Network description:
Statewide network of Community Health Centers, IPA’s, medical groups,
individual practitioners, hospitals and other ancillary providers.
Pharmacy benefit and management:
MedcoHealth - pharmacy benefit Manager
TPA/Information systems:
QMACS information system
History of the organization:
In 1993, changes in the federal Medicaid system threatened the ability
of community health centers to serve their communities. Concerned that
the special needs of their communities might not be met after
privatization of Hawaii’s Medicaid program, the community health centers
organized and formed their own health plan – AlohaCare.
AlohaCare was created to ensure Hawaii’s low-income families will
always be guaranteed access to high quality, culturally sensitive health
care.
The name “AlohaCare” reflects its philosophy of delivering the
highest quality “care” with genuine concern, compassion and “aloha” for
Hawaii’s economically-disadvantaged families.
Three major challenges the organization faces during 2003:
1. Capitation changes for 07/03
2. Risk Factor Adjustment issues with the State
3. Business diversification |
