This page provides background for HMOs will save millions of dollars with vitamin D
Largest Health Maintenance Organization in the United States.
Mid-Atlantic States (VA, MD, DC): 471,360
Northern California: 3,223,235
Northwest (Oregon/Washington): 477,008
Southern California: 3,284,540
Has written several books on Health Care
Does not seem to have a medical degree
CEO CornerExecutive Biographies
George C. Halvorson is chairman and chief executive officer of Kaiser Foundation Hospitals and Kaiser Foundation Health Plan, Inc., headquartered in Oakland, California. Kaiser Permanente is the nation’s largest nonprofit health plan and hospital system, serving about 8.8 million members and generating $42 billion in annual revenue.
Kaiser Permanente has been investing heavily in electronic medical records and physician support systems over the past five years. More than 10 million patients now have their records in the computers. The medical records are designed to provide information to the patients and coordinate their care among doctors, nurses, and other caregivers.
Kaiser Permanente also is a leader in electronic connectivity between doctors and patients, with more than six million “e-visits” this year being chosen by patients instead of face-to-face clinical visits.
Halvorson serves on the Institute of Medicine Roundtable on Value & Science-Driven Health Care, the American Hospital Association’s Advisory Committee on Health Reform, and the Commonwealth Fund Commission on a High Performance Health System. He serves on the board of the America’s Health Insurance Plans and the board of the Alliance of Community Health Plans. Halvorson chairs the International Federation of Health Plans and co-chairs the Institute for Healthcare Improvement Annual National Forum on Quality Improvement in Health Care. In 2009, he chaired the World Economic Forum’s Health Governors meetings in Davos. He has received the Modern Healthcare/Health Information and Management Systems Society CEO IT Achievement Award. The Workgroup for Electronic Data Interchange also awarded him the 2009 Louis Sullivan Award for leadership and achievements in advancing health care quality.
Halvorson has written several health care reform books, including the recently released Health Care Will Not Reform Itself: A User’s Guide to Refocusing and Reforming American Health Care. He also wrote Health Care Reform Now!, Health Care Co-ops in Uganda, Strong Medicine, and Epidemic of Care as guidebooks for health care reform.
Care improvement programs supported by the new Kaiser Permanente computer systems have reduced medical complications, improved heart disease survival rates, and significantly reduced the number of broken bones for Kaiser Permanente members.
Medical research supported by the Kaiser Permanente database has impacted the use of Vioxx, heart stents, various joint implants, and medical treatments for expectant mothers.
Halvorson served as an advisor to the governments of Uganda, Great Britain, Jamaica, and Russia on issues of health policy and financing. His strong commitment to diversity and inter-ethnic healing has led him to his current writing project, a new book about racial prejudice around the world.
Prior to joining Kaiser Permanente, Halvorson was president and chief executive officer of HealthPartners, headquartered in Minneapolis. With more than 30 years of health care management experience, he has also held several senior management positions with Blue Cross and Blue Shield of Minnesota.Includes videos such as http://video.cnbc.com/gallery/?video=1526981014 in which he mentions that preventing broken bones would be a loss in revenue for organizations other than HMOs
George C. Halvorson Chairman and chief executive officer
Bernard Tyson President and chief operating officer
Update: Tyson to replace Halvorson as Chairman Dec and CEO in May 2013
Tyson serves as vice chair for the Executive Leadership Council — a leadership network for African-American senior executives from the nation’s Fortune 500 corporations.
Jack Cochran, MD, FACS Executive director, The Permanente Federation
Philip Fasano Executive vice president and chief information officer
Kathy Lancaster Executive vice president and chief financial officer
- only 3 Vitamin D trials as of Sept 2011 - Seemed as though they had 10+ trials in Sept 2010
See also PubMed with Permanente and Vitamin D 18 publications as of Sept 2011
CLICK HERE for WikiPedia entry for Kaiser- which is very nice
- history - started with monthly payments of just $1.50 per month
- gave up creating their own healthcare software and now using one made by Epic Systems
- Since 2009 using mobileStorm for SMS appointment reminders
- Kaiser requires agreement by planholders to submit patient malpractice claims to arbitration rather than litigating through the court system.
