COMMUNITY CLINIC OF MAUI
The number of unemployed Maui residents has much more than doubled within the past year. With the current unemployment rate at 7.4 percent up from 2.9 percent in January 2008, more uninsured patients will be accessing services provided by the Community Clinic of Maui (CCM).
On February 1, 2009 Hawaii?s Department of Human Services moved 39,000 aged, blind, and disabled Medicaid receipts from Medicaid Fee-For-Service into managed care. Now the newest of Hawaii?s managed care programs, QUEST Expanded Access (QExA) has only two health plans and both have limited provider networks on Maui. Kaiser, Hawaii?s largest HMO opted not to contract with either plan. The resulting limited network of providers has increased the number of patients accessing CCM services. Many are chronically ill with a myriad of medical needs requiring specialized care. To address this, CCM will hire a full-time internist to meet the increased demand for specialized care.
To support the increased numbers and acuity levels of patient served, CCM will maintain its outsourced hospitalist contract to ensure sufficient access to emergency department and inpatient care.
Retaining a second pediatrician is paramount to CCM being able to maintain ample inpatient and outpatient coverage as families loose employer sponsored health coverage and turn to CCM to meet their health care needs.
The number of ob/gyns available to Maui?s underserved has decreased over the last few years, due to physicians retiring, moving off island or no longer accepting Medicaid due to low reimbursement rates. This has resulted in more patients accessing CCM?s perinatal services. The majority of patients are high risk and require significant care management to ensure positive maternal and infant outcomes. To meet this need, CCM will restore a previously existing full-time perinatal case manager position.