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Kaiser Permanente (/ ˈ k aɪ z ər p ɜːr m ə ˈ n ɛ n t eɪ /; KP) is an American integrated managed care consortium headquartered in Oakland, California.Founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield, the organization was initially established to provide medical services at Kaiser's shipyards, steel mills and other facilities, before being opened to the ...
Kaiser Permanente was the highest-ranked commercial plan by consumer satisfaction in 2018 [31] with a different survey finding it tied with Humana. [ 32 ] As of 2017, Medicaid and Medicare have become an increasingly large part of the private health insurance industry, particularly with the rise of Medicare Advantage programs. [ 33 ]
Few PBMs are independently owned and operated. PBMs operate inside of integrated healthcare systems (e.g., Kaiser Permanente or Veterans Health Administration), as part of retail pharmacies, major chain drug stores (e.g., CVS Pharmacy or Rite-Aid), and as subsidiaries of managed care plans or insurance companies (e.g., UnitedHealth Group). [1] [37]
The Kaiser Permanente organization is a nonprofit healthcare plan provider with a hospital network, an insurance system, and a network of salaried healthcare providers.
Kaiser Permanente is an example of a captive group model HMO rather than a staff model HMO, as is commonly believed. An HMO may also contract with an existing, independent group practice ("independent group model"), which will generally continue to treat non-HMO patients.
The first HMOs in the U.S., such as Kaiser Permanente in Oakland, California, and the Health Insurance Plan (HIP) in New York, were "staff-model" HMOs, which owned their own health care facilities and employed the doctors and other health care professionals who staffed them. The name health maintenance organization stems from the idea that the ...
Scheduled health insurance plans are an expanded form of Hospital Indemnity plans. In recent years, these plans have taken the name mini-med plans or association plans. These plans may provide benefits for hospitalization, surgical, and physician services. However, they are not meant to replace a traditional comprehensive health insurance plan.
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