Mercer One Model One Program - Kaiser Permanente
Transcript of Mercer One Model One Program - Kaiser Permanente
California Colorado Georgia Hawaii Mid-Atlantic States Northwest Ohio
Details Northern California Southern California Denver, Boulder Southern Colorado Atlanta metro areaHawaii, Kauai, Lanai, Maui, Molokai, Oahu
Baltimore, MD, Washington, DC, Virginia
Oregon, southwest Washington
Idaho, Washington Cleveland, Akron
Medical groups The Permanente Medical Group
Southern California Permanente Medical Group
Colorado Permanente Medical Group
Contracted hospital physicians
Colorado Permanente Medical Group
Affiliated community physicians
The Southeast Permanente Medical Group
Hawaii Permanente Medical Group
Mid-Atlantic Permanente Medical Group, Inc.
Northwest Permanente physicians
Affiliated community physicians
Group Health Cooperative
Ohio Permanente Medical Group
Emerald Health Network (POS)
PHCS Network
Affiliated community physicians
PHCS Network
Community physicians (Kauai, Lanai, and Molokai)
MAPMG affiliated community physicians
Private Healthcare Systems (PHCS) Network
PHCS Network
PHCS and MultiPlan Networks
Contracted physician network (POS)
Medical centers/hospitals 21 Kaiser Permanente– owned
12 Kaiser Permanente–owned
3 affiliated community hospitals
7 contracted community hospitals
40 affiliated community hospitals
1 Kaiser Permanente–owned
30 Kaiser Permanente–owned
1 Kaiser Permanente–owned
26 Group Health–owned
20 affiliated community hospitals
39 affiliated community hospitals
37 affiliated community hospitals 9 affiliated community
hospitals45 contracted community hospitals (PPO and POS)
4 affiliated community hospitals13 contracted area
hospitals
Medical offices 73 138 18 2 17 18 0 30 (See centers) 10
Pharmacy services 240+ Kaiser Permanente–owned
240+ Kaiser Permanente–owned
18 Kaiser Permanente– owned
2 Kaiser Permanente– owned
MedImpact pharmacies
17 Kaiser Permanente– owned
13 Kaiser Permanente– owned
29 Kaiser Permanente–owned
15 Kaiser Permanente–owned
26 Group Health–owned
10 Kaiser Permanente–owned
Stanislaus County—select Rite Aid and Save Mart
Select Rite Aid, Walgreens, and CVS
POS, PPO, and OOA Indemnity Plan members—MedImpact pharmacies
POS, PPO, and OOA Indemnity Plan members—MedImpact pharmacies
Designated retail community pharmacies
14 retail community pharmacies
Safeway, Rite Aid, Target, and Walmart (PPO and POS)
MedImpact (POS)
MedImpact MedImpact (POS)
HealthTrans
Disease management 15 programs 18 programs 5 programs 18 programs 12 programs 15 programs 7 programs 8 programs 11 programs
PlansHMO (traditional) l l l l l l l l l l
Deductible HMO l l l l l l l l
HSA-Qualified Deductible HMO l l l l l l l l l
Deductible HMO with HRA l l l
POS l l l l l l l l l l
PPO (in area) l l l l l l
PPO (out of area) l l l l l l l l
Out-of-area l l l l l l
CDHC lHSA+HRA lHSA+HRA lHSA+HRA lHSA+HRA lHSA+HRA l l
Supplemental productsMedicaid l l l l l l l l
Dental l l l l l l l l l l
Vision l l l l l l l l l l
Complementary and alternative medicine
l l l l l l l l l l
Kaiser-on-the-Job l l l l l l l
Fee-for-service productsHearing aids l l l l l l l l
Kaiser Permanente HealthWorks l l l l l l l
Cosmetic services l l l l l l
In vitro fertilization l
Laser vision correction l l l l
See regional inserts for additional details.
kp.orgBusiness Marketing Communications1827-0104-01-r99 February 2010
Regional overview