New Hampshire

NH Citizens Health Initiative Multi-Stakeholder Medical Home Pilot, which ended in 2011, was a collaboration among the Initiative's medical home workgroup, the Center for Medical Home Improvement, and the four private NH Health Plans: Harvard Pilgrim Health Care, CIGNA, Anthem, and MVP Healthcare, as well as NH Medicaid. In July 2010, the NH Citizen’s Health Initiative (The Initiative), which is staffed through the NH Institute for Health Policy and Practice (IHPP), launched a value-based health care initiative in the form of a statewide, five‐year Accountable Care Organization (ACO) pilot project. The Initiative is a multi‐stakeholder collaborative effort working for a health and health care system with better health, better care, and lower costs for all New Hampshire residents.

In 2011, Governor Lynch signed legislation (SB147) that employs a Medicaid Care Management (MCM) model for administering the New Hampshire Medicaid program, which began in December 2013. The managed care organizations (MCO) are responsible for coordinating all health care services for members through a network of providers. This involves enrolling members into a medical home, which is typically a primary care physician (PCP) who will be responsible for providing regular preventative treatment and ensuring the continuity of care. New Hampshire is extending Medicaid through a "private option" platform in which the state will use federal funding to purchase plans for low-income residents from the insurance Marketplace. 

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
1,317,700
Uninsured Population:
11%
Total Medicaid Spending FY 2013: 
$1.2 Billion 
Overweight/Obese Adults:
61.8%
Poor Mental Health among Adults: 
32.9%
Medicaid Expansion: 
Yes 

SB 345 - Repealing the prospective repeal of the annual public hearing and report on health insurance costs and trends.

This legislation included a provision requiring an annual report on trends and drivers in spending in the health insurance market.  Subsequent reports have included information on primary care spend as a portion of overall spend.

Safest States During COVID-19

WalletHub study

As the U.S. continues its efforts to overcome the COVID-19 pandemic amid a surge in cases caused by variant strains, staying safe is one of Americans’ top concerns. Safety is also essential for getting the economy back on track, as the lower COVID-19 transmission and deaths are in a state, the fewer restrictions there will be and the more confidence people will have to shop in person. While almost all states have fully reopened, we’ll only be able to completely get back to life as normal once most of the population is fully vaccinated against coronavirus. The good news is that the U.S.

News Author: 
Adam McCann

New England States Issue Regional PC Spend Report

A consortium of New England States, known as NESCSO, recently released a first-of-its-kind regional report on levels of primary care investment across six states.

The Future of Health Care Reform — A View from the States on Where We Go from Here

The future of U.S. health care reform is muddier now than at any point in the past two decades. Health care was one of the most important issues for voters in the 2018 election, but there is little reason to believe that substantive national action is likely any time soon. The Trump administration is taking aggressive steps to undermine the Affordable Care Act (ACA) but is limited in what it can do on health policy absent legislation from Congress. States are poised to fill this vacuum.

News Author: 
David K. Jones, Ph.D.
Christina Pagel, Ph.D.

Primary Care Investments Are Top of Mind for Many New England States

Representatives from state agencies in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont met earlier this month to hear and discuss reports from multi-state workgroups related to Certificate of Need reform and hospital regulatory issues,  improving the value of community benefits reports, data-sharing opportunites, and primary care investments.

News Author: 
Primary Care Spend

Bipartisan Senate Budget Deal Boosts Health Programs

In a rare show of bipartisanship for the mostly polarized 115th Congress, Republican and Democratic Senate leaders announced a two-year budget deal that would increase federal spending for defense as well as key domestic priorities, including many health programs.

News Author: 
Julie Rovner
Shefali Luthra

Trump's opioid priority still lacks congressional funding

Every 25 minutes an infant is born to an opioid-addicted mother, and that's when the intense care starts. The average hospital bill to Medicaid in Missouri is about $63,000 per birth of a child with so-called neonatal abstinence syndrome.

These babies may experience difficulty eating and breathing, rapid weight loss and sometimes seizures; on average, they stay in the hospital for three weeks after birth. 

News Author: 
Susannah Luthi

Core Pediatrics - Exeter

Practice Type: 
Primary care practice
Practice Setting: 
Rural
Practice Address: 
9 Buzell Ave.
Exeter, NH 03833

New Hampshire Senate Bill 147

The legislation employs a Medicaid Care Management (MCM) model for administering the New Hampshire Medicaid program, which began in December 2013.

AAMC Project CORE: Coordinating Optimal Referral Experiences - New Hampshire

The Association of American Medical Colleges received a CMS Health Care Innovation Award to fund scalability testing of an electronic consultation and referral system for implementation at five partner medical centers. The model, developed by the University of California San Francisco, aims to address gaps in primary care-specialty care communication and provide technology for non-face-to-face electronic consultation.

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