Lōkahi Healthcare Accelerator

The goal is to incubate innovation that improves healthcare outcomes and reduces costs while expanding access for underserved and rural populations. The initiative provides for common coverage requirements, risk pooling, and value-sharing, and covers the entire population including patients covered by Medicare Advantage, Medicaid, state, employer-sponsored and commercial plans, the VA, and safety net programs.

Value-Based Health

Tying provider reimbursement to outcomes across the Lōkahi network — payment follows result, not procedure.

Coordination of Care

Cryptographically anonymous record exchange between systems that haven’t traditionally shared a patient’s data.

Population Health

Continuous, privacy-preserving rollups of clinical events across the entire covered Hawaii population.

Prior Authorization

End-to-end automated PA without exposing the patient’s clinical history outside the encounter.

Public Health & Safety

Population-scale surveillance and outbreak signal without de-anonymizing the individuals contributing the data.

Observational Research

De-identified longitudinal cohorts for outcomes research, with consent and provenance preserved end to end.

Clinical Research as Care

Matching patients to relevant trials at the point of care without disclosing eligibility data outside the encounter.

Telehealth & E-Consults

Specialist routing and pre-visit summarization that runs without exporting raw records to model providers.

Home & Remote Care

Continuous home-device telemetry routed to the care team while staying inside the privacy network.

Behavioral Health

Behavioral records move with the patient between providers without exposure to payers or non-clinical systems.