Medicaid and Managed Care – Hawaii

Hawaii’s Medicaid switch produces mixed results, By Mary Vorsino, May 24, 2010, Honolulu Advertiser: “Fifteen months after the state switched its Medicaid insurance program for more than 42,000 low-income seniors and disabled residents from a fee-for-service model to a managed care one, advocates say two firms hired to administer the program have improved services and beefed up provider networks. But some point to cases involving patients who have seen cuts in care or who have struggled to navigate the Mainland-based plans because of language barriers or other reasons as continued areas of concern. New statistics on the Quest Expanded Access program illustrate that mixed bag. The numbers show both insurance companies – ‘Ohana Health Plan and Evercare – have decreased the average processing time for claims, from a high of 22 days to about 10, and increased the number of participating specialists…”