1. State Coverage Initiatives Coverage Institute September 26, 2007
New Hampshire
State Coverage Initiatives Coverage Institute
September 26, 2007

2. Current Status: Recent legislative change to expand dependent age
Private insurance claims data available as a resource to the Insurance Department, DHHS, policymakers, and interested parties
Plans to collect “claims” for the uninsured
Major health insurance changes taking place in surrounding states creating momentum in NH

3. Use of Claims: www.nhhealthcost.org example:
Purpose: Provide patients with useful information about the price of health care services so that they can make more informed decisions about where to seek care and what it will cost them.
Using common procedures, provides estimated total costs (not charges) to the patient for the entire visit
Calculates an estimate of individual patient liability

5. New Hampshire’s Five Point Plan:
Use the claims data to measure the health care needs of the uninsured and require not for profit providers to report charitable care
Determine the cost of providing care to the uninsured
Design a standard benefit plan that addresses the health care needs of the uninsured
Use reinsurance or another mechanism to make a subsidized standard benefit plan available to low income individuals and small employers
Develop and implement a mechanism to ensure that the uninsured purchase health insurance under the insurance safety net