Municipalities Face Financial Strain Due to Rising Health Costs and Surprise Bills
Municipalities and school districts in New Hampshire are grappling with unexpected financial burdens due to rising health costs. SchoolCare, a nonprofit providing health insurance benefits, issued a $30 million assessment to cover increased claims, impacting local budgets. The Jaffrey-Rindge Cooperative School District received a surprise bill of over $585,000, exacerbating its already tight budget. SchoolCare's reserves dropped by $10 million in 2024, prompting a rate increase to rebuild reserves. The nonprofit's pooled risk management program (PRMP) offers cheaper premiums but poses higher risks for local governments and taxpayers. Bradley Herring, a health economics professor, highlights the inherent risk in PRMPs, where taxpayers bear the financial burden of high medical claims. Despite efforts to stabilize the risk pool, municipalities like Peterborough and Jaffrey are exploring alternatives to avoid future bills.