Reports
Task Force research reports, policy briefs and technical appendices on Hawaiʻi payment reform, workforce, network adequacy and prior authorization.
Published reports
- Prior Authorization Is Not a Clinical Tool — Prior authorization functions as a cost-containment lever, not a clinical safety mechanism. The evidence base from Hawaiʻi providers.
- The Directory Is Lying to You — Hawaiʻi payer directories contain inaccurate, outdated, and ghost provider listings. Patients cannot rely on the published network. Evidence and policy recommendations.
- Physician Workforce Collapse in Hawaiʻi: Structural Causes and Policy Remedies — Hawaiʻi has 12,688 licensed physicians but only 3,647 in patient care, an 833 FTE shortfall when geography counts. Five structural reforms the Legislature can act on.
- After Payment Transformation: The Fee-for-Service and Capitation Crossroads — Hawaiʻi providers face a mandatory transition, since extended to January 2027, from payment transformation to fee-for-service. Both reimbursement models are severely underfunded in Hawaiʻi.