Permanente Journal has nice material
- - - - - - - - - - - -
by Heart Doc of Boston: Dec 2010 ?
The chapter on chronic conditions is a very interesting read - as is the author's argument that we need to identify people with these conditions (based on better data) and intervene before their conditions progress to a higher cost state - chronic disease costs the health care system a fortune. The problem with this chapter (and a central argument in this book) is that it has already proven to be unworkable and untrue. The Congressional Budget Office analyzed the watershed of literature on disease management and concluded it does not lead to savings. The interventions the author speaks of are often not successful, nor cost saving. Indeed, if the argument were true, the own author's health plan - which rigorously practices case management and disease management - would have already seen the cost savings. The fact that the health plan's costs (and premiums) are no lower - and in some cases are higher - than the industry average is a strong counterargument. Moreover, the author himself - a self acknowledged heart attack patient is yet another example of why early interventions for chronic disease patients are often not successful. An overweight patient with high cholesterol can visit his physician - who may prescribe diet, exercise and cholesterol medication...but then, it in the patient's hands to follow doctors order and modify his or her lifestyle accordingly. Many do not. How to not only encourage - but ensure - high risk patients purse lifestyles that include healthy eating and active living may be the central challenge facing medicine - and our county - today.
Comment: Looks like George really wants to intervene to reduce chronic disease but has not yet found the right formula.
Makes me think he will be receptive to vitamin D, especially since compliance is so easy and therefore likely. Just a hunch.
- - - - - - - - - - - - - - - - - - - - - - - - - -
Clipped from Good Sept 2011
One of the first HMOs to adopt e-records, Kaiser Permanente is quickly evolving from health care provider to health insight provider.
In 2009, the National Institutes of Health awarded Kaiser 22 grants totaling $54 million for research using its database of 9 million patients.
Today, Kaiser’s Division of Research oversees more than 250 ongoing studies on everything from diabetes and autism to epilepsy and back pain.
Simply by seeing a doctor in the network, each of Kaiser’s 9 million patients could be contributing.
- - - - - - - -
Amazon Kindle edition of the 2009 book ?
- - - - - - - - - - - - - - - - -
Halvorson forthcoming Health Care Should Not Bankrupt America - mentioned Nov 2011
- - - - - - - -
Research projects at Kaiser CLICK HERE to hyperlink to them
BLUE = somewhat related to vitamin D
Child and Adolescent Health
Comparative Effectiveness Research
Diabetes, Insulin Resistance and Metabolic Syndrome
Digestive System Diseases
Endocrinology and Metabolism
Food and Nutrition
Genetics (Kaiser has a huge project with DNA from 500,000 members)
Health Services Research
Lesbian, Gay and Transgender Health
