The Healthy Opportunities Pilot (HOP) was designed to address the social determinants of health (SDOH) that often stand in the way of medical stability: housing, food and nutrition, interpersonal violence & toxic stress, and transportation supports. In July 2025, the program entered a pause, halting critical services for tens of thousands of members across North Carolina.
To understand the impact of this pause, Community Care of the Lower Cape Fear, one of three Network Leads for HOP, surveyed care managers (CMs) across partner organizations from July 22 to August 2, 2025. The goal was to capture both quantitative data and first-hand accounts of how the pause has affected members’ lives and the work of CMs. Please read the report linked below.