Payment Transformation in Hawaii: Relatable Lessons from Hawaii Medical Service Association

For the healthcare industry to achieve widespread success in aligning care quality with reimbursement to improve outcomes and ultimately lower costs, health plans and providers need to work together. The success of one Hawaii health plan provides an example of what can be achieved if providers and health plans collaborate like partners instead of quibble like adversaries.

This white paper examines the success of Hawaii Medical Service Association's unprecedented payment program. The program was the result of 18 months of planning and collaboration, during which physicians directly informed the health plan about the quality measures most meaningful to them.

Key learning points include:

  • How HMSA created a quality bonus program that engaged physicians
  • How HMSA achieved consensus buy-in among physicians and stakeholders
  • How HMSA supports provider investment in technology


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