Maternal and Infant Health
Prevention and Health Maintenance
Substance Use Disorders
- - - - - - - - - -
(Tried to delete all items more than 10 years old. Hyperlinks to PubMed are at the web site)
Asgari, M. M.; Maruti, S. S.; Kushi, L. H.; White, E.; J Invest Dermatol 129 (7): 1675-80; Jul 2009
Hartman, T. J.; Albert, P. S.; Snyder, K.; Slattery, M. L.; Caan, B.; Paskett, E.; Iber, F.; Kikendall, J. W.; Marshall, J.; Shike, M.; Weissfeld, J.; Brewer, B.; Schatzkin, A.; Lanza, E.; J Nutr 135 (2): 252-9; Feb 2005
Associations between vitamin D, vitamin D receptor gene and the androgen receptor gene with colon and rectal cancer
Slattery, M. L.; Sweeney, C.; Murtaugh, M.; Ma, K. N.; Caan, B. J.; Potter, J. D.; Wolff, R.; Int J Cancer 118 (12): 3140-6; Jun 15 2006
Jackson, R. D.; LaCroix, A. Z.; Gass, M.; Wallace, R. B.; Robbins, J.; Lewis, C. E.; Bassford, T.; Beresford, S. A.; Black, H. R.; Blanchette, P.; Bonds, D. E.; Brunner, R. L.; Brzyski, R. G.; Caan, B.; Cauley, J. A.; Chlebowski, R. T.; Cummings, S. R.; Granek, I.; Hays, J.; Heiss, G.; Hendrix, S. L.; Howard, B. V.; Hsia, J.; Hubbell, F. A.; Johnson, K. C.; Judd, H.; Kotchen, J. M.; Kuller, L. H.; Langer, R. D.; Lasser, N. L.; Limacher, M. C.; Ludlam, S.; Manson, J. E.; Margolis, K. L.; McGowan, J.; Ockene, J. K.; O'Sullivan, M. J.; Phillips, L.; Prentice, R. L.; Sarto, G. E.; Stefanick, M. L.; Van Horn, L.; Wactawski-Wende, J.; Whitlock, E.; Anderson, G. L.; Assaf, A. R.; Barad, D.; N Engl J Med 354 (7): 669-83; Feb 16 2006
Wactawski-Wende, J.; Kotchen, J. M.; Anderson, G. L.; Assaf, A. R.; Brunner, R. L.; O'Sullivan, M. J.; Margolis, K. L.; Ockene, J. K.; Phillips, L.; Pottern, L.; Prentice, R. L.; Robbins, J.; Rohan, T. E.; Sarto, G. E.; Sharma, S.; Stefanick, M. L.; Van Horn, L.; Wallace, R. B.; Whitlock, E.; Bassford, T.; Beresford, S. A.; Black, H. R.; Bonds, D. E.; Brzyski, R. G.; Caan, B.; Chlebowski, R. T.; Cochrane, B.; Garland, C.; Gass, M.; Hays, J.; Heiss, G.; Hendrix, S. L.; Howard, B. V.; Hsia, J.; Hubbell, F. A.; Jackson, R. D.; Johnson, K. C.; Judd, H.; Kooperberg, C. L.; Kuller, L. H.; LaCroix, A. Z.; Lane, D. S.; Langer, R. D.; Lasser, N. L.; Lewis, C. E.; Limacher, M. C.; Manson, J. E.; N Engl J Med 354 (7): 684-96; Feb 16 2006
Hsia, J.; Heiss, G.; Ren, H.; Allison, M.; Dolan, N. C.; Greenland, P.; Heckbert, S. R.; Johnson, K. C.; Manson, J. E.; Sidney, S.; Trevisan, M.; Circulation 115 (7): 846-54; Feb 20 2007
Brunner, R. L.; Wactawski-Wende, J.; Caan, B. J.; Cochrane, B. B.; Chlebowski, R. T.; Gass, M. L.; Jacobs, E. T.; Lacroix, A. Z.; Lane, D.; Larson, J.; Margolis, K. L.; Millen, A. E.; Sarto, G. E.; Vitolins, M. Z.; Wallace, R. B.; Nutr Cancer ; Jul 20 2011
Dong, L. M.; Ulrich, C. M.; Hsu, L.; Duggan, D. J.; Benitez, D. S.; White, E.; Slattery, M. L.; Farin, F. M.; Makar, K. W.; Carlson, C. S.; Caan, B. J.; Potter, J. D.; Peters, U.; Cancer Epidemiol Biomarkers Prev 18 (9): 2540-48; Aug 25 2009
Tang, J. Y.; Wu, A.; Linos, E.; Parimi, N.; Lee, W.; Aszterbaum, M.; Asgari, M. M.; Bickers, D. R.; Epstein, E. H., Jr.; Arch Dermatol 146 (10): 1105-10; Oct 2010
Kampman, E.; Slattery, M. L.; Caan, B.; Potter, J. D.; Cancer Causes Control 11 (5): 459-66; May 2000
