Mercer One Model One Program - Kaiser Permanente

Post on 12-Dec-2021

1 views 0 download

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