TITLE

FOREWORD

1. INTRODUCTION

Study Parameters and Approach

2. OVERVIEW OF PART I REPORT

• Part I Study Parameters and Approach
• Organizational Structure
• Health Plan Benefits and Coverage
• Financial Requirements and Taxes
• Rates
• Size of Provider Organizations
• State Oversight

3. UPDATE

Chapters 2 and 3--State Law; Health Maintenance Organizations

• Health Maintenance Organization Act
• Chapter 6--Health Plan Providers
  • Hawaii Medical Service Association (HMSA)
  • Hawaii Dental Services-Medical (HDS-Medical)
  • Pacific Group Medical Association (PGMA)
  • Hawaii Management Alliance Association (HMAA)
  • Kaiser Permanente
  • Straub Clinic and Hospital
  • The Queen's Health Systems (QHS)
  • AlohaCare
• Chapter 7--The Competitive Environment
  • National Factors
  • Local Factors
• Legislative Proposals

4. COMPETITIVE PRACTICES

• Premium Rates
• Coverage
• Service Delivery

5. PERSPECTIVES ON COMPETITION

• The Regulators' Perspective
  • Insurance Commissioner
  • Department of Labor and Industrial Relations (DLIR)
• The Health Plan Providers' Perspective
• The Employers' Perspective
  • Small Businesses
  • Large Businesses

6. ORGANIZATIONAL STRUCTURE AND COMPETITION

• Internal Organization
• Contractual Relationships
• Tax Status
• HMOs and Indemnity Plans
• Regulation of Organizations

7. FINDINGS AND RECOMMENDATIONS

• Access to Health Care Coverage
• Plan Providers that Both Provide and Pay for Health Care Services
• Recommendations for Guidelines
• The State's Interests
• Recommendations

ENDNOTES

A. House Resolution No. 200, H.D. 3

B. Confidential Opinion Survey (Employer-Sponsored Prepaid Health Plans)