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.

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.

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.

North Carolina’s population is rapidly aging. By 2028, 1 in 5 residents will be over age 65, and by 2038 most North Carolina counties will have more residents aged 60+ than those under age 18. This signifies major changes in the health care needs of our state for which families, communities, medical providers, and policymakers must prepare.

A new report, A Place to Thrive: Creating Opportunities to Age Well in North Carolina, from the North Carolina Institute of Medicine’s Task Force on Healthy Aging recommends 30 actionable strategies for improving social connections, falls prevention, food and nutrition security, and mobility to support healthy aging for all North Carolinians. 

North Carolina’s Healthy Opportunities Pilot - an innovative program designed to use Medicaid funds to improve health outcomes and reduce healthcare costs by addressing social determinants of health - is making the news…and making a difference.

A lack of reliable access to a sufficient quantity of affordable, nutritious food can have significant impacts on health and wellbeing. And this is especially true when it comes to children who need a steady intake of nutritious food to grow healthy bodies and develop healthy minds.

In North Carolina, however, one in six children are food insecure, and over 1.6 million North Carolinians live in a food desert - areas where healthy foods are not accessible. And since 2012, the number of food deserts in NC has only increased.

In this installment of the HPI Podcast, we speak with Marianne Weant and Alecia Sanders of the NCAH about food insecurity, the School Meals for All Campaign, and what we learned from implementing a similar program in NC during COVID, along with the political challenges and both state and local considerations for a more permanent implementation of this program.

Social determinants of health (such as access to housing, transportation, social support, food security, financial and economic stability, etc.) have a significant impact on health, function, and quality of life, and this is especially true as we grow older. Check out the Office of Disease Prevention and Health Promotion’s new resource designed to help individuals and organizations improve SDOH and support older adults’ health and well-being.