Kaiser Permanente Case Study

Improved Essays
the administrators. An added benefit is administrators, founders, employees, and members are not personally liable for nonprofits debts. The limited liability of a nonprofit is protected by the law from personal assets being claimed by creditors. Another missed opportunity is the ability to solicit charitable donations to the public. Growing charitable donations is in other words is another stream of income for organization purposes. The overall ability for Kaiser Permanente to rein-invest in their infrastructure gives them a big advantage over Community Health Systems, especially in the healthcare industry. The healthcare industry alone faces rapid change sparked by the Affordable Care Act and many newly introduced regulations. With much more …show more content…
Numbers and size of Kaiser speaks for its self especially with the astonishing member growth rate trumping majority of organizations with a 5 star CMS rating. The diversification of Kaiser alone makes it a safer pick with having 3 entities of being the health plan, hospital, and medical group. The liability and market exposure are limited due to the infrastructure of the organization. The United States health care system is under great scrutiny and needs rapid change to remain long term sustainability. The organizations that can adapt at a faster rate will have the advantage in the industry. The scary thing is with Medicare being the primary health care payer, which is reducing rates and moving towards a value based system. If organizations don’t adapt to these standards quickly they can find themselves out of …show more content…
The transparency of the organization is clearer allowing no underlying motives when conducting business. The member has full access to information of the organization. The administrator along with provider is released of any liability down the road. The third party payers can seek lower reimbursement rates and trusts Kaiser is highly invested in preventative care because they are also a health plan. Third party payers make more money if their patients are healthy and out of the hospitals. The higher profit margins of Kaiser along with nonprofit classification give them the ability focus on the patient experience to increase reimbursement. The only downfall of the organization is the stricter regulations and publicity of data, process measures, and outcome measures. The fact of the matter is, all organizations in healthcare are highly regulated so both infrastructures face the same obstacles. It all comes down to more risk more reward for making a choice between for profit Community Health Services and the nonprofit Kaiser

Related Documents

  • Improved Essays

    When reviewing the Middleboro Physician Care Services case we learn that it is a for-profit corporation that was founded in 2008 and offers non-emergent care services within two locations. One of them at the Alpha center outside of the city limits of Middleboro and the other is at the Beta center in Jasper. Both of these locations offer ambulatory medical care services that are provided on a walk in basis. These centers do not offer any emergency services, and if a patient were to arrive that needed emergency services and ambulance will be called to transport the patient to the nearest emergency department. Physician Care Services specializes in providing services to the public that are convenient.…

    • 743 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Furthermore, although the revenue pool generated by the HCA is much more substantial than that of the HMA, the HMA’s vision and their organizational systems appear to be more appealing, as well as their strategy of investing in and acquiring equity in hospitals that are already successful. Moreover, by investing in their leadership, quality care and new technology, as well as taking advantage of the changing Medicare and Medicaid reimbursements, incentives and benefits from the Affordable Care Act, this would be my personal choice for employment. Ultimately, the HCA will gain a larger amount of net revenue in the 2013 calendar year, due to their sheer size, yet, the HMA may gain a greater percentage of annual earnings for their size over a longer span of time with their incremental growth, their increased reputation and their strong standing with the Joint…

    • 666 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The group observed and analyzed was held at Kaiser Permanente, Psychiatry Department. The Intensive outpatient program (IOP) is held three times a week and each session is three hours. The purpose of the IOP program is for group members to explore and resolve their problems. Kaiser endorsed their mission is: “to provide high-quality, affordable health care services and to improve the health of our members” and the IOP’s purpose clearly addresses this mission statement. This is Kaiser’s most intensive outpatient treatment and the group therapy is sometimes used as an alternative to hospitalization; it is common for group members to exhibit acute symptoms of anxiety and depression throughout group sessions.…

    • 869 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    The health care organization of Kaiser Permanente remains to raise rapid as well as geographically, by way of portion of their planned strategy. They have faith in if their growth stops at the geographic level then other organizations will take the chance to take over. With the other hand, the risk that originates by fast growth effects and harm of patient-focused care. While this continual evolution has accessible KP the chances to service several health groups, will find the answer if this growth has produced them to delay patient care only to develop extra business-concentrated. These medicinal assemblies are challenging further of this quick growth, but KP would somewhat remain to help as a not-for-profit organization (Crosson, 1997).…

    • 165 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Waseem Alkakoz April 30, 2015 ECOL 379 Where is the US Healthcare Heading To? The health care system in the United States has been a contentious issue in the last decade. The rising costs and unsustainability in the system has resulted in much higher costs of health care, and yet the life expectancy is lower than most countries like Canada, Germany, and Japan (Wallace 2013). The US has the highest healthcare costs in the world, and it is estimated that about fourteen percent of health care administrative costs (about 91 billion) are wasted annually due to the inefficiency and redundancy in health administration practices (Mukau 2009). What are some implementations in the U.S. healthcare system that could potentially lower the cost of health insurance while delivering the highest quality healthcare at rates that people could afford?…

