Welcome to your daily briefing on healthcare developments in Hawaii. Today we're covering 12 key stories including updates on hawaii healthcare headlines, hawaii healthcare updates, background & context. Let's dive in.
5 stories
Healthcare Utilization Report, Hawaii 2023 TABLE OF CONTENTS corresponding page number from publication Cover 1 Administrator’s Message 3 Table of Contents 4 SHPDA Approved vs OHCA Licensed Bed Capacity as of December 31, 2023 6 Table….
Relevant to healthcare professionals operating in HI.
Search & View all MED-Quest forms.
Relevant to healthcare professionals operating in HI.
Promoting Lifelong Health & Wellness.
Relevant to healthcare professionals operating in HI.
Learn how to get your Hawaii medical license in this comprehensive guide. Find out what the requirements are, how to apply, and how to make the process easier.
Relevant to healthcare professionals operating in HI.
The Hawaii Department of Health now provides a dedicated page to search and view all MED-Quest CMS reports.
Healthcare professionals in HI can efficiently retrieve necessary CMS documentation to ensure compliance and streamline administrative workflows.
Reach healthcare professionals
4 stories
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Relevant to healthcare professionals operating in HI.
The Hawaiʻi Health Data Warehouse is dedicated to providing useful data to support public health professionals, researchers, the community and health agencies to become more effective in the application of health data. We store and….
Relevant to healthcare professionals operating in HI.
ADMINISTRATOR’S REPORTS The monthly Administrator’s report provides the latest update on certificate-of-need applications, decisions, and SHPDA activities. For current and past Administrator Reports, please click here. PUBLIC MEETING….
Relevant to healthcare professionals operating in HI.
Search & View all MED-Quest forms.
Relevant to healthcare professionals operating in HI.
3 stories
The No Surprises Act good-faith-estimate requirement applies to all licensed providers offering services to self-pay or uninsured patients — not just hospitals or large groups. The estimate must be provided within timeframes that vary by how far in advance the appointment is scheduled.
Patient-provider dispute resolution under NSA typically defaults to the patient when the practice cannot produce a timely good-faith estimate. The penalty is the full disputed amount being struck.
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window pushes the entity to inactive status, which means immediate loss of 340B pricing and potentially diversion violations on previously dispensed drugs. Reinstatement requires a new application.
The discount value of 340B pricing for a covered entity often exceeds six figures annually. Letting the recertification lapse for paperwork reasons is one of the most expensive administrative errors in the regulation.
Across most payors, the top-five denial reasons account for over 80% of prior-auth rejections: missing clinical documentation, wrong CPT/HCPCS code, service not in benefit plan, step-therapy not completed, and ordering provider not on the patient's plan. The same five repeat across plans because they are the easiest to deny on automation.
Practices that build a five-line pre-submission checklist around these reasons typically cut prior-auth denials by 40-60% within a quarter. The fix is process, not appeals capacity.
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