This is the concluding section of a two-part study examining competition among the organizations that offer prepaid health plans in Hawaii. This section provides an overview and update of material presented in the preceding report, and identifies some of the competitive practices that concern those active in the industry. The perspectives of plan providers, the state agencies charged with regulating providers, and the employers who purchase health plans for their employees are examined.
The final chapter presents findings and recommendations for consideration by the Legislature that address issues raised in both parts of the study. The recommendations are directed toward strengthening state oversight of the financial practices of health plan providers and establishing uniform requirements for the different types of organizations active in the industry.
We extend our sincere appreciation to the following for their assistance and cooperation during this study: the Hawaii State Departments of Health and Labor and Industrial Relations; the State Insurance Commissioner's Office; Hawaii Medical Service Association; Hawaiian Electric Industries, Inc.; Kaiser Permanente, Hawaii Region; Hawaii Association of Health Underwriters; Queen's Health Systems; Small Business Hawaii; and Straub Clinic and Hospital.
Wendell K. Kimura
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