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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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New Hampshire Trails in Higher Education Funding

20 Nov 2019

tree with coins

It has been over a decade since the end of the last recession. During this time, investments and funding for public higher education across the nation have seen reductions overall. States reduced expenditures in the aftermath of the recession, including decreased spending to support public higher education. Recent analyses from the Center on Budget and Policy Priorities and the Pew Charitable Trusts have compared states’ investments in public higher education over time. When compared to pre-recession levels the amount of money allocated to public higher education nationwide has decreased. Students who attend public colleges and universities in their home states face the additional cost burdens of increasing tuition and fees that may stem from these funding cuts. In New Hampshire, Granite Staters face the second highest average in-state tuition at public four-year institutions in the nation.