Payment transformation has become a reality in Hawaii — here's how

Sponsored by Navvis Healthcare

In an ambitious move in 2016, the largest insurer in Hawaii decided to make population health more than a theory. In partnership with Navvis, Hawaii Medical Services Association rolled out a pioneering payment program for primary care providers, in which PCPs are rewarded for quality, efficiency, cost effectiveness and innovation. In turn, program aims to reduce administrative burden for physicians and better align consumers, providers, employers, the government and the community. The result? Māhie — or "transformation" in the native Hawaiian language — for patients, providers, employers, the government and community at large.

 

Molly Gamble, vice president of editorial for Becker's Healthcare and editor-in-chief of Becker's Hospital Review, caught up with Stuart Baker, MD, executive officer and president emeritus of Navvis, and Mark Mugiishi, MD, executive vice president, chief health officer and chief medical officer at HMSA, in this podcast to learn about work behind the major undertaking these two organizations took on in 2016. Their conversation touches on:

  • Involving physicians in a payment transformation program and responding to their input
  • The strategy, planning and execution required for payment transformation
  • How a primary care payment program can account for social determinants of health and interact with the broader ecosystem of health and wellness
  • Quality, financial and satisfaction results and outcomes achieved so far

To download the .mp3 file, click here; or listen below.

For more information, please visit Navvis Healthcare's website here

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