    • 1265 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Compare Health Insurance Rates and Suppliers We as a whole compare health insurance rates to discover a backup plan offering the health arrangement we require at a reasonable rate. How would you compare medicinal insurance organizations with a perspective to finding the best for you? The way toward comparing shopping that leads us to compare health insurance rates likewise includes comparing he insurance organizations themselves. The inquiry then is - How would we compare insurance organizations?…

    • 563 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Managed Care is a health care delivery system set up to manage cost, quality, and utilization. Medicaid Managed care allows for the delivery of Medicaid health benefits and additional services through contracted arrangements between Medicaid agencies and Managed Care Organizations (MCOs), that accept a set number per member per month (capitation) payment for services. By contracting with various types of MCOs to deliver Medicaid program services to beneficiaries, states can reduce Medicaid program costs and manage utilization of healthcare services. Keep in mind the goal is to improve health plan performance, quality, and outcomes.…

    • 972 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    There are many key factors to consider when juxtaposing the ideas of a national Medicaid program and 56 different state and territorial programs. These include the role of government, the effectiveness in meeting local needs and financial obligations, flexibility in seeking innovative resolutions, the impacts on healthcare providers and access to care, the improvements in service quality, and the ability to overcome resistance to change, among many others. The first consideration is the role of the government in the distribution of care. The federal and state governments have a shared responsibility to ensure that people are provided with appropriate healthcare services and insured against catastrophic incidents.…

    • 1044 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    HMO Advantage Plan Essay

    • 1371 Words
    • 6 Pages

    Due to the increased rate of Medicare and Medicaid spending, the Obama Administration are finding ways on how to control it. One of this is the reduction of Medicare and Medicaid funding. The reduction of Medicare and Medicaid funding leads to poor health care access and quality of care because of the insufficient physician participation in both programs. Reducing Medicare and Medicaid health care spending is not easy, House Budget Committee Chair Paul Ryan’s proposals rests on the notion that patients are in the best position to control costs and that it's therefore desirable to shift to them the risk associated with cost growth. The administration's plan is rooted in the view that the federal government should retain its role as guarantor of a defined benefit and make health care providers more accountable for costs and quality.…

    • 1371 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Written Assignment 1 Adair 2 Abstract In the ever-changing world of health care, organizations are constantly being compared to one another and falling short of patient’s expectations or standards. Most health care organizations have implemented changes with trends and attempted to insert quality of care where necessary. Then there are organizations that self-evaluate and expand their current continuous quality improvement measures. Through the use of a transformational model, a health care organization can become a learning organization.…

    • 1070 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Managed Care Case Study

    • 728 Words
    • 3 Pages

    1. There are two main types of third party payers: private insures and public programs. Private payers sell insurance as a product in order to invest into health benefits, where the provider gets paid for the delivered healthcare service. Commercial insurers, Bleu Cross Blue Shield and self-insures are the main private insures in the country. BCBS is a set of independent companies that are required to follow the rules of the main nationwide association in order to be part of it.…

    • 728 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Benefits Of Managed Care

    • 1558 Words
    • 6 Pages

    Introduction Managed Care is a system that manages how the health care market is utilized. Managed Care maintains how the cost, usage, and quality. Managed care is the provider that gives the healthcare market it’s health benefits for government funded programs. The managed care programs are guaranteed payments with most medical facilities. The managed care program is the inside provider that makes sure that all health care business is beginning handled correctly.…

    • 1558 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    With everyone having health care coverage and the ability to choose where to go for health care needs, facilities will be competing to gain the trust and respect of the public to be the most often chosen health care provider. An organization that is dedicated to putting patients and their needs first, offers the most current and precise care, focuses on prevention, has strong leadership, and is cost-effective will stand out. A facility that is managing employees in a productive manner and having happy, skilled, and proficient caregivers who provide safe, quality care is a must for achieving the best clinical outcomes. Additionally, being focused, setting achievable goals, and meeting goals is crucial for health care providers to be successful. It helps keep employees engaged, focused on the mission and values of the organization, and contributes to advancing health care as a…

    • 893 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The impact of increased government involvement has required healthcare providers to alter their business practices. They must have a clear vision of the future and develop strong strategic planning methods to ensure practicability in the new healthcare marketplaces. Healthcare organizations must continually evaluate the healthcare markets, their labor costs, and present infrastructure to ensure soundness of their business plan. This also has caused hospitals, medical practices, physicians, and other healthcare businesses to merge and unite to stay viable in healthcare marketplaces.…

    • 1084 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Nonprofit Health Care

    • 1231 Words
    • 5 Pages

    There is a stigma that the quality in a for-profit institution was more prone to mortality rates than nonprofit. At the same time, nonprofit hospitals sometimes struggle with finding the funds necessary to upgrade technology or maintain existing resources, while for-profits have a greater capital to invest in state-of-the-art equipment (Rotarius, 2005). Eventually, the for-profit hospitals will provide better care than the nonprofit. However, each hospital has different standards, so the trends that are thought to be true may actually be false. There is a balance to the quality of care and it relates to the ease of the access and the cost factors.…

    • 1231 Words
    • 5 Pages
    Superior Essays