One Health Hawaiʻi

A coordinated, sustainable health system focused on keeping Hawai‘i healthy.

Two women greet the front desk staff inside clinic

One Health Hawaiʻi is a proposed new nonprofit parent organization that would bring Hawaiʻi Medical Service Association (HMSA) and Hawaiʻi Pacific Health (HPH) together under a single locally governed structure.

What is One Health Hawaiʻi?

One Health Hawaiʻi is a proposed new nonprofit parent organization that would bring together HMSA and HPH under one locally governed structure. The goal is to better align how care is delivered and how it’s paid for, so Hawaiʻi’s health system can be more coordinated, more sustainable, and more focused on keeping people healthy.

Why Propose this Structure?

Health care in Hawai‘i faces growing pressures — rising costs, workforce shortages, access challenges, and persistent health disparities. Insurance and care delivery often operate separately, even though they serve the same patients and members.

One Health Hawaiʻi is designed to bring those pieces into closer alignment. When health plans and providers are working toward shared goals, it becomes easier to:

Coordinate care across settings.

Invest in prevention and long-term health.

Reduce duplication and waste.

Reinvest savings into community health.

Why Propose this Structure?

One Health Hawaiʻi is designed to bring those pieces into closer alignment. When health plans and providers are working toward shared goals, it becomes easier to:

Coordinate care across settings.

Invest in prevention and long-term health.

Reduce duplication and waste.

Reinvest savings into community health.

A Local, Nonprofit Model

If approved, One Health Hawaiʻi would be organized as a nonprofit 501(c)(3) parent organization based in Hawai‘i. Under this model:

HMSA and HPH would be subsidiaries of the new nonprofit parent.

As a 501(c)(3), the organization would not have shareholders or owners.

Any savings achieved through improved coordination and efficiency would be reinvested into care, workforce support, technology, and community health initiatives.

Chart that shows One Health Hawai'i and HMSA and HPH beneth it

A Local, Nonprofit Model

If approved, One Health Hawaiʻi would be organized as a nonprofit 501(c)(3) parent organization based in Hawai‘i. Under this model:

HMSA and HPH would be subsidiaries of the new nonprofit parent.

As a 501(c)(3), the organization would not have shareholders or owners.

Any savings achieved through improved coordination and efficiency would be reinvested into care, workforce support, technology, and community health initiatives.

An Open and Inclusive System

One Health Hawaiʻi is designed to support an open system of care. If approved:

Patients would continue to choose their doctors, hospitals, medical facilities, and insurance plans.

Employers and members would continue to select from available insurance options.

Existing contracts with other hospitals, clinics, and providers would remain in place.

HPH and HMSA would remain open to collaboration with other health care partners across the state.