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Ibm In Support To Kp

Saroj Kumar Gudu
Saroj Kumar Gudu

Kaiser Permanente is a large non-profit health care provider and managed care organization based in Oakland, California. It is made up of Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, and regional Permanente Medical Groups. Kaiser Permanente operates in nine states and Washington, D.C. and has over 8.7 million health plan members that are served by over 14,600 physicians across 35 medical centers and 431 medical offices. Each of the eight Kaiser Permanente regions has a distinct but interdependent health plan and medical group.

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Kiser Permanante Saroj Kumar Gudu System Operations Specialist : EMC storage KP
Kaiser Permanente is an integrated managed care consortium , based in Oakland, California , United States , founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield . Kaiser Permanente is made up of three distinct groups of entities: the Kaiser Foundation Health Plan and its regional operating subsidiaries; Kaiser Foundation Hospitals; and the autonomous regional Permanente Medical Groups. As of 2006, Kaiser Permanente operates in nine states and the District of Columbia , and is the largest managed care organization in the United States . Kaiser Permanente has 8.7 million health plan members,167,300 employees, 14,600 physicians, 35 medical centers, and 431 medical offices. In its most recently reported year, the non-profit Kaiser Foundation Health Plan and Kaiser Foundation Hospitals entities reported a combined $1.3 billion in net income on $42.1 billion in operating revenues. Each independent Permanente Medical Group operates as a separate for-profit partnership or professional corporation in its individual territory, and while none publicly report their financial results, each is primarily funded by reimbursements from its respective regional Kaiser Foundation Health Plan entity.
Kaiser Permanente provides care throughout eight regions in the United States. Two or three (four, in the case of California) distinct but interdependent legal entities form the Kaiser system within each region. This structure was adopted by Kaiser Permanente physicians and leaders in 1955. National structure The two types of organizations which make up each regional entity are: Kaiser Foundation Health Plans (KFH) work with employers, employees, and individual members to offer prepaid health plans and insurance. The health plans are not-for-profit and provide infrastructure for and invest in Kaiser Foundation Hospitals and provide a tax-exempt shelter for the for-profit medical groups. Permanente Medical Groups are physician-owned organizations, which provide and arrange for medical care for Kaiser Foundation Health Plan members in each respective region. The medical groups are for-profit partnerships or professional corporations and receive nearly all of their funding from Kaiser Foundation Health Plans. The first medical group, The Permanente Medical Group, formed in 1948 in Northern California. In addition, Kaiser Foundation Hospitals operates medical centers in California, Oregon and Hawaii, and outpatient facilities in the remaining Kaiser Permanente regions. The hospital foundations are not-for-profit and rely on the Kaiser Foundation Health Plans for funding. They also provide infrastructure and facilities that benefit the for-profit medical groups.
Kaiser Permanente is administered through eight regions, including one parent and five subordinate health plan entities, one hospital entity, and nine separate, affiliated medical groups: Northern California Kaiser Foundation Health Plan, Inc. (KFHP) Kaiser Foundation Hospitals (KFH) The Permanente Medical Group, Inc. (TPMG) Southern California Kaiser Foundation Health Plan, Inc. (KFHP) Kaiser Foundation Hospitals (KFH) Southern California Permanente Medical Group (SCPMG) Colorado Kaiser Foundation Health Plan of Colorado (KFHPCO) Colorado Permanente Medical Group, P.C. (CPMG) Georgia Kaiser Foundation Health Plan of Georgia, Inc. (KFHPGA) The Southeast Permanente Medical Group, Inc. (TSPMG) Hawaii Kaiser Foundation Health Plan, Inc. (KFHP) Kaiser Foundation Hospitals (KFH) Hawaii Permanente Medical Group, Inc. (HPMG) Mid-Atlantic (vicinity of Washington, D.C. , including Maryland and Virginia ) Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. (KFHPMA) Mid-Atlantic Permanente Medical Group, P.C. (MAPMG) Northwest (Northwest Oregon and Southwest Washington ) Kaiser Foundation Health Plan of the Northwest (KFHPNW) Northwest Permanente, P.C. Physicians and Surgeons (NWP) Ohio Kaiser Foundation Health Plan of Ohio (KFHPOH) Ohio Permanente Medical Group, Inc. (OPMG)
Permanente Medical Groups The Permanente Medical Groups all have varying organizational for profit structures, but all are headed by a physician executive (called the executive director or executive medical director) who reports to a board of directors made up of the physician-owners of the medical group. The executive director or executive medical director in each region partners with the health plan and hospitals regional president to provide direction to operations in that region. On a national level there is an umbrella entity representing the regional Permanente Medical Groups called the Permanente Federation. Its executive director is John H. Cochran, MD . The Federation is accountable to an Executive Committee, and is made up of four of the nine regional Permanente Medical Group chiefs, along with the executive director of the Permanente Federation. The current Executive Committee is made up of Permanente Federation executive director John H. Cochran, MD, TPMG executive director and CEO Robert Pearl, MD, SCPMG medical director and chairman Jeffrey A. Weisz, MD, TSPMG medical director and chairman Rob Schreiner, MD, and OPMG president and medical director Ronald Copeland, MD. Dr. Copeland also serves as chairman of the Permanente Federation Executive Committee. For over ten years the Kaiser Permanente Partnership Group (KPPG) has actually run the multi-state HMO with Dr. Robert Pearl having the longest influence of any central leader. The KPPG - as the top executive committee - controls what comes to and from the Health Plan/Hospitals Board. By Medical Service Agreement going back over 50 years, every dollar of profit (excess revenue) at the end of the year is split between the Kaiser Hospitals and the Permanente physicians - thus in 2007 over $1 billion in profit going to the physicians. The latter money will be displayed as a medical expense - monies needed for medical care. Such calculations help to give Kaiser a high "loss ratio" - percentage of money spent on patient care.