Patient level pooled analysis of 68 500 patients from seven major vitamin D fracture trials in US and Europe;
Smedshaug, G. B.; Kvaavik, E.; Falch, J. A.; Tverdal, A.; Pedersen, J. I.; Raphael, H.; Maslin, P.; Crozier, S.; Larsen, E. R.; Foldspang, A.; Grant, A. M.; Campbell, M. K.; McDonald, A. M.; MacLennan, G. S.; McPherson, G. C.; Donaldson, C.; Gillespie, W. J.; Robinson, C. M.; Wallace, W. A.; Gass, M.; Wallace, R. B.; Lewis, C. E.; Bassford, T.; Beresford, S. A.; Black, H. R.; Blanchette, P.; Bonds, D. E.; Brunner, R. L.; Brzyski, R. G.; Caan, B.; Cauley, J. A.; Chlebowski, R. T.; Cummings, S. R.; Granek, I.; Hays, J.; Heiss, G.; Hendrix, S. L.; Howard, B. V.; Hsia, J.; Hubbell, F. A.; Johnson, K. C.; Judd, H.; Kotchen, J. M.; Kuller, L. H.; Langer, R. D.; Lasser, N. L.; Limacher, M. C.; Ludlam, S.; Manson, J. E.; Margolis, K. L.; McGowan, J.; Ockene, J. K.; O'Sullivan, M. J.; Phillips, L.; Prentice, R. L.; Sarto, G. E.; Stefanick, M. L.; Van Horn, L.; Whitlock, E.; Anderson, G. L.; Assaf, A. R.; Barad, D.; Lyons, R. A.; Brophy, S.; Newcombe, R. G.; Phillips, C. J.; Lervy, B.; Evans, R.; Stone, M. D.; Wareham, K.; Porthouse, J.; Cockayne, S.; King, C.; Saxon, L.; Steele, E.; Aspray, T.; Baverstock, M.; Birks, Y.; Dumville, J.; Iglesias, C.; Puffer, S.; Sutcliffe, A.; Watt, I.; BMJ 340 b5463 2010
Slattery, M. L.; Wolff, R. K.; Herrick, J. S.; Caan, B. J.; Samowitz, W.; Nutr Cancer 62 (4): 436-42; May 2010
Choi, A. I.; Lo, J. C.; Mulligan, K.; Schnell, A.; Kalapus, S. C.; Li, Y.; Hunt, P. W.; Martin, J. N.; Deeks, S. G.; Hsue, P. Y.; Clin Infect Dis ; Jan 27 2011
Langer-Gould, A.; Huang, S.; Van Den Eeden, S. K.; Gupta, R.; Leimpeter, A. D.; Albers, K. B.; Horst, R.; Hollis, B.; Steinman, L.; Nelson, L. M.; Arch Neurol Nov 8 2010
Sweeney, C.; Curtin, K.; Murtaugh, M. A.; Caan, B. J.; Potter, J. D.; Slattery, M. L.; Cancer Epidemiol Biomarkers Prev 15 (4): 744-9; Apr 2006
Asgari, M. M.; Tang, J.; Warton, M. E.; Chren, M. M.; Quesenberry, C. P., Jr.; Bikle, D.; Horst, R. L.; Orentreich, N.; Vogelman, J. H.; Friedman, G. D.; J Invest Dermatol 130 (5): 1438-43; May 2010
Vitamin D receptor gene polymorphisms, dietary promotion of insulin resistance, and colon and rectal cancer
Murtaugh, M. A.; Sweeney, C.; Ma, K. N.; Potter, J. D.; Caan, B. J.; Wolff, R. K.; Slattery, M. L.; Nutr Cancer 55 (1): 35-43; 2006
Caan, B.; Neuhouser, M.; Aragaki, A.; Lewis, C. B.; Jackson, R.; LeBoff, M. S.; Margolis, K. L.; Powell, L.; Uwaifo, G.; Whitlock, E.; Wylie-Rosett, J.; LaCroix, A.; Arch Intern Med 167 (9): 893-902 May 14 2007
- Coloradans paid by Kaiser to lose weight – Dec 2011
- Kaiser working to decrease hip and other fractures – Nov 2011
- Less weight gain by senior women if vitamin D levels over 30 ng – Kaiser Dec 2012
- Vitamin D deficiency somewhat treated with weekly 50000 IU Vitamin D2 – Sept 2012 2007-2010 and still using vitamin D2
And, worse yet, using D2 weekly, when it has been shown to have a half life of only about 3 days
- Health Care Systems will save money by introducing vitamin D which includes the largest 100 HMOs in the US, 9 of which are Kaiser!