managed care

NHPR

The Department of Health and Human Services is delaying part of New Hampshire’s Medicaid Managed Care program.

Transferring New Hampshire’s Medicaid program to so called managed care is a huge, sprawling puzzle. The idea is for private insurance companies to take over the state program that provides health insurance for low income residents. And the trickiest part will be transferring the care of the sickest residents – people with developmental disabilities and traumatic brain injuries.

St. Joseph Hosptial, Nashua

One in five Medicare patients treated for a list of common conditions - like pneumonia and heart failure -  are readmitted to the hospitals that treated them within a month.

One way the federal government is trying to improve that is by penalizing hospitals based on their readmission rates. It’s a provision of the Affordable Care Act that will hit 2,610 hospitals across the country next year, including nine in New Hampshire.

NHPR

CORRECTION: An earlier version of this story said the state will wait until April before it puts Medicaid patients with chronic conditions under the oversight of two managed care companies. In fact the state has not announced when that transition will happen.

New Hampshire is postponing a crucial phase of Medicaid managed care. The delay follows concerns raised by advocates of patients with complicated health conditions.