Amid a ‘proliferation in services,’ N.H. lacks a thorough way to track health care industry’s growth

After scrapping its Certificate of Need Board, state has no ‘window’ into what drives ever-rising costs

By: Paul Cuno-Booth

Outlets: Granite State News Collaborative

Published: July 28, 2025

Words: 1,560

Last Updated: 1 month, 3 weeks ago

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Over the past decade, larger health systems — many based out of state — have snapped up community hospitals in New Hampshire, touting flashy new investments, even as some residents voice concerns about other services being cut.

Regional hospital groups have formed, and split up. Urgent care clinics, outpatient surgical centers and other independent facilities have proliferated.

What does all that mean for patients, employers and their ever-growing health care costs? It’s hard …

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