At Koan Risk Solutions, Inc., we are dedicated to delivering innovative solutions that enhance the well-being of the State of Hawaii, its citizens, and its employers. Since our inception in 2015, we have grown from managing the state of Hawaii’s organ transplant program to offering a wide array of services, including enrollment and revalidation for Hawaii Medicaid, ombudsman services for Medicaid providers and beneficiaries, and contact center services for the Department of Commerce and Consumer Affairs.

Mission: To assist the State of Hawaii and its people by providing excellent services, fostering employee development, and ensuring optimal client satisfaction.

Vision: To be the leading provider of healthcare and support solutions in Hawaii, known for our commitment to quality, innovation, and continuous learning.

• Integrity: Upholding the highest standards in all our actions.
• Innovation: Embracing change and continuously seeking new ways to improve our services.
• Excellence: Striving for the highest quality in everything we do.
• Collaboration: Believing in the power of teamwork and partnership.
• Continuous Learning: Fostering a never-ending learning environment to ensure optimal client satisfaction.

• Healthcare System Management: Expertise in managing complex healthcare systems, including the State of Hawaii Medicaid (Med-QUEST) Program, catastrophic care management, and community-embedded care management and support services.
• Provider Enrollment and Revalidation: We excel in the complex process of provider enrollment and revalidation, creating efficient processing systems and customer service engagement that significantly surpasses the service levels set by stakeholders. Utilizing CRM and CTI technologies, we ensure compliance, accuracy, and timely processing, easing the burden on both providers and stakeholders.
• Claims and Provider Services: Specialized in medical claim processing and adjudication, ensuring compliance and efficient handling of applications, coordinating closely with providers and their staff, and maintaining Medicaid databases.

The high quality of our work stems from a culture of supportive, effective teamwork. Our diverse consortium of partners drives our strategies and solutions, ensuring that we prioritize goals and deliver a level of service that benefits all stakeholders.

Since 2015, we have continuously expanded our services and capabilities to better serve Hawaii’s healthcare and support needs. Our journey has been marked by a commitment to excellence and a passion for making a positive impact.

We invite you to learn more about how Koan Risk Solutions can support your needs. Contact us today and become a part of our mission to transform healthcare and support services in Hawaii.