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Honolulu, HI Market Overview
HealthLeaders Interstudy, March 2011
The Honolulu market is not waiting for national healthcare reform deadlines and has begun to implement various tenets of the Patient Protection and Affordable Care Act. Most notably, the market’s largest health insurer—Hawaii Medical Service Association—has teamed up with health systems in Honolulu and Hawaii at large to begin the creation of the patient-centered medical home model of care. Through the model, 15 percent of HMSA’s reimbursements to health systems will be tied to quality and patient care.
Look for continued medical home expansion and collaboration among insurers and health systems, along with the utilization of electronic medical records to help coordinate care among Hawaii’s limited number of physicians. As the PCMH model of care becomes more popular, the need for physicians in the Aloha State will grow. Hawaii is currently short around 500 physicians, and an aging population is increasing the need for primary care in the state.
Questions answered in this report:
Honolulu's two largest health systems have a combined market share of about 60 percent. What state legislation could increase collaboration between health systems and insurers? Which medical center has emerged from bankruptcy and restructured its ownership? What are the details of a new cancer center being constructed in this market?
Consolidation within Honolulu's physician market is increasing. What initiatives have been undertaken to expand physician training programs in Hawaii? What factors make physician recruitment a challenge in this market? What are the largest medical groups in Honolulu?
The health insurance industry is highly consolidated in Honolulu, with one carrier dominating the market. What new health initiative are health plans offering to low-income immigrants in Hawaii? What drug assistance program for low-income Hawaiians has ended? How much are health insurance premiums projected to increase in Hawaii over the next few years?
Metrics:
- Key market indicators and leading organizations among health systems, physicians and health plans
- Health systems’ market share
- Income, revenue, enrollment and pharmacy spend for leading health plans
- Demographics
Scope:
- Honolulu, which includes all of Honolulu County.
Primary Research:
- Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives
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