The Healthy Opportunities Pilot (HOP) is a groundbreaking pilot program that will work in conjunction with the state’s transition to NC Medicaid Managed Care to test and evaluate the use of Medicaid to pay for a select set of evidence-based interventions designed to address non-medical factors that drive health outcomes and costs. North Carolina’s Healthy Opportunities Pilot is the nation’s first comprehensive program to test and evaluate the impact of providing these select evidence-based, non-medical interventions related to housing, food, transportation and interpersonal safety and toxic stress to high-needs Medicaid enrollees.
Access East is 1 of 3 Network Leads on the Pilot, covering the Northeastern North Carolina Region. This region consists of the following 9 counties: Beaufort, Bertie, Chowan, Edgecombe, Halifax, Hertfort, Martin, Northampton and Pitt County. Access East has partnered with Community Based Organizations (CBOs) or Human Service Organizations (HSOs) in each of these counties to provide HOP services.
Evaluate the effectiveness of select, evidence-based, non-medical interventions and the role of the Healthy Opportunities Network Lead in improving health outcomes and reducing health care costs for high-risk NC Medicaid Managed Care members
Leverage evaluation findings to embed cost-effective interventions that improve health outcomes into the Medicaid program statewide, furthering NCDHHS’ goals for a sustainable Medicaid program.
Support the sustainability of delivering non-medical services identified as effective through the evaluation, including by strengthening capabilities of HSOs and partnerships with health care payers and providers