Managed Care · NH
New Hampshire
Moderate opportunity · score 59
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
35.6%
National rank #41 · National avg 47.8%
-12.22 pp vs national
125,621
MA beneficiaries (rolled up)
353,047
Medicare eligibles
10
Counties indexed
74
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +324.7%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 38.8%Merrimack15,570 of 40,106 eligibles
- 38.1%Coos4,156 of 10,902 eligibles
- 38.0%Belknap7,910 of 20,796 eligibles
- 37.5%Strafford11,181 of 29,818 eligibles
- 36.8%Hillsborough34,001 of 92,426 eligibles
- 34.9%Cheshire7,541 of 21,630 eligibles
- 34.4%Sullivan4,234 of 12,326 eligibles
- 33.2%Grafton8,304 of 24,986 eligibles
- 33.0%Carroll6,213 of 18,847 eligibles
- 32.6%Rockingham26,511 of 81,210 eligibles
Highest opportunity counties
- 32.6%Rockingham81,210 eligibles · 26,511 enrolled
- 33.0%Carroll18,847 eligibles · 6,213 enrolled
- 33.2%Grafton24,986 eligibles · 8,304 enrolled
- 34.4%Sullivan12,326 eligibles · 4,234 enrolled
- 34.9%Cheshire21,630 eligibles · 7,541 enrolled
- 36.8%Hillsborough92,426 eligibles · 34,001 enrolled
- 37.5%Strafford29,818 eligibles · 11,181 enrolled
- 38.0%Belknap20,796 eligibles · 7,910 enrolled
- 38.1%Coos10,902 eligibles · 4,156 enrolled
- 38.8%Merrimack40,106 eligibles · 15,570 enrolled
Top MA payers in New Hampshire
110,944 total MA enrolled- 1HUMANA INSURANCE COMPANY16,93715.3%
- 2ANTHEM INSURANCE COMPANIES, INC.15,56314.0%
- 3ARCADIAN HEALTH PLAN, INC.15,26913.8%
- 4CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.14,68713.2%
- 5SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.10,9389.9%
- 6EMPHESYS INSURANCE COMPANY10,6159.6%
- 7UNITEDHEALTHCARE OF WISCONSIN, INC.8,7667.9%
- 8AETNA HEALTH INC. (CT)8,3037.5%
- 9BOSTON MEDICAL CENTER HEALTH PLAN, INC.5,1524.6%
- 10AETNA LIFE INSURANCE COMPANY4,0553.6%
- 11HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.3550.3%
- 12BCBS OF MASSACHUSETTS HMO BLUE, INC.1030.1%
- 13Humana Insurance Co. & Humana Insurance Co. of NY890.1%
- 14COMMONWEALTH CARE ALLIANCE, INC.440.0%
- 15BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY430.0%
Top-rated SNFs in New Hampshire
74 total- SAINT ANN REHABILITATION AND NURSING CENTERDOVER, NH · Strafford County · 54 beds5★
- RIVERWOODS AT EXETEREXETER, NH · Rockingham County · 8 beds5★
- VILLA CREST NURSING AND RETIREMENT CENTERMANCHESTER, NH · Hillsborough County · 126 beds5★
- SAINT FRANCIS REHABILITATION AND NURSING CENTERLACONIA, NH · Belknap County · 51 beds5★
- GOLDEN VIEW HEALTH CARE CENTERMEREDITH, NH · Belknap County · 131 beds5★
- HOLY CROSS HEALTH CENTERMANCHESTER, NH · Hillsborough County · 40 beds5★
- LANGDON PLACE OF KEENEKEENE, NH · Cheshire County · 25 beds5★
- CEDAR HEALTHCARE CENTERPORTSMOUTH, NH · Rockingham County · 102 beds5★
- HILLSBOROUGH COUNTY NURSING HOMEGOFFSTOWN, NH · Hillsborough County · 300 beds5★
- WARDE HEALTH CENTERWINDHAM, NH · Rockingham County · 32 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.