Since 2015 Koan Risk Solutions, Inc. has served as the third-party administrator for the State of Hawaii Organ and Tissue Transplant Program (SHOTT). In this capacity Koan provides case management services for clients and authorizes and pays for the healthcare services provided for Hawaii Medicaid recipients who are approved as transplant candidates by the Med-QUEST Division’s (MQD’s) Medical Director.
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Health Service Consulting
In 1994, the State of Hawaii’s Medicaid Program initiated a managed care program through a Medicaid 1115B waiver. There were several challenges to establishing this managed care program due to the fact that the State had previously operated under an “any willing provider” fee-for-service model.
The experience of our staff and partners in the following areas provides Koan with the unique ability to provide a breadth of national healthcare knowledge that complements the Med-QUEST Division’s (MQD’s) staff’s expertise.
• Health systems
• Health care purchasing support
• Strategic planning
• Development, evaluation and assessment of health programs
• Project management
• Federal health programs/legislation
• Development of management and monitoring
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