North Carolina Medicaid Reports Better Health Outcomes & $164 PMPM Lower Medicaid Costs From Healthy Opportunities Pilots

North Carolina's Healthy Opportunities Pilots (HOP) program reduced Medicaid health care costs by an average of $164 per member per month (PMPM) for the 31,597 people enrolled in the program, according to the results of a multi-year evaluation. That savings figure is net of both the cost of services delivered and the administrative overhead required to run the program, according to the North Carolina Department of Health and Human Services (DHHS).

While costs increased in the early months after the HOP program launched on March 15, 2022, savings grew steadily over time. The state believes the HOP . . .