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1New HampshireHealth Protection ProgramAugust 28, 2017Deborah Fournier
Premium Assistance & NHHPP – private public partnership2 Medicaid funds are used to purchase commercial insurance policies known asQualified Health Plans (QHPs) certified for sale on the individual market. The commercial carriers in 2017 are Anthem, Harvard Pilgrim, Minuteman andAmbetter. Approximately 42,000 participants receive short-term medical servicesthrough these four carriers. The state, through fee-for-service, coversMedicaid required benefits not offered by the commercial plans, known aswrap benefits, such as limited dental and vision and transportation services. Another 6,000 members are medically frail and are excluded from thePremium Assistance Demonstration. They are served through the Medicaidmanaged care system. 3,000 more are in fee-for-service while they select.
NHHPP - August 2017 Enrollment3Health Plan Enrollment: August 2017QHP EnrollmentAmbetterAnthemHarvard PilgrimMinuteman HealthMCO EnrollmentWell SenseNHHFHealth Insurance Premium Program HIPPFee For 19751,148
NHHPP - Length of Enrollment4Examined Most Recent 24 month period38,625 enrollees as of 4/1/1529% (11,315) were covered by NHHPP for all 24 monthsNHHPP Enrollees as of 4/1/15 Continuously Enrolled to 4/1/17100%90%80%70%60%50%40%30%20%10%0%Source: Data based on 4/1/15-4/1/17 data extracted from the NH MMIS
Income being too High is Top Documented Reason ClientsDisenrolled from NHHPP in November, 2016HIPP Failureto Respond,241Others,12,687HasMedicare,3,145Did NotProvide,15,226Source: New Heights data as of 11/18/2016Over Income,34,786Working Draft5
Unique NHHPP Members Using Any SUD Service66,0005,000Unique Members4,0003,0002,0001,00002014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 2017Q1 2017Q2*Data as of 8/15/17; Data subject to change; * Period has limited claims runout
Relative Income Levels The majority of NHHPP enrollees haveincome below the Federal Poverty Level. In 2016, for a household of 1, the federalpoverty level was 11, 770. Approximately 24 percent of currentNHHPP enrollees have income above 100percent of the Federal Poverty Level andare required to make copayments.7Income level dictates copayresponsibility24%No Co-payCo-pay76%7
NHHPP Federal Dollars Drawn DownSFY2015 202.4MSFY2016 405.9MSFY2017 399.9M88
Apr 01, 2015 · Medicaid funds are used to purchase commercial insurance policies known as Qualified Health Plans (QHPs) certified for sale on the individual market. The commercial carriers in 2017 are Anthem, Harvard Pilgrim, Minuteman and Ambetter. Approximately 42,000 participants receive
