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.
The resolution underscores significant challenges within Hawaii's health care system, including high administrative costs and the complexities arising from a competitive insurance business model that affects patient care. By examining these factors, the bill seeks to not only clarify spending on health care services but also address broader issues such as disparities in access to care, which many residents face due to obstacles like restrictive prior authorizations and limited physician networks. Overall, the analysis aims to contribute to efforts for enhancing the quality and affordability of health care for beneficiaries of the Employer-Union Health Benefits Trust Fund.
SCR239 is a Senate Concurrent Resolution from Hawaii requesting the Legislative Reference Bureau to conduct an in-depth financial analysis of the managed care organizations that administer the Employer-Union Health Benefits Trust Fund. This analysis aims to review the amounts paid for health care and administrative services, which has become increasingly relevant as costs of health care in Hawaii continue to soar. Supporters view this initiative as necessary for ensuring transparency and accountability in health care expenditures, particularly in light of the financial pressures posed by the COVID-19 pandemic.
One notable area of contention relates to the ongoing limitations posed by existing health care policies, and how they impact both patients and healthcare providers. The resolution addresses concerns regarding the burdensome administrative demands placed on physicians, which are said to drive professionals out of practice or leave them disillusioned with the prevailing system. Critics of the current model voice that without proper oversight and reform, Hawaii risks losing its once commendable health care standing, a situation exacerbated by the pandemic. The outcomes of the proposed analysis could lead to potential legislative changes aimed at reducing administrative overheads and improving patient care protocols.