Requesting The Legislative Reference Bureau To Conduct A Financial Analysis Of The Managed Care Organizations That Administer The Employer-union Health Benefits Trust Fund By Auditing The Amounts Paid For Health Care And Amounts Paid For Administrative Services.
Impact
The bill acknowledges Hawaii's historical advancements in healthcare legislation, particularly emphasizing access to affordable and quality healthcare. It asserts that health insurance companies currently impose excessive administrative demands on providers that hinder their ability to deliver care effectively. Through this analysis, the resolution intends to shine a light on high administrative costs linked to the insurance model, which may contribute to disparities in access to care, especially for socially disadvantaged populations.
Summary
House Resolution 133 (HR133) requests the Legislative Reference Bureau to undertake a financial analysis of the managed care organizations that govern the Employer-Union Health Benefits Trust Fund in Hawaii. This analysis aims to audit the amounts spent on healthcare and the amounts designated for administrative services, thereby providing clarity on costs and efficiencies within the system. The resolution highlights the escalating healthcare rates and accessibility issues faced by residents due to the current economic climate exacerbated by the COVID-19 pandemic.
Contention
Notable points of contention arise around the efficiency and burden of the existing insurance structure as it has placed significant pressures on healthcare providers. The resolution suggests that the practices incentivized by the insurance model restrict access due to excessive procedural requirements such as prior authorizations. This complexity could dissuade medical professionals from practicing in Hawaii, deepening the ongoing physician shortage and adversely affecting patient care.
Future_recommendations
By conducting this financial scrutiny, HR133 seeks to identify actionable reforms that may alleviate the pressures on both patients and providers. The Legislative Reference Bureau is expected to present its findings and recommendations to the legislature in a timely manner, which could potentially lead to legislative changes that enhance the efficacy of healthcare provision in Hawaii.
Same As
Requesting The Legislative Reference Bureau To Conduct A Financial Analysis Of The Managed Care Organizations That Administer The Employer-union Health Benefits Trust Fund By Auditing The Amounts Paid For Health Care And Amounts Paid For Administrative Services.
Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.
Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.