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New Hampshire InsuranceDepartmentNetwork AdequacyPublic Information ReleaseMarketplace Issuer Networks for the2016 Plan YearJune 5, 2015

Agenda (Contents)2016 Marketplace Network InformationNew Hampshire Marketplace PreviewSlide3-8Health Insurance Carrier Network ProfilesAmbetter from NH Healthy Families, offered by Celtic Insurance9Anthem Blue Cross Blue Shield of New Hampshire10Community Health Options (MCHO)11Harvard Pilgrim Health Care of New EnglandMinuteman HealthAppendix: Hospital & ECP Listing12-131415

Key Dates: 2016 Marketplace Plan Review April 15, 2015 - Carriers submit plans to Department (QHPs)August 25, 2015 - Department submits QHP certification recommendations to federalagency (CCIIO)September 2015 - CCIIO decides which plans to certify for sale on MarketplaceNovember 1, 2015 - Marketplace open to public to enroll, view plan details and rates3

Preview of Marketplace Issuer NetworksAll information provided in this presentation has been generated from insurance carrierapplications and is current as of May 2015.This information does not represent final networks as they will appear on the HealthInsurance Marketplace in 2016. Carriers continually negotiate contract terms withproviders, and State review of these networks may result in changes to providercontracts or geographic coverage of health plans.Hospital listings reflect only those hospitals located in NH. Essential CommunityProviders (ECPs) are medical care providers who serve predominantly low-income, ormedically underserved patient populations as classified by CMS under 45 CFR 156.235of the Federal Register.4

New Hampshire Insurance Marketplace ProfileMedical ProfileNumber ofCarriers201420152016155 Anthem Blue CrossBlue Shield of NewHampshire Assurant Health Community HealthOptions (MCHO) Harvard PilgrimHealth Care ofNew England Minuteman Health Ambetter from NHHealthy Families,offered by CelticInsurance Anthem Blue CrossBlue Shield of NewHampshire Community HealthOptions (MCHO) Harvard PilgrimHealth Care ofNew England Minuteman Health Anthem BlueCross BlueShield of NewHampshire146081Number ofPlans 11 Individual 3 Small Group 42 Individual 18 Small Group 51 Individual 30 Small Group162626HospitalInclusion Acute carehospitals inQHP networks5 Acute carehospitals inQHP networks Acute carehospitals inQHP networks

New Hampshire Insurance Marketplace ProfileDental ProfileNumber ofCarriersNumber ofPlans2014201533 Anthem Delta Dental Guardian LifeInsuranceCompany Anthem Delta Dental Guardian LifeInsuranceCompany20164 Anthem Delta Dental Guardian LifeInsuranceCompany DentegraInsuranceCompany221315 8 Individual 14 Small Group 7 Individual 6 Small Group 8 Individual 7 Small Group6

2016 Network Profile – Hospital CoverageNew Hampshire HospitalsLocation of Hospitals in New ital NameLakes Region General HospitalHuggins HospitalMemorial HospitalCheshire Medical CenterAndroscoggin Valley HospitalUpper Connecticut Valley HospitalWeeks Medical CenterAlice Peck Day Memorial HospitalCottage HospitalLittleton Regional HealthcareMary Hitchcock Memorial HospitalSpeare Memorial HospitalCatholic Medical CenterElliot HospitalMonadnock Community HospitalSouthern NH Medical CenterSt. Joseph HospitalConcord HospitalFranklin Regional HospitalNew London HospitalExeter HospitalParkland Medical CenterPortsmouth Regional HospitalFrisbie Memorial HospitalWentworth-Douglass HospitalValley Regional Hospital# on Map12345678910111213141516171819202122232472526

