Concord Hospital has sued the NH Department of Health and Human Services in U.S. District Court to forestall the state from recouping $8 million in alleged overpayment of Medicaid uncompensated care funds — so-called DSH payments — and from redistributing those funds to other hospitals in the state.
The suit also names the Center for Medicare and Medicaid Services and the U.S. Department of Health and Human Services as defendants for approving amendments to the state’s Medicaid plan despite the shortcomings of the plan.
Medicaid is a state and federal program. The federal government provides funds on condition the state contributes matching funds and administers the program through a Medicaid State Plan. DSH payments are made to compensate hospitals for serving disproportionate numbers of low-income patients. The payments in dispute accrued between 2011 and 2017.
The Medicaid Act mandates that rates of payment for hospital services, including DSH payments, be determined by a public process. The state plan does not meet the requirements of the statute unless it includes “a description of the methodology used by the state to identify and make (DSH) payments.”
The suit claims “None of the Medicaid State Plans in effect during the 2011-2017 period contain a legally sufficient description of the methods used to calculate or audit uncompensated care costs.” Nor did the plan include an effective process to challenge NH DHHS’s determination of overpayment of those costs.
“NH DHHS effectively required Concord Hospital to report uncompensated care costs between 2011 and 2017 without any comprehensive guidance on which costs are allowable and the sort of data that would support them,” the suit charges.
While home prices might be moderating in other parts of the country, the median price of a single-family house in New Hampshire rose to $550,000 in August, the second highest price point this current year. That price is just $3,000 more than the $547,000 recorded in July, but it is $47,500 more than January’s $502,500. The highest median price in 2025 was $569,450, recorded in June and the most ever recorded in the state.
3 of 5 Executive Council members oppose Taylor Caswell’s reappointment
U.S. Attorney General Pam Bondi has appointed Erin Creegan to serve as the interim U.S. Attorney for New Hampshire, following the resignation of Jay McCormack earlier this month.
Superior Court Judge David Ruoff has once again ruled that the state has shirked its duty to fund an adequate education and this time further held that local school property taxes, which vary in rate from one municipality to another, are themselves unconstitutional.
Nashua mayor: ‘I don't think people generally understand that this company came to Nashua as part of a state economic development initiative.’
Solar advocates in New Hampshire — backed by the congressional delegation — are denouncing a Trump White House decision to claw back $48.5 million already promised to the state to fund solar energy projects for low-income residents.
As Taylor Caswell’s reappointment as commissioner of the N.H. Department of Business and Economic Affairs (BEA) hangs in the balance, two independent statewide economic-related associations are standing with him and saying he should keep his job. The presidents of the New Hampshire Business & Industry Association (BIA) and Ski New Hampshire offered statements backing Caswell’s reappointment by the Executive Council.
Housing stakeholders' criticism is directed largely at a new state budget that defunds or doesn't fund certain programs
With the interventionist version of President Trump on the upswing, one of its most forceful cheerleaders — former Secretary of State Mike Pompeo — took a recent victory lap in New Hampshire.
