New Hampshire – Medical Homes
The NH Citizens Health Initiative has convened a multi-payer, multi-stakeholder medical home project since January 2008. Payments to pilot practices began on June 1, 2009, and ended on December 31, 2011. While Medicaid helped design the program, it did not join as a participating payer. Further information on the program is available online here. The NH Citizens Health Initiative is supported by the New Hampshire Department of Insurance, as well as a variety of other funders. The NH Citizens Health Initiative is also leading a multi-year, multi-stakeholder accountable care organization (ACO) pilot. Further information is available here.
The Center for Medical Home Improvement in New Hampshire has received support from the Special Medical Services Program in the New Hampshire Health and Human Services Division to help build medical homes for children with special health care needs. Further information is available online here.
Last updated: April 2014

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































