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HMO - Kaiser information

This page provides background for HMOs will save millions of dollars with vitamin D

Kaiser Permanente Fast Facts

Largest Health Maintenance Organization in the United States.

Membership as of Dec 31, 2009

Colorado: 497,243
Georgia: 257,819
Hawaii: 223,795
Mid-Atlantic States (VA, MD, DC): 471,360
Northern California: 3,223,235
Northwest (Oregon/Washington): 477,008
Ohio: 134,949
Southern California: 3,284,540

Hospitals: 35

Medical Offices: 454

Physicians: 15,129

Employees: 164,098

George C. Halvorson CEO

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Has written several books on Health Care
Does not seem to have a medical degree

CEO CornerExecutive Biographies

Text - without hyperlinks

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

Kaiser Top Officers

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
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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

See also VitaminDWiki about Kaiser

See also Kaiser Clinical Trials

  • 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

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Review of Halverson’s book Health Care Reform Now!: A Prescription for Change

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.
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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.
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Health Care Will Not Reform Itself: A User's Guide to Refocusing and Reforming American Health Care

Amazon Kindle edition of the 2009 book ?
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Halvorson forthcoming Health Care Should Not Bankrupt America - mentioned Nov 2011
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BLUE = somewhat related to vitamin D
Aging
Alcohol Epidemiology
Asthma
Autism
Autoimmune Diseases
Biostatistics
Cancer
Cardiovascular Diseases
Cerebrovascular Disorders
Child and Adolescent Health
Comparative Effectiveness Research
Complementary Therapies
Dementia
Diabetes, Insulin Resistance and Metabolic Syndrome
Digestive System Diseases
Disease Management
Endocrinology and Metabolism
Environmental Exposure
Food and Nutrition
Genetics (Kaiser has a huge project with DNA from 500,000 members)
Gestational Diabetes
Health Disparities
Health Policy
Health Services Research
HIV/AIDS
Infectious Diseases
Kidney Diseases
Lesbian, Gay and Transgender Health
Lung Diseases
Maternal and Infant Health
Medical Informatics
Men’s Health
Mental Health
Musculoskeletal Diseases
Neuroepidemiology
Obesity
Pharmacoepidemiology
Prevention and Health Maintenance
Skin Diseases
Sleep Disorders
Smoking
Substance Use Disorders
Urologic Diseases
Vaccine Epidemiology
Women’s Health
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Vitamin D publications by Kaiser Researchers Sept 2011


(Tried to delete all items more than 10 years old. Hyperlinks to PubMed are at the web site)

A cohort study of vitamin D intake and melanoma risk

Asgari, M. M.; Maruti, S. S.; Kushi, L. H.; White, E.; J Invest Dermatol 129 (7): 1675-80; Jul 2009

The association of calcium and vitamin D with risk of colorectal adenomas

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

Calcium plus vitamin D supplementation and the risk of fractures

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

Calcium plus vitamin D supplementation and the risk of colorectal cancer

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

Calcium/vitamin D supplementation and cardiovascular events

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

The Effect of Calcium plus Vitamin D on Risk for Invasive Cancer:

Results of the Women's Health Initiative (WHI) Calcium Plus Vitamin D Randomized Clinical Trial

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

High prevalence of vitamin d deficiency in patients with Basal cell nevus syndrome;

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

Calcium, vitamin D, sunshine exposure, dairy products and colon cancer risk (United States);

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

Calcium, vitamin D, VDR genotypes, and epigenetic and genetic changes in rectal tumors;

Slattery, M. L.; Wolff, R. K.; Herrick, J. S.; Caan, B. J.; Samowitz, W.; Nutr Cancer 62 (4): 436-42; May 2010

Association of Vitamin D Insufficiency with Carotid Intima-Media Thickness in HIV-Infected Persons

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

Vitamin D, Pregnancy, Breastfeeding, and Postpartum Multiple Sclerosis Relapses

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

Haplotype analysis of common vitamin D receptor variants and colon and rectal cancers

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

Association of prediagnostic serum vitamin D levels with the development of basal cell carcinoma

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

Calcium plus vitamin D supplementation and the risk of postmenopausal weight gain

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


See also VitaminDWiki

HMO - Kaiser information        

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