State Health Plan OKs premium hikes, preferred providers

The North Carolina State Plan Board has approved significant changes to the State Health Plan, including increased premiums and the introduction of preferred provider hospital systems starting in 2027. These changes also include the appointment of a Third Party Administrator and a Pharmacy Benefit Manager for 2028, aimed at improving the plan and reducing costs for its nearly 750,000 members. While the board hopes these adjustments will lead to better services and financial sustainability, the premium hikes may pose a challenge for many plan participants. These changes underscore the ongoing efforts to balance cost-efficiency with quality healthcare for the state's largest health insurance plan.