Health care spending has increased faster and reached higher levels in New Hampshire than in most other states, but hospitals, insurers and others have been trying to tackle the problem long before the Affordable Care Act. The New Hampshire Citizens Health Initiative, which promotes affordable, effective and accessible health care, has overseen several of the largest efforts, including a medical home pilot project in 2011 and an accountable care organization model (8/26).

Source: State Highlights: N.H. pushes back at health care costs ahead of Obamacare