Thanks to predicted funding cuts in NC’s Medicaid rebase, NC DHHS implemented a series of sweeping cuts to adjust for the shortfall. Under the announced plan, nearly all Medicaid providers will face rate reductions of 3 percent to 8 percent, while some categories — including nursing homes, hospitals, psychiatric residential treatment facilities and certain ambulatory services — will see steeper cuts of up to 10 percent. 

The reductions will affect services across the board, from personal care and home health to outpatient therapy and hospital care.

Join us as we continue our exploration of the WNC Health Policy Initiative's collaborative study, “Lessons Learned from the Healthcare Response to Hurricane Helene” with researchers Alex Mitchell and Soni Pitts as they examine how healthcare leaders in Western North Carolina responded to the crisis.

In this episode, we’re taking a closer look at how this research study was developed, including the study’s design, the methods used to collect data, and the process by which researchers sought to answer questions about healthcare system readiness, communication, and coordination during the hurricane response to inform rural disaster preparedness and public health practice. 

Health policy doesn’t happen in a vacuum—it’s the product of political negotiation, lobbying, legislation and often a delicate balance of regional interests. On a recent episode of the WNC Health Policy Initiative Podcast, we had the opportunity to sit down with Jackson County’s own Dr. Chris Cooper, Robert Lee Madison Distinguished Professor and Director of the Haire Institute for Public Policy Western Carolina University at Western Carolina University, and author of Anatomy of a Purple State, to take a deeper look at the dynamics shaping health policy in North Carolina today. In this article, we explore the current background and landscape of health policy in North Carolina touched on by Dr. Cooper, as well as review some of the relevant legislation coming up on the NC General Assembly’s consideration in the coming months.

In this episode of the WNC Health Policy Initiative Podcast, we sit down with Dr. Chris Cooper, distinguished political scientist from Western Carolina University, to unpack the forces shaping health policy in North Carolina. From the role of lobbying and interest groups to the legislative process behind health-related bills currently on the table, Dr. Cooper offers a look into how policy is made, and offers insights into how you can effectively advocate for the issues that matter most.

On September 15, 2025, CMS released a Notice of Funding Opportunity (NOFO) for the Rural Health Transformation Program outlining key requirements, deadlines, and criteria that states will need to apply for this funding, which is intended to support improvements to rural healthcare systems as well as health outcomes in rural areas. In this article, we share key takeaways from this announcement.

On July 4, 2025, Donald Trump signed the “One Big Beautiful Bill Act,” or H.R.1, into law. The funding cuts and policy changes embedded in this sweeping legislation could reshape healthcare access across Western North Carolina. Join us as we sit down with Katie Alexander and Ali Houghton from Pisgah Legal Services to discuss this controversial piece of federal legislation and gain insight into what it could mean for healthcare access in WNC.

On July 4, 2025, Donald Trump signed the “One Big Beautiful Bill Act,” or H.R.1, into law. The funding cuts and policy changes embedded in this sweeping legislation could reshape healthcare access across Western North Carolina. WNC HPI sat down with Katie Alexander and Ali Houghton from Pisgah Legal Services to discuss this controversial piece of federal legislation and gain insight into what it could mean for healthcare access in WNC.

Announcing the release of the WNC Health Policy Initiative 2024-2025 Impact Report. Download the report to see highlights of the policy work that our Western North Carolina health and healthcare leadership partners have done together over the past year, and the impacts and outcomes that work has generated.

A year after the storm, the WNC Health Policy Initiative, in partnership with the NC Center for Health and Wellness, has launched a study to explore how health system leaders navigated the challenges of Hurricane Helene: what worked, what didn’t, and what must change to strengthen our regional response in future crises. Through interviews and qualitative research, the team is gathering critical insights to shape smarter, more resilient practices for health organizations, communities, and governments across WNC. In this episode, our research team shares how this study was developed, why it matters, and what they hope to achieve.

The Western North Carolina Health Policy Initiative (HPI) has launched a new podcast series that takes a deep dive into a new WNC HPI research project exploring what we can learn about our region’s healthcare response in the days and weeks following Hurricane Helene’s devastating landfall across Western North Carolina on the evening of Sept 27, 2024.

This project is one of 21 Helene-focused research efforts supported by the North Carolina Collaboratory, and is driven by team members from across the North Carolina Center for Health & Wellness (NCCHW) and UNC Asheville’s Health Sciences department who are working to capture this critical piece of our region’s recent history.

