HI HCR137

Requests the Insurance Commissioner to report on capitated payment models by healthcare insurance plans, with focus on Hawaii Medical Service Association (HMSA)'s planned conversion from fee-for-service to capitated primary care reimbursement.

Requires the report to analyze impacts on quality and accessibility of healthcare and primary care services, provider operating costs, reimbursement adequacy, formation of independent practices, EUTF procurement costs, and effects on insurance rates and insured individuals.

Directs the report to examine capitated payment reimbursement rates used in other states for comparison purposes.

Mandates the Insurance Commissioner submit findings and recommendations and conduct a public informational briefing no later than 20 days before the 2019 Regular Session convenes.

Recommends that healthcare insurance carriers not implement capitated payment models unless the Commissioner's report and public support at the briefing favor the model.