NH Citizens Health Initiative Multi-Stakeholder Medical Home Pilot, which ended in 2011, was a collaboration among the Initiative's medical home workgroup, the Center for Medical Home Improvement, and the four private NH Health Plans: Harvard Pilgrim Health Care, CIGNA, Anthem, and MVP Healthcare, as well as NH Medicaid. In July 2010, the NH Citizen’s Health Initiative (The Initiative), which is staffed through the NH Institute for Health Policy and Practice (IHPP), launched a value-based health care initiative in the form of a statewide, five‐year Accountable Care Organization (ACO) pilot project. The Initiative is a multi‐stakeholder collaborative effort working for a health and health care system with better health, better care, and lower costs for all New Hampshire residents.
In 2011, Governor Lynch signed legislation (SB147) that employs a Medicaid Care Management (MCM) model for administering the New Hampshire Medicaid program, which began in December 2013. The managed care organizations (MCO) are responsible for coordinating all health care services for members through a network of providers. This involves enrolling members into a medical home, which is typically a primary care physician (PCP) who will be responsible for providing regular preventative treatment and ensuring the continuity of care. New Hampshire is extending Medicaid through a "private option" platform in which the state will use federal funding to purchase plans for low-income residents from the insurance Marketplace.
Dual Eligible | 2703 SPA | CPC | CPC+ | PCMH QHP | PCMH Legislation | Private Payer |
---|---|---|---|---|---|---|
Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
---|---|---|---|---|
AAMC Project CORE: Coordinating Optimal Referral Experiences - New Hampshire | Grant | California, Iowa, New Hampshire, Virginia, Wisconsin | CMS Health Care Innovation Award (Round 2) | |
CMS State Innovation Model Design Award - New Hampshire | Grant | Statewide | CMS State Innovation Model (SIM) |
Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
---|---|---|---|---|
Cigna Collaborative Accountable Care - Core Physicians | Commercial | Exeter | Cigna Collaborative Care Program | |
Cigna Collaborative Accountable Care - Dartmouth Hitchcock | Commercial | Statewide | Cigna Collaborative Care Program | |
Cigna Collaborative Accountable Care - Derry Medical Center | Commercial | Londonderry and Windham | Cigna Collaborative Care Program | |
Cigna Collaborative Accountable Care - Granite Healthcare Network | Commercial | Statewide | Cigna Collaborative Care Program | |
Enhanced Personal Health Care Program - New Hampshire | Commercial | Statewide | Anthem - Enhanced Personal Health Care | |
New Hampshire Citizens Health Initiative | Commercial | Statewide |
Legislation | Status | Year |
---|---|---|
New Hampshire Senate Bill 147 The legislation employs a Medicaid Care Management (MCM) model for administering the New Hampshire Medicaid program, which began in December 2013. |
Enacted | 2011 |
SB 345 This legislation included a provision requiring an annual report on trends and drivers in spending in the health insurance market. Subsequent reports have included information on primary care spend as a portion of overall spend. |
Enacted | 2014 |