We must do better

To the Editor: We have added layer after layer of bureaucracy to our health-care system in New Hampshire.

These layers have not brought our citizens closer to receiving care. Governor Sununu and Commissioner Meyers have recommended a targeted approach for provider rate increases.

This approach would foster compliance with federal rules, such as “provider payment rates must be consistent with efficiency, economy, and quality of care and sufficient to enlist enough providers so that care and services are available under the plan at least to the extent they are available to the general population in the geographic area.”

The 3.5% across-the-board increase as currently proposed will not be compliant or resolve the problem of access to care from less costly providers or settings.

We need a thoughtful targeted approach to improve access to care.

The many differing provider rates have historically not been treated in an across-the-board manner, resulting in rate inequities.

There are breaks in the continuum of care, which result in more costly measures being utilized.

People are often stuck weeks or months in a costly inpatient setting, while waiting to access community-based care or a mid-level care bed which sits empty while the bureaucracy swirls and churns.

This is about affording patients, and their loved ones, the ability to participate in the development of their own plan of care and having those plans honored.

This is about ensuring our programs deliver care before unintended consequences are suffered.

We can and we must do better.