Tailored Plans will start October 1, 2023
NC Medicaid changed the start date for Tailored Plans to October 1, 2023. Until October 1, 2023, you will keep getting services the way you do now. 

Information and processes on this page will be changing in the weeks to come. 
Learn about Tailored Plan here

Great news! NC Health Choice will automatically move to NC Medicaid on April 1, 2023. Some benefits will be better; the rest will stay the same. Look for your new Medicaid ID card in March. Questions? Go to NC Health Choice Move to Medicaid or call Member & Recipient Services at 1-877-685-2415.


Value-Based Care

Changing How We Do Healthcare

As North Carolina prepares for public health system changes, Trillium Health Resources (Trillium) remains committed to implementing modernized healthcare for the individuals of Eastern North Carolina. Trillium will continue to partner with health care providers and community stakeholders to build strong foundations of well-being, and to help deepen the connections between citizens and their communities. We are invested in the future of the public behavioral health system for the benefit of the individuals and communities we serve. Building well-being depends on many people and agencies working together.

Trillium and its provider network are moving beyond the traditional fee-for-service model to create innovative value-based arrangements. Value-based care emphasizes outcomes so that payments are based on achieving realistic health goals, rather than payments based on number of visits. Value-based care also promotes the “Quadruple Aim” of healthcare promoted through Medicaid Transformation. Valued-based care will be at the forefront of Trillium’s business efforts to continue achieving these goals:

  • high-quality care
  • cost-effective care and treatment
  • better health for our communities
  • improved member and provider satisfaction

Quadruple Aim

Quadruple Aim graphic in colors orange, yellow red and green

Practice Management

Trillium’s  Practice Management department is responsible for leading the development and implementation of value-based care. 

The Practice Management department consists of a multi-disciplinary team specializing in clinical and operational health care delivery. This team develops and leads innovative strategies to increase the use of value-based purchasing arrangements that are designed to promote and/or incentivize the following:

  • Measurable improvements in member health
  • Incorporation of evidence-based quality metrics 
  • Flexible design to meet the needs of diverse provider specialties
  • Quantifiable improvements in member healthcare experience 
  • Reduction in  healthcare costs per person
  • Integration of robust care coordination activities across provider specialties to improve whole-person health, streamline access to care

Practice Management Consultants from Trillium work directly with our network of providers to lead performance improvement projects, identify performance measures, track member outcomes, and enhance service delivery. The Practice Management team assists in the development and growth of our provider network, recruitment, and retention of high-performing providers, training, and education. We work with providers to identify priority areas and domains needed by providers to participate in alternative payment arrangements in the delivery of care, across all populations that Trillium serves.

Trillium will assess each provider’s readiness to enter into value-based arrangements which may include payment linked to data reporting, quality metrics, upside risk, and downside risk. Trillium follows The Health Care Payment Learning & Action Network’s Alternative Payment Model Framework to determine and categorize payment methodologies associated with value-based payment arrangements.

Health Care Payment and Learning Action Network Alternative Payment Model Framework is the industry standard for how payers and providers design alternative payment methods and set value-based payment goals. Below illustrates the categories in which value-based payment methods are classified: 

color table showing categories of payment of the Framework

Trillium’s Value-Based Purchasing Provider Learning Series

Value-Based Purchasing Provider Training: located on our Provider.MyLearningCampus.org site

  • Value Based Purchasing Series Part 1: The drivers shaping the movement to a value-based contracting business model. Key competitors and potential partners.
  • Value Based Purchasing Series Part 2: Are you ready for value-based reimbursement? An Executive Guide for assessing readiness in a value-based market.
  • Value Based Purchasing Series Part 3: Creating a focus on what matters to customers. Aligning culture and technology to drive performance. Driving success with key performance indicators.
  • Value Based Purchasing Series Part 4: Implementing a market approach to new service development.  Development of a new service & business cost model and the return on investment ROI) of a new service model.

Additional Resources:

Page last verified on


Trillium values the chance to partner on the HCP-LAN’s Healthcare Resiliency Collaborative to illustrate our dedication to this important endeavor. We are committed to the shared goals of improving the patient experience, access, health outcomes, equity, quality, appropriateness, and affordability. Learn more at Resiliency Collaborative - Shared Commitment

Providers can find Trillium’s statement on the Individual Commitment Statements page by scrolling down, locating Trillium, and hoveriing on Trillium read our commitment statement.

See something that needs to be updated?

If you find any wrong or out of date information on our pages, we want to know. Please email Info@TrilliumNC.org with any corrections.