Payer Contracting Committee

The Payer Contracting Committee was established to support NCMGMA members in navigating payer contracting arrangements. The committee has three primary goals:

• Support members and payers in developing sustainable, collaborative relationships. 
• Increase member awareness of key considerations relative to our state's payer contracting landscape. 
• Serve as a resource for members in addressing overarching payer contracting issues.

The committee will not be working on any direct contract negotiations or language issues but instead will serve in an advisory role. Our goal is to offer support through investing in payer/provider relationships through this committee.

Payer Resources

The Payer Contracting Committee has created payer resource "quick references guides" for members to access.  They contain high level key information about payers that have liaison relationships with the committee. 

Quick Reference Guides

• Aetna Payer Profile
• AmeriHealth Caritas NC Payer Profile
• BlueCross BlueShield NC Payer Profile
• Carolina Complete Health Payer Profile
• Cigna and Cigna Health Springs NC Payer Profile
• Healthy Blue Payer Profile
• Obtain Payer Fee Schedules
• UnitedHealthcare Payer Profile
• WellCare NC Payer Profile

We hope this is helpful and if you have suggestions for additional payers please email Doral Jacobsen, NCMGMA Payer Committee Chair, at [email protected].

Medicare Committee

The Medicare Committee monitors and informs members of issues regarding Medicare, the federal health insurance program for: People who are 65 or older; Certain younger people with disabilities; and People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).

Committee Chair

Doral Jacobsen
Prosper Beyond - BCBS Medicaid

Payer Contracting Committee Members

Committee Chair

Doral Jacobsen
Prosper Beyond - BCBS Medicaid

Committee Members

Colleen Aitken
Gastroenterology Associates of the Piedmont, PA - CIGNA

Michael Buncher
Hendersonville Pediatrics, PA - Amerihealth Caritas

David Greene
Eagle Physicians & Associates, PA - United Healthcare

Michelle Preece
Unifour Family Practice