2022 Annual Report

President and Chair Message


A lot has happened since the start of the pandemic in 2020.

At HMSA, we learned many valuable lessons. We found out how nimble and adaptive we can be as an organization. We demonstrated our leadership in the community, our ability to partner with stakeholders across the state, and our care and concern for the safety and well-being of our employees, members, and the entire community.

COVID-19 now exists in much the same way as other serious respiratory infections that we’ve learned to deal with. It doesn’t downplay the threat to human lives, but we’re optimistic that 2022 was the last year of significant disruptions to our lives caused by this coronavirus.

And we’re rebounding. The ability to learn together, celebrate together, share together, be together. All because of resilience – our ability to persevere through adversity to adapt, adjust, and overcome.

As a health organization, our purpose is to improve the lives of our members and the health of Hawaii. That means making health care more affordable and equitable, easier to access, and even more personal.

We embrace what we’ve learned during the pandemic to emerge as a health organization that’s stronger and more resilient to helping families enjoy ever-healthier lives.

The future is looking brighter and brighter and, as always, we remain optimistic.


Signature of Mark Mugiishi

Mark M. Mugiishi, M.D., F.A.C.S.
President and Chief Executive Officer

Signature of Robert S. Harrison

Robert S. Harrison
Chair of the Board

Photo of Mark Mugiishi and Robert Harrison

Community Health Initiatives

Community Health Initiatives

HMSA gave nearly $700,000 to these organizations whose missions align with our purpose to improve the health of Hawaii. Many of these organizations focus primarily on youth mental health and maternal health.

  • Big Island Substance Abuse Council: Youth services.
  • Blood Bank of Hawaii: Expanded access to communities.
  • Boys and Girls Club of Maui: One Stop Resource Center.
  • Going Home Hawaii: 9 Months: Window of Hope.
  • Hale `Ōpio Kaua`i: Ke Kahua O Ka Malamalama.
  • Hawai`i Mothers’ Milk: Lactation consultation services.
  • Healthy Mothers Healthy Babies: Community-based doula program.
  • Implicit Bias and Trauma-informed Care Training: Statewide training created for Hawaii populations.
  • Kalauokekahuli: Culturally based prenatal, birth, and postpartum education and services.
  • Kapi`olani Medical Center for Women & Children: Teen Resiliency Center.
  • Mental Health America of Hawaii: Stop Youth Suicide & Bullying Prevention Program.
  • Nest for Families: Family-centered support.
  • UH Foundation: Hawaii Maternal Telehealth Access Program.
  • United Way: ALICE (asset limited, income constrained, and employed) Initiative.

Community Giving

HMSA and our employees and retirees contributed $1.2 million to more than 100 organizations statewide, including:

  • After-School All-Stars Hawaii
  • Alzheimer’s Association
  • American Diabetes Association
  • American Heart Association
  • Center for Tomorrow’s Leaders
  • Family Promise of Hawai`i
  • Hawai`i Foodbank
  • Hawai`i LGBT Legacy Foundation
  • Hawaii Workforce Development Council
  • United Way

We also provided more than 30 organizations with in-kind donations worth over $12,000.

HMSA Kaimana Awards & Scholarship Program

For the first time since 2019, the HMSA Kaimana Awards & Scholarship Program luncheon returned in person, where we celebrated 15 students who received $5,000 scholarships each and nine schools that each received $1,500 awards.

Members are Family and Friends

Our continued focus on person-centered care is aimed toward improving health outcomes while keeping costs in check.

  • Members had no cost share for COVID-19 related services such as treatment and preoperative diagnostic tests.
  • We maintained telehealth services as a health plan benefit, allowing members statewide to get convenient care 24/7.
  • Visits to HMSA’s Online Care® increased 12% from the year before. More than 90% of users received behavioral health services.




Online Care Visits

Here with you

Here with Employers

Employer groups faced many challenges that resulted from the national economic downturn. As an employer, HMSA faced the same challenges and understood how to help. To provide employers with the best value for their employees, we adapted to the changing health care landscape by:

  • Keeping premiums relatively flat for small and large businesses.
  • Promoting health and well-being resources such as behavioral health programs.
  • Returning to in-person services while offering virtual options, tools, and educational materials.
  • Continually improving our medical plans based on emerging technology and scientific evidence about interventions that improve health outcomes.
  • Modernizing our drug plans with lowest-net-cost formularies while enabling access to specialty drugs and treatments consistent with national guidelines for best care.

We were gratified to have received extremely high net promoter scores and customer satisfaction survey results from employers.

Our Provider Partners

Building trust with our provider partners is a constant theme of our work. It shapes our ability to collaborate on initiatives that improve health outcomes for our members while keeping care affordable.

Our main health system partners – Adventist Health Castle, Hawai`i Pacific Health, and The Queen’s Health System – worked with us to develop innovative solutions to address the rising cost of drugs and explore new technology that could improve efficiency of care while decreasing costs.

To help individual providers, HMSA worked to better understand how administrative burdens impact them. We created a task force to improve communication and develop workflows to improve efficiency while ensuring that health care dollars are spent appropriately. Aligning and integrating our capabilities with providers will help ensure the best health for all of Hawaii.

provider partnership

Aligning with the Government

The government is one of our most important stakeholders and our partnership with them is imperative to improving the health of Hawaii.

A pause to Medicaid’s eligibility redetermination process resulted in a historic growth of membership numbers statewide. We welcomed more than 14,500 new members to HMSA QUEST Integration, bringing the total to 224,000.

In December, we were selected to support the contract awarded to TriWest Healthcare Alliance to administer the U.S. Department of Defense’s “T-5” TRICARE program for the west region. Beginning Jan. 1, 2024, HMSA will provide 200,000 active-duty service members and their families with access to a network of about 9,000 medical professionals.


Employees Supporting the Community

Our Circle of Caring program gives employees opportunities to volunteer for community activities and programs. Many employees also volunteered on their own with organizations that they’re personally passionate about. In total, employees volunteered 1,380 hours.

Here are a few organizations that benefitted from employees who paid it forward:

  • Aloha Harvest
  • Blood Bank of Hawaii
  • Blue Zones Project®
  • Kaunoa Senior Center
  • Letters2OurKupuna
  • Meals on Wheels
  • Residential Youth Services & Empowerment

  • Employees held a virtual food drive and raised about $6,000 to support food banks statewide.
  • 60 employees donated 57 pints of blood for Blood Bank of Hawaii.
  • 56 employees, families, and friends walked in the Honolulu Pride Parade to support Hawaii’s diverse communities.
  • 270 employees, families, and friends participated in the Heart Walk, the American Heart Association’s fundraising event to help save lives from heart disease and stroke.


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