The STCs will continue to shift the economic drivers away from fee-for-service to a value-based, person-centered approach to health through Medicaid and Medicare collaboration and partnership.

Download the Multi-Payer Alignment Blueprint, which compiles successful multi-payer alignment initiatives from STC states. Learn how to adapt and incorporate lessons from the Blueprint into your own multi-payer alignment efforts.

Key Components of the State Transformation Collaboratives (STCs)

Four distinct working groups, each dedicated to transforming health care in a specific state or region within a state

Comprised of payers, providers, health systems, purchasers, patient advocates, and community organizations

Locally-focused approach to addressing the needs of state populations through alternative health care payment

State initiatives focus on achieving health equity via payment reform and are grounded in HEAT APM Guidance for equity centered design and implementation

Participating States


North Carolina

Participating Organizations

As of May 23, 2024, the list of participants includes the following organizations:

  • Aetna
  • AmeriHealth Caritas North Carolina
  • Arkansas Blue Cross and Blue Shield
  • Arkansas Department of Human Services (Arkansas Medicaid)
  • Arkansas State Health Alliance for Records Exchange (SHARE)
  • Blue Shield of California
  • California Public Employees’ Retirement System (CalPERS)
  • Carolina Complete Health
  • Centene
  • Cigna
  • Covered California
  • Medi-Cal (California Medicaid)
  • Colorado Department of Health Care Policy and Financing (Colorado Medicaid)
  • Colorado Division of Insurance
  • Elevance
  • Healthy Blue of North Carolina
  • Humana
  • Integrated Healthcare Association
  • North Carolina Medicaid
  • United Healthcare

Contact us to get involved in the STCs!