2016 Network Profile – Hospital CoverageEach hospital appears in at least 2 issuer networks in2016, with several plans offering coverage at each tal NameLakes Region General HospitalHuggins HospitalMemorial HospitalCheshire Medical CenterAndroscoggin Valley HospitalUpper Connecticut Valley HospitalWeeks Medical CenterAlice Peck Day Memorial HospitalCottage HospitalLittleton Regional HealthcareMary Hitchcock Memorial HospitalSpeare Memorial HospitalCatholic Medical CenterElliot HospitalMonadnock Community HospitalSouthern NH Medical CenterSt. Joseph HospitalConcord HospitalFranklin Regional HospitalNew London HospitalExeter HospitalParkland Medical CenterPortsmouth Regional HospitalFrisbie Memorial HospitalWentworth-Douglass HospitalValley Regional Hospital# Issuers444345545444533352443224833Issuer Contracts per Hospital

Ambetter from NH Healthy Families, offered by Celtic Insurance– Granite State Health PlanHospitalsCount: 11ECP ContractsCount: 529Service AreaCount: 10

Anthem Blue Cross Blue Shield of New Hampshire– Pathway X and Pathway X EnhancedHospitalsCount: 21ECP ContractsCount: 6610Service AreaCount: 10

Community Health Options (MCHO)– NH CHO NetworkHospitalsCount: 26ECP ContractsCount: 7311Service AreaCount: 10

Harvard Pilgrim Health Care of New England– New Hampshire Network & Full HMOHospitalsCount: 26ECP ContractsCount: 71(70 in NH Network)12Service AreaCount: 10

Harvard Pilgrim Health Care of New England– Elevate HealthHospitalsCount: 16ECP ContractsCount: 3913Service AreaCount: 9

Minuteman Health – MHI NetworkHospitalsCount: 12ECP ContractsCount: 2914Service AreaCount: 9

Appendix – Detailed Hospital & ECP ListingsThe Insurance Department provides additional information relating to theMarketplace on its website under Federal Health althref.htm15

Ambetter from NH Healthy Families, offered by Celtic Insurance– Granite State Health errimackStraffordHospital NameLakes Region General HospitalUpper Connecticut ValleyHospitalWeeks Medical CenterCottage HospitalMary Hitchcock MemorialHospitalCatholic Medical CenterMonadnock CommunityHospitalSt. Joseph HospitalNew London HospitalFranklin Regional HospitalFrisbie Memorial HospitalCount: 1116

Ambetter from NH Healthy Families, offered by Celtic Insurance– Granite State Health PlanCountyECP NameCountyECP NameBelknapBelknapHealth First FHC - Laconia SiteLake Region General HospitalHillsborough Manchester Community Health CenterHillsborough MCHC TarrytownCarrollCarrollSaco River Medical GroupWhite Mountain Community Health CenterHillsborough Mobile Community Health Team Families in TransitionHillsborough Monadnock Community HospitalCoosCoosACHS - WhitefieldCoos Co. Family Health Services Inc. #001Hillsborough New Horizons ShelterHillsborough Southern New Hampshire Medical CenterCoosCoos Co. Family Health Services Inc. #002Hillsborough St. Joseph's HospitalCoosCoos Co. Family Health Services Inc. #001MerrimackCAP Belknap Merrimack Co. #001CoosCoosCoosCoos Co. Family Health Services Inc. #002Indian Stream Health CenterUpper Connecticut Valley HospitalMerrimackMerrimackMerrimackFranklin Regional HospitalHealth First Family Care Center #001Health First Family Care Center #002CoosCoosWeeks Medical Center #002Weeks Medical Center #003MerrimackMerrimackNew Hampshire Department of Health & Human ServicesNew London HospitalGraftonGraftonACHS - FranconiaACHS - WarrenRockingham Cross Roads HouseRockingham Families First / St. Vincent de PaulGraftonACHS - sboroughAmmonoosuc Community Health Services #001Cottage HospitalDartmouth Hitchcock PlymouthMary Hitchcock Memorial HospitalChild Health ServicesFamilies In Transition-FITGranite State Internal Medicine-001Granite State Internal Medicine-002Granite State Internal Medicine-003Granite State Internal Medicine-004Granite State Internal Medicine-005Greater Manchester Mental HealthHarbor Care Clinic and Wellness CenterHarbor Care Health and Wellness CenterRockingham Families First Health CenterFeminist Health Center of Portsmouth, Inc. d/b/a Joan G. Lovering HealthRockingham CenterStraffordGoodwin Community HealthStraffordHorne Street Elementary SchoolStraffordWoodman Park Elementary SchoolSullivanCharlestown Family MedicineSullivanNewport Health Center #00117

