HONOLULU (AP) — A survey of Hawaii main well being care suppliers reveals struggles to remain in enterprise following adjustments to compensation by the state’s largest insurer.
Greater than 80% of suppliers surveyed imagine the Hawaii Medical Service Affiliation fee system is placing physicians out of enterprise, Hawaii Public Radio reported Thursday.
The examine was carried out by well being coverage group Aimed Alliance based mostly in Washington, D.C. and funded by the Atherton Household Basis in Honolulu.
“The big concerns are that the pay was too low and they felt this disincentivized them to practice medicine and that it was contributing to provider shortages that were already occurring in Hawaii,” Aimed Alliance counsel Stacey Worthy stated.
The examine surveyed 60 main care suppliers within the affiliation’s fee transformation program and located a majority believed this system induced a rise in administrative duties, leading to longer hours and better staffing prices.
“We found that it was causing financial stress on primary care providers and it is also increasing administrative costs, which trickle down the health care system,” Worthy stated.
Worthy added: “Specifically, these with practices of fewer than 5 suppliers have been greater than twice as more likely to categorical that sentiment than these working in massive practices, hospitals or well being programs.”
The survey was the primary impartial examine in regards to the fee model often called capitation, or fee transformation.
Medical doctors have historically been reimbursed for companies beneath a “fee-for-service” model wherein physicians present companies similar to annual check-ups and the insurer then pays the physician.
Underneath the Hawaii Medical Service Affiliation’s compensation program launched 5 years in the past, the insurer pre-pays main care docs with capped quantities per affected person.
Greater than 36% of these surveyed stated they’ve referred sufferers to pressing care clinics as a substitute of treating them because of fee transformation.
Hilo household doctor Michelle Mitchell was not stunned by the studyʻs findings.
“I think this is just confirming what we already know,” Mitchell stated. “More and more physicians are leaving practice and leaving Hawaii in general as a result. And I actually think these results not only confirm that but likely underestimate that.”