- Social workers and nurses establish the Hawaii Medical Service Association on Oahu in 1938.
- The not-for-profit organization starts serving 671 members.
- HMSA joins the national Blue Shield Association and opens offices on Kauai, Hawaii Island, and Maui.
- It grows to 30,000 members.
- Members gain protection from the high cost of serious, devastating illness when HMSA introduces the Major Medical Plan.
- Membership increases to 155,000.
- To help unemployed people, senior citizens and college students, HMSA creates affordable health plans for them.
- Enrollment multiplies to 350,000 residents.
- Residents face rising medical costs and HMSA offers its first health maintenance organization (HMO), a cost-cutting plan to have one doctor manage all of a member’s health care.
- More than half of Hawaii’s population joins HMSA, totaling 500,000 subscribers.
- HMSA’s Health Plan Hawaii earns the status of a federally qualified HMO after meeting government standards that benefit consumers.
- New plans and programs:
- 65C Plus, the USA’s first federally approved Competitive Medical Plan, qualifies to participate in Medicare
- Flexible Spending Service
- Dental Network HMO
- Employee Retirement Income
- Security Act (ERISA) Reporting Service to help employers meet government standards
- Subscribers number about 558,000.
- HMSA joins the Blue Cross Association, becoming Hawaii’s Blue Cross and Blue Shield (BCBS) plan.
- HMSA contracts with Hawaii QUEST, a state program with health benefits for people receiving Medicaid or on the State Health Insurance Program.
- Membership grows to 600,000.
- Uninsured children ages 31 days to 18 years old benefit from the new children’s plan HMO with affordable medical, dental and drug coverage.
- HMSA’s Preferred Provider Organization (PPO) plans and HMOs keep earning the nation’s highest approval from the National Committee for Quality Assurance (NCQA).
- Added plans and programs:
- expanded student plans for individuals, two people and families
- lower-cost plans CompMED and Catastrophic Care for individuals and employer groups
- Membership rises to 692,000.
- HMSA works extensively to implement the Affordable Care Act and help employers, members, and providers understand the law’s many complex provisions.
- New contracts reward hospitals in HMSA’s network for the quality, safety, and efficiency of the care they provide instead of a traditional system based on the number of procedures performed.
- Technological advances include online health plan enrollment and administration, online prescription drug tools, the switch to electronic Report to Member statements, and HMSA’s first mobile app.
- New plans and programs:
- HMSA Akamai Advantage, new Medicare Advantage plans.
- Well-Being Connection, a comprehensive, integrated approach to health and well-being, offers support, online tools, and coaching to help members work with their doctor to stay on top of all aspects of their health.
- Health Care: Plain & Simple campaign helps people learn about health plans and health care in plain and simple language.