NC S568

Transforms North Carolina's health care purchasing from fee-for-service to value-based system with goals including budget predictability, cost savings through improved population health, and market-driven beneficiary choice.

Establishes Primary Care Medical Homes (PCMHs) as foundational providers receiving periodic payments for defined services, and At-Risk Provider-Led Organizations (ARPLOs) as capitated health plans administered by provider-led Accountable Care Organizations.

Directs Department of Health and Human Services to develop detailed implementation plan by April 15, 2015, including proposed federal waivers, legislation, cost estimates, savings projections, and quality metrics for Medicaid reform.

Creates Joint Legislative Oversight Committee on Primary Care and Medical Benefits with 14 members (7 from each chamber) to examine budgeting, financing, and operational issues related to primary care purchasing reform and monitor effectiveness of health plans.

Requires consolidation of LME/MCOs to 4-6 regional entities effective January 1, 2017, with surviving entities designated by October 1, 2015, based on waiver experience, performance, counties served, and merger history.