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Exeter Hospital merger sparks crisis in community healthcare

September 25, 2024 | Executive Councils, Executive Offices, Executive, New Hampshire


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Exeter Hospital merger sparks crisis in community healthcare
In a recent government meeting, officials expressed deep concerns over the abrupt termination of six critical medical programs at Exeter Hospital, now under the management of Beth Israel Leahy Health. The closures have left many residents without essential healthcare services, prompting fears of significant impacts on community health.

Officials highlighted that the terms of the merger and the court-approved final judgment between the state, the Department of Justice, and Beth Israel were not adhered to during these terminations. The abrupt cuts have forced Exeter Hospital to refer patients to out-of-state practices, with 40 to 60 percent of referrals now occurring outside the state. This situation has raised alarms, particularly for vulnerable populations, including those relying on Medicaid and children needing dental care.

The meeting revealed that approximately 50,000 residents could lose access to ALS coverage, and nursing homes are struggling to provide neurology services. The lack of ambulance services has further complicated matters, with reports of emergency medical services being diverted from Exeter Hospital during critical situations, including maternity care.

Officials acknowledged a temporary six-month stay on service terminations, allowing for a thorough review of the situation. However, concerns remain about compliance with the final judgment and the hospital's commitment to community health. The meeting underscored the need for accountability, as officials noted that the hospital had not provided timely information regarding its operations and financial commitments, including a $375 million investment mandated by the court.

The discussions also touched on the importance of negotiating solid agreements in future transactions, emphasizing that enforcement of these agreements is crucial to prevent similar issues from arising. As the review process continues, officials are determined to ensure that the healthcare needs of the community are met and that the hospital fulfills its obligations.

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