Health Exchange

State Hears Ideas For Launching Health Exchange

May 17, 2013

Health providers, small business owners and reform advocates attended a brainstorming session in Concord on Friday. State Insurance Department officials organized the event, seeking input on how best to implement the new health exchange in New Hampshire.

A range of ideas were offered, from social media campaigns to informational events at hardware stores to old-fashioned word of mouth. Participants stressed a need to reach all communities, including minority and non-English speaking groups, and to do so quickly.

State officials continue to press for action on $340,000 in federal money meant to help implement the health exchange in New Hampshire. 

Speaking to the Joint Health Care Reform Oversight Committee, Insurance Commissioner Roger Sevigny repeated the need for quick acceptance of the grant money. Last month, a different legislative body, the Joint Fiscal Committee, delayed the funds, citing concerns over a lack of information.

Sevigny says the money would help "put flesh on the bones" of his Department's effort to help consumers understand the new health law.

New Hampshire Not Alone In Health Exchange Setbacks

May 6, 2013
via WUKY

The new health exchanges are often described as something akin to Orbitz or Travelocity. A central place--a website--where insurance can be researched, compared, and purchased.

“Competition in markets, of course, is the way in this country we try to make reasonable prices and good quality available to people and so that is one of their roles,” says Professor Timothy Jost with Washington and Lee University in Virginia.

Jost says another key role of the exchanges is subsidies.

State lawmakers today put off a key vote on whether to accept Federal funds meant to support a partnership health exchange.

Earlier this month, the Feds awarded the state’s Insurance Department $5.4 million to pay for implementation of the Consumer Assistance portion of the new health exchange marketplace.

But on an 8-2 vote, members of the Joint Fiscal Committee tabled the motion, effectively delaying use of the portion of funds allocated for this fiscal year, roughly $340,000.

A report out today estimates that 96,000 New Hampshire residents will be eligible for health insurance tax credits under the Affordable Care Act. The credits will be available starting in January, 2014, when the individual mandate kicks in.

Todd Bookman / NHPR

With an October 1st deadline looming, the state continues to move forward with implementation of a partnership health exchange.  In agreeing to that partnership, state Republicans say they were promised input on a planning document called a Memorandum of Understanding, or MOU.

But last week, the Feds said partner states don’t have to submit an MOU. Republicans say that shuts them out of the legislative process.

A day after the Federal government approved the state’s application for a partnership health exchange, the public had its chance to weigh in on the new insurance marketplaces.

Small business owners, parents and advocates lined up in Concord at an event organized by AARP and NH Voices for Health. Speakers expressed concerns about affordability.

Many called for more transparency.

Another fear is the sheer complexity of shopping for health insurance. Lisa Kaplan Howe with NH Voices hopes the new marketplaces will streamline the process.

The Federal government announced today that New Hampshire’s application for a partnership health care exchange has been approved. Exchanges are the new marketplaces where individuals and small businesses will shop for health insurance starting in October of this year. 

The partnership means the N.H. Insurance Department will continue to regulate plans sold in the state. The Federal government will pay for and control the new marketplace website and the '1-800 call center'.

Update: Wednesday, February 13, 2013:

Rather than wait until the Friday deadline, Governor Hassan sent a letter today to the Federal government declaring the state's intent to enter into a partnership exchange. 

In a statement, the Governor said, "I do not believe it is in the best interest of our people to allow the federal government to impose a one-size-fits-all exchange on New Hampshire."


The Governor today affirmed that it’s her office that gets to make the final call regarding the type of health insurance exchange New Hampshire operates.

N.H. Health Exchange Remains In Limbo

Feb 4, 2013

With a February 15th deadline looming, a group of lawmakers met today to discuss the direction of the state’s health insurance exchange. But the committee meeting produced more questions than answers.

The state needs to decide, and soon, if it will partner with the Federal government to run a new insurance exchange. For his part, Insurance Commissioner Roger Sevigny told a legislative oversight committee that he supports the partnership option.

All Options On The Table For N.H. Health Exchange

Dec 24, 2012

The President’s health law wasn’t all that popular with New Hampshire House Republicans.  Among other actions last session, they passed a law prohibiting the state from managing its own health insurance exchange.

And for now, the state is moving forward with a marketplace run by the Federal government.

Health Insurance Advisory Board Gets Going

Nov 13, 2012
istock photo

Back in June, the state legislature passed a law prohibiting the state from creating its own health exchange. Instead, New Hampshire will let the Federal government set it up.

But with big Democratic gains in last week’s election, the state is likely to play a bigger role in shaping the exchange.

In case you don’t remember, exchanges are those on-line marketplaces where people will shop for health insurance beginning in 2014.

NH's Health Care Exchange Still Up in the Air

Jun 28, 2012
Bruce A Stockwell / Flickr Creative Commons

Exchanges are the marketplaces where consumers will basically window-shop the various health care policies available in different states.

The Federal government granted each state funds to begin studying and implementing these exchanges, but New Hampshire’s Executive Council gave that money back, nearly $1,000,000.

Republicans, including House Speaker Bill O’Brien, say that the exchanges will simply cost too much to run. He points to the experience of other New England states.


An official with Obama administration came to Manchester today to tout the achievements of the Affordable Care Act.

At an event organized by the federal Department of Health and Human Services, New Hampshire residents told their stories of how the health-care law had improved their lives.

Mississippi, a deeply red Southern state that is part of the Supreme Court case against the health law, is moving full speed ahead with one of the key provisions of that law: an online health insurance exchange.

Unlike Louisiana, Alabama, Florida and other conservative states in the South, Mississippi is well on its way to having an insurance exchange ready for operation by the 2014 deadline laid out by the health overhaul law.