Hawaii Health Care-ENDNOTES

COMPETITIVE PRACTICES
IN HAWAII'S HEALTH
CARE INDUSTRY

Endnotes

1. Nell A. Cammack, Factors Influencing Competition Among Health Plan Providers, Legislative Reference Bureau, Report No. 11 (Honolulu: 1994).

2. Nell A. Cammack, Factors Influencing Competition Among Health Plan Providers, Legislative Reference Bureau, Report No. 11 (Honolulu: 1994).

3. Hawaii Rev. Stat., chap. 393.

4. Act 179, 1995 Haw. Sess. Laws.

5. Beginning January 1, 1996, HMOs are subject to regulation under the provisions of Act 179, 1995 Hawaii Session Laws.

6. Factor Influencing Competition Among Health Plan Providers, Legislative Reference Bureau (Honolulu: 1994), Report No. 11.

7. House Bill No. 3430 included a second part that would have regulated mutual benefit societies' premium rate-making procedures. The Governor's veto message stated that the veto was based on the fact that funds were not provided to implement part 2 of the measure.

8. The Hawaii Business Health Council was formed about five years ago by several of the larger employers in Hawaii. Its members include representatives from the major banks, utilities, and visitor industry. The group's primary interest is health care cost containment.

9. 1994 Annual Report and Financial Highlights, Hawaii Medical Service Association (Honolulu, undated), p. 7.

10.Letter from Stacy Evensen, HMSA, to Nell A. Cammack, November 27, 1995.

11.Ibid., and Honolulu Star Bulletin, April 22, 1995.

12.1994 Annual Report, HMSA, pp. 12 and 13.

13.Honolulu Star Bulletin, July 4, 1995; and memorandum from Stacy Evensen, HMSA, to Nell Cammack, December 14, 1995.

14.Telephone interview with Wayne Metcalf, Hawaii Insurance Commissioner, November 12, 1995; and memorandum from Stacy Evensen, HMSA, to Nell Cammack, December 14, 1995.

15.1994 Annual Report, HMSA, p. 12.

16.Honolulu Star Bulletin, September 19, 1995.

17.Letter from Lauren Toal, Kaiser Permanente, Department of Public Affairs to Nell A. Cammack, November 24, 1995.

18.Honolulu Star Bulletin, August 31, 1994.

19.Honolulu Advertiser, September 10, 1995.

20.The Honolulu Advertiser, September 26, 1995.

21.Toal letter, November 24, 1995.

22.Telephone interview with Richard M. Jackson, President and Chief Executive Officer, The Queen's Health Care Plan, November 15, 1995; letter from Richard M. Jackson to Nell A. Cammack, November 16, 1995.

23.Honolulu Star Bulletin, 1995. AlohaCare did not respond to written request for additional information.

24.New York Times, National Edition, June 6, 1994.

25.Letter from Richard M. Jackson, President and Chief Executive Officer, The Queen's Health Care Plan, to Nell A. Cammack, December 27, 1995.

26.Telephone interview with Richard M. Jackson, November 15, 1995.

27.Daniel B. Moskowitz, "Blues No Longer Health Care's Back Seat Driver," Journal of American Health Care, vol. 4, No. 5. September/October 1994, p. 19.

28.Interview with Stacy Evensen, M.S., Government Relations, Hawaii Medical Service Association, December 16, 1995.

29."Vision 2000 Health Care Congress, Post-Congress Report," (Honolulu: Octotber 27, 1995).

30.Interview with Arnold Hirotsu, Hawaii Association of Health Underwriters, August 27, 1995.

31.42 U.S.C.A. 300e.

32.Hawaii Rev. Stat., chap. 393.

33.Membership confirmed by telephone interview with staff of Disability Compensation Division, Department of Labor and Industrial Relations, December 15, 1995.

34.Nell A. Cammack, Factors Influencing Competition Among Health Plan Providers, Legislative Reference Bureau, Report No. 11 (Honolulu: 1994).

35.Telephone interviews with Wayne Metcalf, Insurance Commissioner, November 21, 1995; and Paul Yuen, Staff Attorney, Office of the Insurance Commissioner, November 24, 1995 and December 7, 1995.

36.Interview with Gail Hiraishi, TDI Program Specialist, Department of Labor and Industrial Relations, August 11, 1994.

37.Interview with Peter C. Lewis, member, Hawaii Business Health Council and Vice President - Administration, Hawaiian Electric Industries, Inc., and Phyllis Okata, Human Relations Specialist, Hawaiian Electric Industries, Inc., November 28, 1995; and telephone interview with Lewis, November 29, 1995.

38.Interview with Stacy Evensen, M.S., Government Relations, Hawaii Medical Services Association, December 27, 1995.

39.Nell A. Cammack, Factors Influencing Competition Among Health Plan Providers, Legislative Reference Bureau, Report No. 11 (Honolulu: 1994), p. 25.

40.Ibid., p. 30.

41.Ibid., p. 35.

42.Kaiser Permanente's facilities and personnel are available on a case-by-case basis to nonmembers, and it contracts with non- Kaiser facilities to serve its neighbor island members.

43.Hawaii Rev. Stat., sec. 432:1-403.

44.HMSA is a mutual benefit society but taxed under the federal law.

45.Hawaii Rev. Stat., sec. 431:7-202.

46.Cammack, chapters 2 and 7.

47.Ibid., chapter 7.

48.Hawaii Rev. Stat., sec. 432:1-402.

49.Act 179, 1995 Haw. Sess. Laws, sec. -7.

50.Act 179, 1995 Haw. Sess. Laws, sec. -5 (HMOs) and Hawaii Rev. Stat., sec. 431:3-302.5 (insurers).

51.Hawaii Rev. Stat., sec. 432:1-404.

52.Hawaii Rev. Stat., sec. 431:3-302.5 (insurers) and Act 179, 1995 Haw. Sess. Laws, sec. -5.

53.Hawaii Rev. Stat., sec. 432:1-404.

54.Hawaii Rev. Stat., sec. 432:1-402.

55.Act 179, 1995 Haw. Sess. Laws.


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