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    IDavid Isei

    Corrections Log

    Corrections Log

    When a number changes, I publish the change and the reason. The ledger stays honest and the voice stays additive: look at the additional data, then we talk about it.

    1. published

      Hawaiʻi APCD named as a source

      Was
      Some figures on this site and in Task Force material were described as computed over the Hawaiʻi All-Payer Claims Database.
      Now
      HHIP has never held Hawaiʻi APCD data. The APCD tables were modeled placeholders. Figures computed over them are withdrawn, and the directory funnel's actual sources are the Report 403 roster, NPI de-duplication, the CMS NPI Registry taxonomy check, and plan-filing accepting-new-patients flags.
      Why
      An inspection of HHIP on 5 October 2026 found its APCD tables were modeled placeholders and that no state APCD data had been received.
      Where
      Network Adequacy Theater and The Neighbor Island Surcharge on this site; four Task Force posts.
    2. in progress

      Oregon described as having a statutory primary care spending floor

      Was
      Rhode Island, Oregon, and Delaware have written a floor into statute
      Now
      Rhode Island (insurance regulation 230-RICR-20-30-4: commercial insurers, 10 percent of medical spending by the end of 2028) and Delaware (18 DE Admin Code 1322: 11.5 percent for plan year 2025) have binding instruments; Oregon requires it by statute for its Medicaid coordinated care organizations; for commercial carriers, a state rule requires a plan to reach it. No statutory penalty
      Why
      Checked against the Oregon Health Authority in August, then read against the enrolled statute on 1 October 2026.
      Where
      Mammography op-ed, Task Force site, August 2026
    3. published

      Statewide physician shortage

      Was
      776 FTE (JABSOM 2024)
      Now
      644 FTE direct, 832.6 FTE island-adjusted (JABSOM AHEC 2025)
      Why
      A newer assessment year. The article on this site titled around the 776 figure predates it; the 644 article carries the current figure.
      Where
      This site, /articles/776-physician-gap and /articles/644-doctors-short
    4. published

      Insurer directory overstatement headline

      Was
      +180% (physician-only cut)
      Now
      +107% (all primary care clinicians, Cut B) as the lead figure
      Why
      The milder figure survives the APRN and PA scope critique. House rule: never quote a scarier number when the accurate one is milder.
      Where
      Report 403 exhibits and this site
    5. published

      Maui stroke baseline and increase

      Was
      28.1 per 100,000 baseline; +82%
      Now
      28.2 per 100,000; +81.2%
      Why
      Transcription error against the Hawaiʻi Health Data Warehouse extract.
      Where
      Stroke briefings, April 2026
    6. published

      Maui stroke rate described as current

      Was
      51.1 per 100,000 (2021 to 2023)
      Now
      45.7 per 100,000 (2022 to 2024)
      Why
      A newer HHDW release. The 51.1 figure remains correct for its period; it is no longer the current rate.
      Where
      Stroke briefings, April 2026
    7. published

      Communities without a primary care presence

      Was
      11 communities, 34,916 residents
      Now
      8 communities, 22,014 residents
      Additional data, October 2026: neither count could be traced to a current source file, so both are withdrawn until the analysis is re-derived.
      Why
      Adding the CMS Medicare Physician file showed that federally qualified health centers and rural health clinics bill as institutional encounters and were invisible in the earlier pull. The count fell by roughly a third; the claim got harder to knock down.
      Where
      Task Force publications, August 2026