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Hawaii healthQUEST: a managed care demonstration project

J C Budde, W K Patrick, M T Budde

    Hawaii Medical Journal
    |September 1, 1995
    PubMed
    Summary

    Hawaii's QUEST managed care project showed early performance issues. Six months into the demonstration, doctors surveyed indicated the program was not meeting its quality and cost-effectiveness goals.

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    Area of Science:

    • Healthcare Management
    • Public Health Policy

    Background:

    • Hawaii initiated a federal demonstration project in 1994 called QUEST.
    • QUEST aimed to deliver quality healthcare to public clients cost-effectively.
    • The project was designed as a five-year trial for managed care.

    Purpose of the Study:

    • To assess the early performance of the QUEST managed care project.
    • To gather physician perspectives on the QUEST program at the six-month mark.

    Main Methods:

    • A survey was conducted among physicians in Hawaii.
    • The survey focused on evaluating the QUEST project's initial outcomes.

    Main Results:

    • Early results indicated that QUEST was not meeting its stated goals.
    • Physician feedback suggested shortcomings in the program's initial performance.

    Conclusions:

    • Further evaluation and financial accounting are necessary.
    • The long-term viability of QUEST as a model for future managed care remains uncertain.

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