Collaborating to provide integrated care in Hawai’i
Integrating traditional Hawaiian healing with primary care
Traditional healing practices are a vital component to Native Hawaiian people and their culture. It is a way of life. To be “healthy” is to be pono (righteous), as well as to live in lōkahi (balance) with the world around you by addressing the needs of not only the individual, but also the community and the land. Achieving this balance requires an integrated approach that emphasizes the mind, body and spirit, like the one offered by Waimānalo Health Center (WHC) on Oʻahu.
A federally qualified health center, WHC provides medical, dental, vision and behavioral health services. Their mission is rooted in honoring Native Hawaiian values and providing high-quality care to their patients. UnitedHealthcare Community Plan of Hawai’i shares a similar focus, investing in solutions based on the unique needs of their members and recognizing the importance of tradition.
“In the Waimānalo area, there are many of our members of Native Hawaiian descent who have strong ties to their culture,” said Eric Kawada, director of Delivery Systems Evolution of UnitedHealthcare Community Plan of Hawai’i.
As part of their shared commitment to building healthier communities, WHC and UnitedHealthcare Community Plan of Hawai’i launched a pilot program in 2021 designed to help improve health outcomes through the use of integrated care.
During the program, healing practitioners worked with primary care providers (PCPs) to deliver holistic care, leveraging the benefits of traditional healing methods along with modern health care practices. Program participants were all UnitedHealthcare Community Plan of Hawai’i members who go to WHC for their health care services.
“It’s part of the integrated care model,” Eric said. “For our members to receive these services, they have to be referred from their PCP. From there, the PCP and the Native Hawaiian practitioner work together to ensure there is a coordinated approach to care.”
Services that were available as part of the pilot included:
- Lomilomi, a therapeutic and restorative massage technique that focuses on pressure points and energy cleansing
- Lāʻau Lapa’au, the use of native Hawaiian plants, roots and herbs to support healing
- Classes on topics including diet and meditation
Results from the pilot showed:
- A 51% reduction in emergency department visits
- A 29% decrease in per-member-per-month costs
- A 74% reduction in inpatient care costs
Given the positive outcomes from the pilot, the integrated care services have become a value-added benefit for UnitedHealthcare Community Plan of Hawai’i members, expanding the availability and accessibility of Native Hawaiian healing methods.
“This allows for another avenue in which our members can get the care that they need,” Eric said.