The state has 2, 819 active physicians but needs at least 3, 481 to care for an aging population, according to the latest survey by the
"It's the hassles of medicine and the low pay in
So-called payment transformation was implemented in 2017 by the state's largest health insurer,
Almost three-quarters of the 156 doctors who responded to the survey said they are unhappy with the new per-member per-month payment model, and more than half reported they make less than they did in 2016. It is unclear how many doctors surveyed are actually in the payment transformation program.
"I think payment transformation has scared people out of state, " Withy said.
"The last year was kind of the straw that broke the camel's back. Since 2012 my business was doing really well ... and then payment transformation happened and every year I lost money, " she said. "Patients in
local physicians who are from
"There's no question that the practice expectations have changed dramatically over the last 20 years, " said UH medical school
To alleviate the shortages, the medical school is looking to expand to
HMSA acknowledged doctors' frustration with administrative burdens, which it said it is "working to address." The health insurer also said that more than half of the providers in the program have seen an increase in payments from 2017 to 2018. It said the program was developed to ensure more money for doctors who deliver high-quality care and that the model ensures physicians do not lose more than 10 % under the new rates.
"The physician shortage is not due to payment transformation. We are short on providers because it is difficult to train enough docs to keep up with retirements and people going to the mainland, " said Lt. Gov.
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