Anthem Blue Cross Blue Shield of New Hampshire– Pathway X Enhanced and Pathway X talsHospital NameLakes Region General HospitalHuggins HospitalMemorial HospitalCheshire Medical CenterAndroscoggin Valley HospitalWeeks Medical CenterUpper Connecticut ValleyHospitalAlice Peck Day MemorialHospitalCottage HospitalMary Hitchcock MemorialHospitalLittleton Regional HealthcareSpeare Memorial HospitalCatholic Medical CenterSouthern NH Medical CenterElliot HospitalSt. Joseph HospitalFranklin Regional HospitalNew London HospitalExeter HospitalWentworth-Douglass HospitalValley Regional HospitalCount: 2118

Anthem Blue Cross Blue Shield of New Hampshire– Pathway X Enhanced and Pathway X EnhancedCountyECP NameCountyECP CoosCoosCoosCoosCoosGraftonCAP Belknap Merrimack Co. #002Health First FHC - Laconia SiteLake Region General HospitalCAP Belknap Merrimack Co. #003Huggins HospitalMemorial Hospital, The #002Saco River Medical GroupWhite Mountain Community Health CenterPPNNE-KeeneACHS - WhitefieldAndroscoggin Valley HospitalCoos Co. Family Health Services Inc. #001Coos Co. Family Health Services Inc. #002Coos Co. Family Health Services Inc. #002Indian Stream Health CenterUpper Connecticut Valley HospitalWeeks Medical Center - LancastWeeks Medical Center #001Weeks Medical Center #002Weeks Medical Center #003Weeks Medical Center-WhitefieldWeeks Medical Center-WhitefieldACHS - wfound Family PracticePPNNE-West LebanonSpeare Memorial HospitalSpeare Primare CareChild Health ServicesElliot HospitalGreater Manchester Mental HealthHarbor Care Clinic and Wellness CenterHarbor Care Health and Wellness CenterHillsboro Family HealthLamprey Health Care NashuaManchester Community Health CenterMCHC TarrytownMonadnock Community HospitalPPNNE-ManchesterSouthern New Hampshire Medical CenterSt. Joseph's HospitalCAP Belknap Merrimack Co. #001Concord Hospital Family Health CenterFranklin Regional HospitalHealth First Family Care Center #002New London HospitalFamilies First Health aftonGraftonGraftonGraftonACHS - WarrenACHS - WoodsvilleAlice Peck Day Memorial HospitalAmmonoosuc Community Health Services #001Cottage HospitalDartmouth Hitchcock PlymouthLittleton Regional HealthcareMary Hitchcock Memorial HospitalMid-State Health Center – BristolMid-State Health Center eminist Health Center of Portsmouth, Inc. d/b/a Joan G. Lovering Health CenterLamprey Health Care #001Lamprey Health Care #002PPNNE-DerryPPNNE-ExeterGoodwin Community HealthCharlestown Family MedicineNewport Health Center #001PPNNE-ClaremontValley Regional Hospital19

Community Health Options (MCHO)– NH CHO al NameHospitalsLakes Region General HospitalHuggins HospitalMemorial HospitalCheshire Medical CenterAndroscoggin Valley HospitalUpper Connecticut Valley HospitalWeeks Medical CenterAlice Peck Day Memorial HospitalCottage HospitalLittleton Regional HealthcareMary Hitchcock Memorial HospitalSpeare Memorial HospitalCatholic Medical CenterElliot HospitalMonadnock Community HospitalSouthern NH Medical CenterSt. Joseph HospitalConcord HospitalFranklin Regional HospitalNew London HospitalExeter HospitalParkland Medical CenterPortsmouth Regional HospitalFrisbie Memorial HospitalWentworth-Douglass HospitalValley Regional HospitalCount: 2620