b'MANAGED MEDICAID AND MEDICAID EXPANSIONOn July 1, 2021, the State of North Carolina moved the North Carolina Medicaid program from a fee-for-service reimbursement system to a system in which insurance companies manage the care provided to Medicaid patients. Cone Health is in-network with all five Medicaid managed care insurance companies, and Cone Health Medical Group (CHMG) values the opportunity to provide better care management for our patients.To help address detected health issues for our Medicaid patients, CHMG has established quality metrics for managed Medicaid populations and published them in Cone Healths quality dashboard. The Cone Health population health team, in partnership with primary care and pediatric leaders, continues to attribute each managed Medicaid patient to a Cone Health provider and inform the Medicaid payers. To show the high-quality care we provide to our Medicaid patients, we continue to refine our data exchange and share supplemental data with the Medicaid managed care payers.With Medicaid expansion effective December 1, 2023, Cone Health Medical Group is excited about the future health of the 600,000 people in North Carolina who will be newly eligible for health coverage. Most people without health insurance avoid doctors because they cant afford them. This leads to small, easy-to-treat problems becoming bigger health issues needing visits to emergency departments for care. Health coverage and proactive care management promise better health outcomes at lower costs than delaying care until a health issue becomes an emergency.Cone Health estimates there are 21,000 people in its service area eligible for care through Medicaid expansion. Every Cone Health primary care practice accepts Medicaid, and Cone Health is making every effort to find newly covered people and connect them with primary care.22 CONE HEALTH ANNUAL REPORT'