Six investigative essays on Hawaiʻi healthcare access, workforce, and the federal grant cycle. Every assertion that cites a number links to an audit_evidence_chains entry — readable, in plain language, in two clicks.
Sep 12, 2025 · 9 min
Hawaiʻi is short physicians by a number that has been quietly rounded for a decade. Reconciling JABSOM, NPPES, DCCA, and HPSA against actual reachable supply produces one number — and it is not the one being repeated in testimony.
2 cited claims · audit_evidence_chains
Oct 1, 2025 · 11 min
Insurer directories that cannot deliver an appointment are not paperwork failures. They are an economic externality borne by the patient — a tax measured in delayed care, neighbor-island flights, and avoidable ED visits.
2 cited claims · audit_evidence_chains
Oct 22, 2025 · 13 min
DCCA accepts insurer attestations that, when audited against the same source data the insurers themselves filed, do not survive contact with reality. This is what a compliance function looks like when no one is allowed to test it.
1 cited claim · audit_evidence_chains
Nov 14, 2025 · 8 min
If you live on Molokaʻi, Lānaʻi, or rural Hawaiʻi Island, your insurance pays the same premium and delivers materially less care. That is not geography. It is policy.
1 cited claim · audit_evidence_chains
Dec 3, 2025 · 12 min
Federal grants flowing into Hawaiʻi healthcare are tracked in three incompatible systems and reconciled in none of them. The outcomes attributed to those grants are reported back to funders by the recipients themselves.
2 cited claims · audit_evidence_chains
Jan 9, 2026 · 10 min
A consolidation that closes on Wednesday becomes a regulatory question on Thursday. The Corporate Intelligence Graph reads the entity overlap before the deal is announced, not after.
2 cited claims · audit_evidence_chains
Every disciplinary action, exclusion, and consent order pulled from OIG LEIE, CMS Preclusion, Hawaiʻi DCCA RICO, and the Hawaiʻi Attorney General — sorted chronologically. Each row links to the original public record.
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