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Proposed Database Purchase Costly, Duplicative and Potentially Less Effective than Existing Safeguards

Manchester NH

NHFPI looks at the eligibility determination system and verification protocols currently used to ensure funds for New Hampshire’s Financial Assistance to Needy Families program, Medicaid and Food Stamps are used appropriately. Lawmakers are considering adding a new layer of enforcement. More specifically, HB 1658, presently before the Senate Finance Committee, would require the state to buy or build a new computerized income and identity verification system.

A closer examination of the proposal reveals several potential concerns, including evidence that the proposed database searches are likely to lead to false positives because they flag information that is flawed or irrelevant to eligibility.

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Critical Questions Remain Unanswered in Medicaid Managed Care Contract

stethoscope and pen with medical charts

While managed care holds the promise both to improve the quality of care Medicaid members receive and to reduce the costs the state incurs in administering the program, numerous questions associated with the contract must be answered in order for New Hampshire to achieve those goals. This Issue Brief does not offer a comprehensive list of such questions, but instead focuses on two areas: ensuring access to care for Medicaid members and assessing the effectiveness of managed care over time.

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Key Questions to Consider in Implementing Medicaid Managed Care in New Hampshire

September 21, 2011 Health Policy, Research, State Budget
stethoscope and pen with medical charts

New Hampshire’s legislature approved changes to the state’s Medicaid program that require the development of a managed care system. This holds promise for reducing costs and even improving care, but New Hampshire’s previous experiences with managed care and those of other states suggest this may not be easy. Potential savings may be modest and take time to materialize. This Issue Brief identifies some of the pitfalls New Hampshire may face when it comes to implementing a risk-based managed care system for Medicaid patients.

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Common Cents Blog

State’s Diverse Tax Base Stabilizes Revenue, But Business Tax Changes May Increase Volatility

29 Jun 2017

tree with coins

New Hampshire’s state tax revenue is relatively stable, but the State’s largest tax may be among the most volatile types of common taxes, a new analysis from The Pew Charitable Trusts suggests. Between 1997 and 2016, New Hampshire’s tax volatility, as measured through percentage changes from the prior fiscal year, was only higher than five other states, suggesting New Hampshire’s tax revenues do not typically deviate dramatically from year to year relative to other states. However, digging into the diverse revenue streams and drawing on the experiences from other states shows some risk for New Hampshire.