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Published: 2008-07-24 13:12:00
Updated: 2008-07-24 13:12:00

Auditor to review State Health Plan finances


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State Auditor Les Merritt said Thursday his office would conduct a performance audit of the state employee health insurance plan, which experienced a financial meltdown in recent months.

Lawmakers thought the State Health Plan had a $50 million surplus until learning last month that it actually had a $65 million shortfall. Analysts have projected a $250 million deficit within a year.

“This audit was prompted by the $115,000,000 disparity between the initial forecast and the current projection and will focus on oversight and financial forecasting” Merritt said in a statement.

The State Auditor's Office has received numerous phone calls requesting an audit of the plan, he said.

The State Health Plan provides medical insurance for almost 650,000 state workers, public school teachers and retirees. It also administers N.C. Health Choice, which provides coverage for 122,000 uninsured children statewide.

Lawmakers blamed a combination of rising health care costs, mismanagement and poorly founded projections for souring the health plan's finances so quickly. They had suggested making state employees pick up some of the tab for the deficit through higher co-pays, but they backed off that proposal after intense lobbying from state workers and public school teachers.

The plan's administrator was fired early this month because the plan failed to meet its fiscal goals.


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spartanpirate - It is always nice to communicate with fools. Administers can in fact hold a lot of meanings. Maybe you need to find a dictionary or get some common sense and manners. For your apparent needed edification, here is one meaning "dole out some money" Is that plane enough for you oh arrogant one.

After reading the comments about the insurance issue, it makes you wonder who looking out for who? We've often heard that if you don't look after your self nobody will. We entrust ourselves to the state of NC. Everyone knows whats to come. Another rate increase, but to who. If you want any type of insurance you have to pay the cost. By the way who's cost is it and how can a country similar to the US pay Health insurance for everyone? Make you wonder. State employee's you can be thankful for the raise, but don"t exspect to see it for several years.

What is more interesting here is the lack of information about the whole problem. What service areas in the plan have increased? Could there be fraud and abuse in the bililngs by some medical providers? Are some of the negotiated rates with medical providers too high? Is anyone looking at the paid claims data and trying to manage this? Seems like all I read or hear from the news media is the report of the shortfall and no investigative reporting into where the problem originates.

I think the real solution is pretty simple, use the health plan to reward people for living a healthier life. In my opinion way too many State Employees live unhealthy lifestyles and it ends up driving the cost of insurance up. If you’re a smoker or overweight you should have to pay a higher premium than a non smoker or someone who stays in shape. Once they stop smoking or get in better physical shape the premium should go down. It’s the people who don’t care about their health in the first place who cause most of the problem.

Programmers occasionally see an error called "check sum". In this case I think the auditors need to "check sum" POCKETS!

Had enough yet Noth Calina?

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