Improving Quality of Care in Hawaii
The health care landscape is slowly switching from a fee-for-service model (which has misaligned incentives in which clinicians and hospitals are rewarded for the volume of services they provide) to a value-based model, where the incentives are aligned with improving patient outcomes. Since 2017, our team provided guidance and conducted research to inform the roll-out of a new HMSA (Blue Cross Blue Shield of Hawaii) provider payment initiative that shifted primary care provider payment from a fee-for-service model to a new value-based framework.
HMSA and CHIBE researchers designed a new system to achieve shared goals such as improving care and managing costs. This payment model, which incentivizes providers for both efficiency and effectiveness, has been implemented throughout most of the state of Hawaii.