overhaul would be largely developed by 2020.
Senate Republicans rejected an earlier plan pushed by McCrory. Senate leader Phil Berger says the House idea is an improvement but still doesn't want the governor's Department of Health and Human Services to lead the reform effort.