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Ibm In Support To Kp

  • 1. Kiser Permanante Saroj Kumar Gudu System Operations Specialist : EMC storage KP
  • 2. Kaiser Permanente is an integrated managed care consortium , based in Oakland, California , United States , founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield . Kaiser Permanente is made up of three distinct groups of entities: the Kaiser Foundation Health Plan and its regional operating subsidiaries; Kaiser Foundation Hospitals; and the autonomous regional Permanente Medical Groups. As of 2006, Kaiser Permanente operates in nine states and the District of Columbia , and is the largest managed care organization in the United States . Kaiser Permanente has 8.7 million health plan members,167,300 employees, 14,600 physicians, 35 medical centers, and 431 medical offices. In its most recently reported year, the non-profit Kaiser Foundation Health Plan and Kaiser Foundation Hospitals entities reported a combined $1.3 billion in net income on $42.1 billion in operating revenues. Each independent Permanente Medical Group operates as a separate for-profit partnership or professional corporation in its individual territory, and while none publicly report their financial results, each is primarily funded by reimbursements from its respective regional Kaiser Foundation Health Plan entity.
  • 3. Kaiser Permanente provides care throughout eight regions in the United States. Two or three (four, in the case of California) distinct but interdependent legal entities form the Kaiser system within each region. This structure was adopted by Kaiser Permanente physicians and leaders in 1955. National structure The two types of organizations which make up each regional entity are: Kaiser Foundation Health Plans (KFH) work with employers, employees, and individual members to offer prepaid health plans and insurance. The health plans are not-for-profit and provide infrastructure for and invest in Kaiser Foundation Hospitals and provide a tax-exempt shelter for the for-profit medical groups. Permanente Medical Groups are physician-owned organizations, which provide and arrange for medical care for Kaiser Foundation Health Plan members in each respective region. The medical groups are for-profit partnerships or professional corporations and receive nearly all of their funding from Kaiser Foundation Health Plans. The first medical group, The Permanente Medical Group, formed in 1948 in Northern California. In addition, Kaiser Foundation Hospitals operates medical centers in California, Oregon and Hawaii, and outpatient facilities in the remaining Kaiser Permanente regions. The hospital foundations are not-for-profit and rely on the Kaiser Foundation Health Plans for funding. They also provide infrastructure and facilities that benefit the for-profit medical groups.
  • 4. Kaiser Permanente is administered through eight regions, including one parent and five subordinate health plan entities, one hospital entity, and nine separate, affiliated medical groups: Northern California Kaiser Foundation Health Plan, Inc. (KFHP) Kaiser Foundation Hospitals (KFH) The Permanente Medical Group, Inc. (TPMG) Southern California Kaiser Foundation Health Plan, Inc. (KFHP) Kaiser Foundation Hospitals (KFH) Southern California Permanente Medical Group (SCPMG) Colorado Kaiser Foundation Health Plan of Colorado (KFHPCO) Colorado Permanente Medical Group, P.C. (CPMG) Georgia Kaiser Foundation Health Plan of Georgia, Inc. (KFHPGA) The Southeast Permanente Medical Group, Inc. (TSPMG) Hawaii Kaiser Foundation Health Plan, Inc. (KFHP) Kaiser Foundation Hospitals (KFH) Hawaii Permanente Medical Group, Inc. (HPMG) Mid-Atlantic (vicinity of Washington, D.C. , including Maryland and Virginia ) Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. (KFHPMA) Mid-Atlantic Permanente Medical Group, P.C. (MAPMG) Northwest (Northwest Oregon and Southwest Washington ) Kaiser Foundation Health Plan of the Northwest (KFHPNW) Northwest Permanente, P.C. Physicians and Surgeons (NWP) Ohio Kaiser Foundation Health Plan of Ohio (KFHPOH) Ohio Permanente Medical Group, Inc. (OPMG)
  • 5. Permanente Medical Groups The Permanente Medical Groups all have varying organizational for profit structures, but all are headed by a physician executive (called the executive director or executive medical director) who reports to a board of directors made up of the physician-owners of the medical group. The executive director or executive medical director in each region partners with the health plan and hospitals regional president to provide direction to operations in that region. On a national level there is an umbrella entity representing the regional Permanente Medical Groups called the Permanente Federation. Its executive director is John H. Cochran, MD . The Federation is accountable to an Executive Committee, and is made up of four of the nine regional Permanente Medical Group chiefs, along with the executive director of the Permanente Federation. The current Executive Committee is made up of Permanente Federation executive director John H. Cochran, MD, TPMG executive director and CEO Robert Pearl, MD, SCPMG medical director and chairman Jeffrey A. Weisz, MD, TSPMG medical director and chairman Rob Schreiner, MD, and OPMG president and medical director Ronald Copeland, MD. Dr. Copeland also serves as chairman of the Permanente Federation Executive Committee. For over ten years the Kaiser Permanente Partnership Group (KPPG) has actually run the multi-state HMO with Dr. Robert Pearl having the longest influence of any central leader. The KPPG - as the top executive committee - controls what comes to and from the Health Plan/Hospitals Board. By Medical Service Agreement going back over 50 years, every dollar of profit (excess revenue) at the end of the year is split between the Kaiser Hospitals and the Permanente physicians - thus in 2007 over $1 billion in profit going to the physicians. The latter money will be displayed as a medical expense - monies needed for medical care. Such calculations help to give Kaiser a high "loss ratio" - percentage of money spent on patient care.