Mohala · Volume I · April 2026

    The numbers don't lie.
    776 doctors short.

    Mohala Intelligence is the commercial layer wrapping HHIP's 356-table healthcare backbone — ten modules sold to the regulators, payers, lobbyists, funders, and journalists who buy clarity, defensibility, and federal compliance for a living.

    Authored by

    David Isei, MPH · MAOL · PMP

    Executive Director, Hawaiʻi Healthcare Workforce Task Force · Architect of HHIP (356 tables, 72+ data sources) · CMS RHTP HOME RUN Methodology Lead (CMS-10949) · Host, Mai Ka Waha podcast.
    Live KPI StripActivates on federation connect

    Connect HHIP to publish live numbers.

    This strip will surface five metrics from HHIP's public_homepage_metrics view — source count, table count, islands monitored, ghost-network percentage, and the last-refreshed timestamp — once the federation secrets HHIP_* are configured. By design, no number appears here until it can be cited.

    Source Count
    Table Count
    Islands Monitored
    Ghost Network %
    Last Refreshed
    Connect HHIP federation
    The Ten Modules

    One platform. Ten revenue surfaces. Zero replicable.

    See pricing

    Each module monetizes a different surface of the same HHIP data spine. Same evidence, four buyer types, ten ways to invoice — the cross-sell economics no single-product competitor can match.

    M15 HHIP tables

    Network Adequacy Compliance-as-a-Service

    Quarterly audit reports proving insurer directories fail reachability — sold to regulators and the insurers defending against them.


    Buyer · DCCA · CMS Region IX · 8 Hawaiʻi insurers
    Pricing · $25K–$75K per insurer / yr · $50K–$150K per regulator / yr
    Module brief
    M25 HHIP tables

    Legislative Intelligence Subscription

    Bloomberg Terminal for Hawaiʻi health policy: bill tracking, fiscal modeling, district-level evidence packs, AI testimony drafting.


    Buyer · Lobbyists · trade associations · legislator chiefs of staff
    Pricing · $15K per seat · $50K–$100K per organization
    Module brief
    M35 HHIP tables

    Grant ROI & Accountability

    Federal-grade outcome validation for the $2.3B already flowing into Hawaiʻi healthcare. Sold to funders, not grantees.


    Buyer · HHSC · DOH · HRSA · CMS RHTP program officers
    Pricing · $250K–$1.5M government contracts
    Module brief
    M47 HHIP tables

    Hospital M&A Strategic Diligence

    Pre-deal intelligence for hospital systems, PE rollups, and FQHC mergers — Corporate Intelligence Graph plus regulatory pushback prediction.


    Buyer · PE healthcare funds · regional systems · FQHC boards · deal counsel
    Pricing · $75K–$250K per engagement
    Module brief
    M53 HHIP tables

    Multi-HIP Climate & Resilience Federation

    Cross-domain disaster intelligence — water → food → health cascades — packaged for reinsurers, FEMA, and HI-EMA.


    Buyer · Reinsurance underwriters · FEMA Region IX · HI-EMA
    Pricing · $150K–$500K per institutional license / yr
    Module brief
    M65 HHIP tables

    Provider Recruitment Intelligence

    The Zillow for physician placement — HPSA-targeted recruitment intel sold to mainland recruiters and the JABSOM pipeline.


    Buyer · National recruiters · residency programs · JABSOM · NHSC
    Pricing · $30K–$100K per recruiter / yr · $250K JABSOM enterprise
    Module brief
    M72 HHIP tables

    State Replication Framework

    Turnkey deployment of HHIP for AK, VT, MT, NM, PR — every island and rural state has the same access problem.


    Buyer · State health departments · governors' policy advisors
    Pricing · $500K–$2M setup + $200K/yr SaaS per state
    Module brief
    M82 HHIP tables

    Embedded Analytics SDK

    White-labeled HHIP charts and data that drop into other Hawaiʻi healthcare vendors' products.


    Buyer · Local EHRs · pharmacy chains · billing companies
    Pricing · $2K–$10K MRR per vendor · usage-metered above tier
    Module brief
    M94 HHIP tables

    Public Investigative Subscription

    The ProPublica of Hawaiʻi health — paid newsletter and data drops for journalists, foundations, and engaged citizens.


    Buyer · Journalists · foundations · academic researchers · citizens
    Pricing · $20–$25/mo individual · $5K–$25K/yr institutional
    Module brief
    M104 HHIP tables

    Contract Negotiation Intelligence

    APCD-derived rate benchmarks and payer behavior intel for independent practices and FQHCs negotiating with HMSA, Kaiser, UHA.


    Buyer · Independent practice administrators · FQHC CFOs
    Pricing · $5K–$25K per practice / yr
    Module brief
    What is HHIP?

    The Hawaiʻi Healthcare Intelligence Platform — a 356-table federated database built from 72+ public filings, no PHI ingested.

    Public sources only

    CMS, OIG, HRSA, BLS, BRFSS, ACS, NPPES, DCCA, DOH, HHSC, hospital MRFs, IRS Form 990s, state legislative feeds. Every row carries its provenance.

    Evidence-chain enforced

    Every public claim links to audit_evidence_chains — source query, URL, methodology, reviewer. Two clicks from claim to filing.

    Ten commercial surfaces

    The same spine sells to regulators, insurers, lobbyists, funders, and journalists. One platform, ten invoices, zero duplicated cost.

    Why this cannot be cloned

    A $50M competitor with a Bay-Area engineering team would still take 36 months — and would never replicate the trust layer.

    Moat 01

    Data Provenance Density

    356 tables, 72+ verified sources, Hawaiʻi-specific normalization functions encoded across years of local domain knowledge.

    Moat 02

    Federal Methodology Endorsement

    HHIP IS the metric reporting methodology for CMS RHTP HOME RUN (CMS-10949 Checkpoint 2.3). Not buyable.

    Moat 03

    Audit Chain Architecture

    Every public claim links to audit_evidence_chains with source query, URL, verification status, and reviewer.