A standing-room-only crowd packed the Bertie County Community Meeting Space for a robust event on March 19, aimed at getting Medicaid-eligible community members in Bertie and Washington counties enrolled to receive the health insurance they need to live their healthiest lives.

With voices like Gov. Roy Cooper, NCDHHS Sec. Kody Kinsley and ECU Health Bertie, Chowan and Roanoke-Chowan hospitals President Brian Harvill and others providing insight and perspective into the importance of Medicaid expansion, the message was consistent and clear: Medicaid expansion benefits rural communities.

“I know rural North Carolina, and I know what a room full of people who are on a mission looks like,” Gov. Cooper said. “People in rural North Carolina are benefitting from Medicaid expansion and what you’re doing is making a difference.”

The event was hosted by Care4Carolina, a statewide community coalition-building organization that has worked toward shrinking the insurance coverage gap for more than 10 years.

With Medicaid expansion now a reality in North Carolina, Care4Carolina is partnering closely with community organizations in eastern North Carolina, including ECU Health, to help spread the word, provide resources and increase Medicaid enrollment, which helps community members get the comprehensive care they need to better manage their health and overall wellness.

Since Medicaid expansion launched Dec. 1, 2023, nearly 400,000 people have enrolled, providing them and their families affordable health care coverage. Access to coverage ensures patients can receive important medications, access to care and peace of mind needed to live vibrant lives. The impact of Medicaid expansion is even more profound in rural communities where 40% of North Carolina’s population lives. Those living in rural communities face disproportionate incidences of chronic diseases like asthma, diabetes and heart disease, which worsen if not treated. With coverage, these impacted individuals can better manage their conditions.

“Medicaid expansion, more often than not, is here to help rural North Carolina,” said Sec. Kinsley, noting that 70% of those who benefit from Medicaid expansion come from working families. “People in rural communities are 3-to-4 times more likely to be uninsured. Now, with Medicaid expansion, people aren’t just getting covered, they’re getting care.”

Medicaid expansion has long been a priority for ECU Health, which serves 1.4 million people throughout the 29 rural counties that comprise eastern North Carolina. As a mission-driven organization, it proudly serves all community members regardless of their ability to pay. Still, at a time when rural hospitals across the country are struggling to maintain services, ECU Health’s priority is ensuring access to health insurance and access to high-quality care that drives healthy outcomes. That is why ECU Health leaders like Harvill are committed to community partnerships that help drive the mission of improving the health and well-being of the region.

“Sustainability in rural communities is a constant discussion in our organization,” said Harvill. “When you think about Medicaid expansion, think about access to care, which leads to better overall community health in rural areas. When residents are healthier, they are more likely to participate actively in the workforce, contributing to the economic and social well-being of the community. Our work to help improve the communities we serve is rooted in partnerships. We are so thankful for the opportunity to add to the conversation alongside the important state leaders who helped Medicaid expansion a reality and the local leaders who are helping make sure it benefits those right here in our rural communities.”