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.

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.

In December, 2024, CMS approved a new 1115 waiver renewing funding and expansion opportunities for several programs, including the successful NC Healthy Opportunities Pilot, which uses Medicaid funds to provide social determinants of health interventions such as housing, food, transportation and other supports to Medicaid beneficiaries as a cost-savings measure to improve health outcomes and to prevent or manage chronic disease.

The Duke-Margolis Institute for Health Policy has just published a Community Fact Sheet summarizing the findings of their research paper exploring the design and implementation of, and lessons learned from, the delivery of housing support services via NC Medicaid's Healthy Opportunities Pilot as a way to reduce healthcare costs and improve health outcomes and quality of life for recipients.

The WNC Health Policy Initiative has held several listening and working sessions relating to the needs and challenges facing aging adults, children in the foster care system, and affordable housing. Bridge Meadows, a multigenerational housing community in Oregon, offers an example of how to build intersectional, supportive environments to address these and other such issues.

Identifying and implementing a long-term plan to create a sustainable, well-funded child care system in North Carolina is critical to avoiding the severe negative impacts that losing this critical infrastructure would create, and is a priority focus area for the WNC Health Policy Initiative.

The WNC Early Childhood Coalition, a key partner in the WNC HPI’s Early Childhood Education workgroup, has launched their Yes On Child Care campaign to boost awareness of these issues and to provide opportunities for engagement and advocacy.

A new initiative launched by the Mountain Area Health Education Center (MAHEC), co-host of the WNC Health Policy Initiative, offers an innovative housing solution for medical residents serving in rural Western North Carolina - purpose-built, energy-efficient tiny homes placed exactly where they’re needed most.

Across America, 41% of adults struggle with medical bills they cannot pay, a situation that comes with significant financial, emotional and even physical costs, including reduced access to necessary healthcare. On July 26th, 2024 North Carolina Governor Roy Cooper and the NC Department of Health and Human Services took a huge step toward alleviating that burden with the introduction of the Medical Debt Relief Incentive Program, which will eliminate medical debt for millions of Medicaid recipients and middle- and low-income residents across the state. 

Facing a dramatically shrinking healthcare workforce, Western North Carolina has identified innovative ways to support and expand the influence of a key role for increasing access among those most vulnerable and most often left behind - Community Health Workers.

North Carolina Community Health Worker Association President, Honey Yang Estrada talks about the role of Community Health Workers in increasing healthcare access, reducing healthcare workforce strain and improving public health at the community level.

Home to over 70 different languages and high levels of illiteracy, communication barriers in healthcare facilities make accessing healthcare difficult for a large portion of Western North Carolina.

To learn more about language access in our region, NCCHW's audio producer Andrew Rainey speaks with Buncombe County’s Language Access Coordinator, Aaron Vidaurri, the Health Access Programs Manager at the WNC Medical Society Interpreter Network, Rosalia McHattie, Dr Leah Karliner, professor of medicine at the University of CA, San Francisco, Maggie Woods and Gretchen Ramirez from NC’s Division of Broadband Access & Digital Equity, and co-founder of the Cenzotle Language Justice Cooperative, Monse Ramirez, in 'Part 3' of this WNC HPI podcast miniseries.

On May 30, 2024, the Department of Health and Human Services, through its Administration for Community Living, released its “Aging in the United States: A Strategic Framework for a National Plan on Aging” report, which “lays the groundwork for a coordinated effort…to create a national set of recommendations for advancing healthy aging and age-friendly communities that value and truly include older adults.”

Learn more about North Carolina efforts to address health-related social needs via Medicaid and CHIP that are paving the way for a new approach to preventive healthcare and chronic disease management via non-medical social interventions, and that could serve as models for other states and Medicaid programs interested in exploring ways to address health-related social needs.

Despite substantial healthcare spending, chronic illnesses remain the biggest threat to premature death and disability, particularly among working-aged individuals. These trends undermine our economy and threaten long-term fiscal and economic well-being in our region, state, and nation. In response, the 2024 WNC Legislative Caucus is committed to addressing three pressing healthcare policy issues: Social Care Delivery Systems, NC Medicaid Expansion, and Workforce Development.

Social drivers or social determinants of health are the nonmedical conditions and experiences that help contribute to a person's whole wellbeing. In this episode of the HPI podcast, we’ll be learning about the Healthy Opportunities Pilot, a program that uses Medicaid funds to address critical housing, food security, transportation, safety needs of qualifying individuals. Expected to be expanded in November of 2024, this pilot represents a new direction for healthcare funding in N.C. and may influence health policy nationwide.

Home to over 70 different languages and high levels of illiteracy, communication barriers in healthcare facilities make accessing healthcare difficult for a large portion of Western North Carolina.

To learn more about language access in our region, NCCHW's audio producer Andrew Rainey speaks with Buncombe County’s Language Access Coordinator, Aaron Vidaurri, the Health Access Programs Manager at the WNC Medical Society Interpreter Network, Rosalia McHattie, and co-founder of the Cenzotle Language Justice Cooperative, Monse Ramirez, in 'Part 2' of this WNC HPI podcast miniseries.

Despite substantial healthcare spending, chronic illnesses remain the biggest threat to premature death and disability, particularly among working-aged individuals. These trends undermine our economy and threaten long-term fiscal and economic well-being in our region, state, and nation. In response, the 2024 WNC Legislative Caucus is committed to addressing three pressing healthcare policy issues: Social Care Delivery Systems, NC Medicaid Expansion, and Workforce Development.

Home to over 70 different languages and high levels of illiteracy, communication barriers in healthcare facilities make accessing healthcare difficult for a large portion of Western North Carolina.

To learn more about language access in our region, NCCHW's audio producer Andrew Rainey speaks with Buncombe County’s Language Access Coordinator, Aaron Vidaurri, the Health Access Programs Manager at the WNC Medical Society Interpreter Network, Rosalia McHattie, and co-founder of the Cenzotle Language Justice Cooperative, Monse Ramirez, in 'Part 1' of this WNC HPI podcast miniseries.