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The ACA and the Supreme Court: What It Means for New Hampshire

June 28, 2012 Health Policy
stethoscope and pen with medical charts

The decision by the U.S. Supreme Court to uphold the vast majority of the Affordable Care Act is great news for New Hampshire families. As the ACA’s provisions unfold over time, New Hampshire families will be better able to afford health coverage and will remain protected from insurance company abuses. Medicare beneficiaries will continue to get free preventive services and our small businesses will continue to get help in paying for coverage for their employees. The focus can now turn to implementing the many cost-containment provisions in the ACA as we aim to make health care more affordable for all.

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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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Unsettled Business Tax Revenues Push Surplus Upward, Offer Limited Insight for the Future

7 Dec 2018

tree with coins

The fortunes of State revenues continue to rise and fall with New Hampshire’s two primary business taxes, which provided positive signs for near-term revenue but have not shown these levels are sustainable. While the two business taxes remained healthy, other revenue sources were relatively flat overall, leaving the State with a revenue surplus entirely dependent on the two business taxes. The lack of growth in other revenue sources combined with the uncertainty around business taxes creates an environment in which it will be very difficult to accurately project revenues for the new State Budget biennium.