In this episode, UNCA student intern Emma Hoosier shares her perspective on the healthcare workforce shortage in Western North Carolina. Through her internship experience, she reflects on conversations with local providers and community members about the challenges facing the region — and the potential solutions emerging from local insights, state initiatives, and national policy discussions. She also shares her own path to becoming an intern with the NCCHW, offering a glimpse into how other students in WNC can get involved in public health efforts across the mountains.

On September 26 Hurricane Helene tore through Western North Carolina, destroying homes, businesses, roads, and entire towns. Recovery has been ongoing in intervening months, but there are still years - perhaps decades - of recovery ahead of the region.

Policymakers and communities in Western North Carolina need to think and plan strategically when it comes to restoring housing in a fair and equitable way across a region already struggling with wage, housing and resource disparities. In today’s podcast, we hear from Andreanecia M. Morris, New Orleans housing advocate and Executive Director for HousingNOLA, about what Western North Carolina can learn from the lessons of communities who’ve fought hard to come back from similar disasters, such as Hurricane Katrina, to ensure that our region is able to truly “build back better” by creating a housing environment that is WNC Strong, both for the immediate future and in perpetuity.

In this series, the Western North Carolina Health Policy Initiative podcast explores the Healthy Opportunities Pilot program from a few perspectives to help educate our listeners and policymakers about what's on the table in light of state budget cuts to the program. In this installment, we hear about the impact of the HOP from the perspectives of the WNC network lead, a participating HSO, and two families with children enrolled.

This summer, North Carolina's House and Senate will be working to finalize our biennial budget on June 30th, beginning July 1st, 2025 and covering the next two fiscal years. Inside this budget is the fate of what's known as an Innovative Pilot Program across three regions, including Western North Carolina: the Healthy Opportunities Pilot, a program that uses Medicaid funding to address some upstream health issues like food access, transportation, housing, and interpersonal violence. By addressing these root issues, the program hopes to both improve health outcomes for North Carolinians, saving them and the state money. In this short series of the Western North Carolina Health Policy Initiative podcast, we'll be taking a look at this pilot program from a few perspectives to help educate our listeners and policymakers about what's on the table. Today we'll look at an evaluation of HOP to better understand how the program is working and its impact on the state's bottom line.

On May 1, 2025, North Carolina Governor Josh Stein officially proclaimed May as Mental Health Awareness Month. Mental health is a critical issue for Western North Carolina, with 11% of respondents to regional health assessment surveys report having considered suicide in past year, up from 7% in 2021, and 20% report being unable to access needed mental health services. In the wake of Hurricane Helene, greater resources, awareness, programs, and policy supports are needed to support the mental health of all Western North Carolinians.

On April 29th, U.S. Senator Bernie Sanders (I-VT), U.S. Representatives Debbie Dingell (MI-06) and Pramila Jayapal (WA-07) introduced the Medicare for All Act of 2025 to the US Congress. This legislation would provide comprehensive Medicare coverage to every American with no premiums, no co-payments and no deductibles, and would expand Medicare to include dental, hearing, and vision care. Estimates indicate that a Medicare for All system could save $650 billion and 68,000 lives every year.

On Friday, March 14th, 2025, the WNC Health Policy Initiative (a project of the NC Center for Health and Wellness at UNC Asheville), in partnership with the WNC Early Childhood Coalition, YMCA of WNC, and Verner Center for Early Learning, hosted a legislative summit on the University’s campus to highlight the importance of developing long-term, sustainable investments and solutions in childcare, both for our region and across the state.

On March 10th, North Carolina Governor Josh Stein announced an executive order establishing a new Task Force for Child Care and Early Education “to identify strengths and gaps in the current system, recommend key public and private investment in child care infrastructure, and work to recruit and retain a strong child care workforce.”

CaroNova and partners have announced the development of a major effort to ensure youth across North Carolina have increased access to the behavioral health services they need. Changing Minds: The North Carolina Youth Behavioral Health Action Plan will bring together state leaders, subject matter experts, philanthropic funders, and other stakeholders to develop a comprehensive plan that more effectively delivers youth mental health services. On Monday, March 10, 2025, CaroNova along with partners outlined how this action plan will be developed.

A new study recently published in the Journal of the American Medical Association demonstrates that Medicaid beneficiaries enrolled in NC’s Healthy Opportunities Pilot (HOP) showed an overall decrease in Medicaid spending compared to non-HOP enrollees and reduced utilization of emergency services - all indicators that correlate to improved health outcomes.