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Access to Home- and Community-Based Medicaid Services Limited by Workforce Shortages

March 15, 2019 Health Policy
stethoscope and pen with medical charts

New Hampshire Choices for Independence Medicaid Waiver services provide home- and community-based services to individuals who are chronically ill or have a disability and prefer to stay in their homes or communities but might otherwise need the level of care only provided in nursing homes, which typically result in more expensive treatment. Those in need of home- and community-based services, however, may not receive them due to a lack of available workers to deliver services. This Fact Sheet summarizes findings outlined in NHFPI’s Issue Brief, Medicaid Home- and Community-Based Care Service Delivery Limited by Workforce Challenges.

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Medicaid Home- and Community-Based Care Service Delivery Limited by Workforce Challenges

March 15, 2019 Health Policy
stethoscope and pen with medical charts

For people who are chronically ill or have a disability and who are seeking an alternative to nursing home care, New Hampshire’s Medicaid program provides long-term care coverage for eligible adults of limited means in home- and community-based settings. Choices for Independence Medicaid Waiver services are delivered through providers who are reimbursed by federal, county, and state government funds for delivering home- and community-based care. These services are also typically less expensive than nursing home care, and help individuals remain in their homes and communities. Evidence suggests that reimbursement rates have fallen behind the rate of inflation. This Issue Brief explores data concerning labor force constraints in New Hampshire generally, as well as relevant demographic trends and wages for certain health care occupations related to home- and community-based services.

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Medicaid Expansion in New Hampshire and the State Senate’s Proposed Changes

March 30, 2018 Health Policy
stethoscope and pen with medical charts

New Hampshire’s Medicaid expansion is an important program with impacts on the state’s public health and economy. Medicaid expansion provides health coverage to approximately 52,000 low-income people in New Hampshire, and more than 90 percent of program expenses have been funded by the federal government since the program began in 2014. Since that time, hundreds of millions of federal dollars have helped provide medical care for Granite Staters and contributed to the state economy, both through payments to medical providers and helping ensure a healthy, productive workforce, and assisting the state’s efforts to combat the ongoing opioid crisis.

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Initiatives Aim to Increase Rural Access to Broadband Internet Services

2 Jul 2020

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Broadband internet availability and use is uneven between rural and urban areas of New Hampshire. A lack of key broadband infrastructure connecting many homes in rural regions has resulted in increased connection challenges that have been exacerbated by the COVID-19 crisis. The crisis has required individuals and families to transition many activities from face-to-face interactions to virtual communication, and has increased the necessity of reliable broadband internet services among Granite Staters. Key legislation recently passed by the New Hampshire Legislature, new state level initiatives, and federal investments may aid in expanding broadband internet services to underserved areas of the state, and help ensure more Granite Staters will be online at sufficient broadband speeds in the future.

NHFPI Seventh Annual Conference

NHFPI Annual Conference