Access East Medicaid Care Management – Who We Are

Who We Are

In Brief:

Access East Medicaid Care Management is comprised of three care-management teams providing coordinated, physician-driven, cost-effective care to more than 190,000 Medicaid enrollees across 27 eastern North Carolina counties — and in tandem with our partners at Vidant Health, we also serve 40,000 Medicare beneficiaries, and a total of 29 counties — through a network of patient-centered medical homes ...

We are, in essence, a relatively small organization doing a very big job across a very big area.

The Broader Picture:

Access East Medicaid Care Management is the largest service line in the not-for-profit Access East family, and home to one of the most devoted groups of nurse care managers, social workers, patient advocates, pharmacists, and support staff you’ll find anywhere.

Our three care-management teams coordinate care for more than 190,000 North Carolina Medicaid enrollees across an area stretching to the west from the base of the piedmont on out to much of the coast, and from the Virginia border to the north down to a few counties shy of the South Carolina line. In total, Access East works with patients and medical practices across 29 Eastern North Carolina (ENC) counties, most with large low-income populations and long-standing issues with access to care, and in coordination with our Vidant Health partners, we also serve Medicare beneficiaries across a full 29 ENC counties.

We follow a team-based medical home approach to care, working in close collaboration with regional primary-care providers, hospitals, health and social services departments, and other community-based organizations to deliver comprehensive, continuous, targeted care-management services, We have a proven track record not only in improving quality of care and health-outcomes, but also in managing resources efficiently, and ultimately holding down costs.

In practical terms, our work includes everything from hospital visits with patients to begin their transitions home, joint visits with physicians in medical practices, home visits, follow-up phone calls, education efforts tailored to patients’ own circumstances, medication management, goal setting and countless other support services.

Sometimes, our care-coordination can even be as simple as making sure a patient has the means of getting to a scheduled medical appointment, not only keeping that patient on a path to health-improvement, but often curtailing the future need for a costly emergency-room visit, or an even costlier hospital admission.