Message from the CEO - July 2019

Cardinal Innovations Healthcare — July 10, 2019
I hope everyone is having a great summer so far. While this season brings vacations with family and friends, it is also an extremely busy time. Our fiscal year came to an end on June 30 and a new one began the following day. As I’ve shared with you several times over the last few months, Cardinal set some lofty goals this fiscal year, and we did a lot of work to improve our organizational practices and processes to make sure we are focusing on members and providers, are better understanding our communities, and are engaging meaningfully with our internal teams. I think we made great progress – and one area that I believe you will see an immediate impact is our new Regional Health Council Model.
When we set out to better understand how our communities want to interact with us, we quickly learned that while we were attending a lot of meetings together, those meetings weren’t producing the kind of local action and results our stakeholders wanted to see. We also didn’t have a clear path for our local Community Boards to directly advise our Board of Directors, and we needed to find a way to improve communication and more directly impact gaps in care.
We began discussing a community governance model that has worked in other parts of the country with our Board, and together, we set out to create a new governance structure that gives each community a more powerful voice, improves two-way communication, and streamlines all of our processes. From February to May, Anna Marshall and her team discussed this proposed model with community groups throughout our 20 counties, reaching 683 stakeholders through more than 60 presentations. Through these discussions, we received positive feedback and good suggestions on how to successfully implement the new model. The Board gave final and formal approval to move forward with the Regional Health Council Model at their June meeting, and we are now in the process of developing a charter and membership proposal. You can learn about the model at this link. If you’d like to know more or get involved, please contact King Jones, our Director of Community Health and Wellness at
As the old fiscal year ends and the new one begins, there is change taking place at the state level as North Carolina continues to move forward with Medicaid Transformation. This week, my team and I are hosting town hall sessions in Granville and Alamance Counties, speaking with providers, members and community leaders about the transformation process, sharing what we know, and how we are getting ready to operate as a Tailored Plan. We are fielding lots of great questions that we hope to soon have answers for. We will be in Mecklenburg County next week and in the Triad the following week – we’d love for you to join us if you’d like – you can access details and registration information here.
Speaking of Medicaid Transformation, open enrollment for Medicaid Standard Plans - which are the Medicaid plans for the management of physical and mild/moderate behavioral health benefits – began in 27 counties this week. Many of our members may receive an enrollment package and we encourage you to reach out and ask questions. You can reach out to us 24/7 at 800-939-5911, contact your provider, or call the statewide enrollment broker at 833-870-5500. Your voice and choice are important, and we want to do everything we can to help you get the best, most accurate information for your family.
I hope to see you out in the community soon.

Trey Sutten, CEO

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