Governor Abercrombie Offices Releases Healthcare Transformation Plan

After a rigorous six-month planning process made possible by a federal grant from the Center for Medicare and Medicaid Innovation (CMMI), the state today announced the release of its healthcare transformation plan. Under CMMI’s State Innovation Model (SIM) initiative, Beth Giesting, the state’s healthcare transformation coordinator, convened more than 100 stakeholders from across the state to design Hawaii’s roadmap to achieve the “Triple Aim” of better care, better health and lower costs.

Office of the Governor Releases Healthcare Transformation Plan

Office of the Governor Releases Healthcare Transformation Plan

“Transforming our state’s healthcare system is a high priority of my administration, and under the leadership of Beth Giesting, we’ve made substantial progress since her appointment two years ago,” Gov. Neil Abercrombie said. “This healthcare transformation plan outlines clear, tangible steps we can take to improve the quality and cost-effectiveness of health care in Hawaii.”

“The resources that accompanied the SIM planning grant came at just the right time to allow us to take our efforts to the next level,” added Giesting. “We firmly believe that the priorities outlined in our plan will improve the quality of care and outcomes for all residents, while addressing the long-term fiscal sustainability of our healthcare system. In addition, it will bring greater equity by reducing geographic and cultural barriers to care.”

As part of its roadmap for transformation, the state’s plan identifies six essential catalysts for transformation:

  1. Primary Care Practice Redesign: Enrolling at least 80 percent of Hawaii residents in a patient-centered medical home by 2017 and exploring strategies to integrate behavioral health services into the primary care setting
  2. Care Coordination: Implementing programs to help high-risk/high-need individuals receive the services they need in part by establishing Medicaid Health Homes and Community Care Networks
  3. Payment Reform: Transitioning all payers to value-based purchasing by aligning reimbursement strategies
  4. Health Information Technology: Improving connectivity and capability across the healthcare ecosystem by accelerating adoption of electronic health records and increasing utilization of health information exchange
  5. Workforce Development: Expanding capacity for team-based care, addressing workforce shortages and improving cultural competency of providers
  6. Policy Strategies and Levers: Aligning state resources to drive policy changes, including the creation of a permanent transformation structure within state government

The plan is now available in its entirety for review at: www.hawaiihealthcareproject.org

In addition to Hawaii, 15 other states were announced as awardees of the SIM planning grant. Each state had six months to design and submit its own healthcare transformation plan, which will now be eligible for anticipated implementation awards later this year. CMMI expects to issue up to five such awards to the states to implement their plans, with each award valued between $20 and $60 million.

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Hawai’i Health Connector Permanent Board Members Seated July 1, 2012

Hawaii Health Connector, established to create and oversee the State’s health insurance exchange, seats 15 permanent board members this Sunday, July 1, 2012.

Cliff Alakai–Maui Medical Group
Clementina Ceria-Ulep, Ph.D., MSN, R.N.–Faith Action for Community Equity (FACE)
Joan Danieley–Kaiser Foundation Health Plan, Inc.
Jennifer Diesman–Hawai’i Medical Services Association (HMSA)
Patricia McManaman– Department of Human Services (DHS)
Beth Giesting–Hawai’i Office of the Governor
Michael Gleason–The Arc of Hilo
Robert Hirokawa, DC, DrPH, MPH–Hawai’i Primary Care Association
Faye Kurren–Hawai’i Dental Service (HDS)
Keali’i Lopez–Department of Commerce & Consumer Affairs
Sherry Menor-McNamara–Chamber of Commerce of Hawai’i
Gwen Rulona–UFCW Local 480
Christina Mai’i Sakuda–Hawai’I Health Information Exchange (HHIE)
Hardy Spoehr–Papa Ola Lōkahi
Edward Wang–Department of Labor and Industrial Relations

The Connector’s aim is an exchange that is Hawai‘i-for-Hawai‘i, one that takes into account the State’s unique culture and works with the Prepaid Health Care Act, and employer mandate for health insurance coverage in effect since 1974.

Background

During the 2011 legislative session, Senate Bill (SB) 1348 relating to the Hawai‘i Health Insurance Exchange received strong bipartisan support. On July 8, 2011, Governor Neil Abercrombie signed into law Act 205 (SB 1348, CD1) establishing the Hawai‘i Health Insurance Exchange Act. The Hawai‘i Health Connector (Act 205) provides the framework for a private, nonprofit quasi-governmental health insurance exchange that conforms to the requirements of the Patient Protection and Affordable Care Act (PPACA) of 2010. The Act also established an interim board of directors, appointed by the Governor to provide the guidance in which the establishment of the Connector was founded. Act 205 states that the Insurance Commissioner of the Department of Commerce and Consumer Affairs (DCCA) shall determine eligibility for the inclusion of qualified insurers and plans. The Department of Human Services (DHS) will determine eligibility for applicants in the Medicaid adult and children’s health insurance program (CHIP). Act 205 was codified into law as chapter 435H, Hawai‘i Revised Statutes, establishing the Hawai‘i Health Insurance Exchange.

The Insurance Division of the DCCA applied for, and received, a Level I Cooperative Agreement to Support Establishment of the Hawai‘i Health Insurance Exchange in November 2011. DCCA in cooperation with the Connector is in the process of reassigning this grant to the Connector.

In December 2011, the interim board hired Executive Director, Coral Andrews to oversee the operational resources of the Connector, as well as recruit and hire the necessary staff needed to successfully implement the Hawai‘i Health Insurance Exchange. To date, the Connector’s staff continues to grow while working towards bringing transparent and affordable health care to the state of Hawai‘i.