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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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Tobacco Tax Cut Likely to Lose Millions in Revenue, Leave FY12-13 Budget Out of Balance

NH state quarters

House and Senate lawmakers agreed to reduce the state’s cigarette tax by 10 cents per pack and lower taxes on other tobacco products as part of the two-year budget starting July 1. Based on the latest data available from state revenue officials, this is likely to reduce tax revenue by at least $14 million to $30 million. It now appears that budget negotiators failed to account for any such revenue loss, meaning that the budget for the coming biennium will likely end up out of balance.

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State Delays Implementation of Medicaid Work Requirements, Citing Potential Coverage Losses

11 Jul 2019

tree with coins

Earlier this week, New Hampshire state officials suspended the implementation of the work and community engagement requirements for expanded Medicaid beneficiaries until September 30. The Department of Health and Human Services had no information on the compliance of approximately 17,000 individuals, which would have meant up to that many individuals would have lost their health coverage starting in early August if they did not provide information and fulfill their required hours by the end of July. With this suspension, coverage losses due to noncompliance with the work requirements would not take place until early December, barring any other intervening policy changes from the state or federal governments or the pending results of legal action.