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The Kaiser Papers is not by Kaiser but is ABOUT Kaiser
Most physicians start out with an altruistic desire to help people.  It was the unfortunate marriage of medicine and business that tempted some to bend the rules to become very wealthy.  In the mid-twentieth century a physician could do very well but that physician would not become truly wealthy.  That all changed when in this country medicine did not emerge as a responsibility of our government,  such as education or defense did in almost all other countries that have become industrialized.  The U.S. Government also inadvertently contributed to medical inflation when they passed Medicare without any effective cost controls, and by generously subsidizing biomedical research without maintaining ownership of the new discoveries for the citzens of this country.  Now with the patent office also awarding medical process patents, such as those for human gene sequences, which we understand is not supposed to happen under U.S. law, there is a great big mess and much more profit to gain.  Consideration should also be focused on  the Bayh-Dole Act that allowed government employees to profit from patents they hold on taxpayer funded research.  The CDC is a prime example. CDC employees can derive royalties on patents they hold for tests and vaccines. This certainly influences their role as advisors to the nation (and the world) and not necessarily for the benefit of the public.  

For a physician, gaming the current system is a tempting method of becoming incredibly wealthy.   For physicians who want to become more than comfortable and who strive for great wealth,  it is within their reach if they become involved in the pharmaceutical industry, the health-insurance industry, the specialty-hospital industry or the biotechnical industry while selecting the correct for them niche medical specialty to use as their path.  

All of these industries claim to exist to help people, and they can, but helping patients is a by-product and not the goal.   Their goal is to make money and they are very good at doing so, often at the detriment of the patient who often does not receive needed care or is outright ignored. 


BUSINESS PRACTICES AND THE MOTIVES - Table of Contents

Kaiser Business Practices Table of Contents



Kaiser is a consortium of three separate but interdependent groups: the Kaiser Foundation Health Plan and Kaiser Foundation Hospitals are integrated with independent physician group practices called Permanente Medical
Groups. The health plan is the insurance component of the organisation, while the hospitals and medical groups provide all clinical services. To the public these
hospitals and general practitioner type facilities are seen as one organisation, commonly referred to as Kaiser.  See:
http://kaiserpapers.org/pdfs/Strandberg-Larsen
SchiotzandFrolich-1.pdf 

and in html at:
http://kaiserpapers.org/Strandberg-Larsen
SchiotzandFrolich.html  



Where the profits go

Kaiser Plans to be Leaner and
Meaner during the Current International Financial Down Turn

The Culture of Luxury/Greed and how if Affects Patients

Kaiser Employees in Government Positions of Authority

Physician Stock Issues

Income Tax - IRS - Non Profit or Really For Profit

Government Employees Conflict of Interest

Kaiser Privacy Issues

Some ASSETS/Donations/Government

Grants/Payments/MediCal/etc.

Kaiser Employees in Government Positions of Authority

Marketing of the Kaiser and the Permanente



KaiserGate



Kaiser cover ups for money

Documents from when Kaiser was in New York State

MISCELLANEOUS

Kaiser Permanente's Duty to Die Ethic


Should the Kaiser Patient Really only Trust a machine to perform a breast exam or should the
patient insist on a physician examination and a mammogram if the doctor orders it?
http://kaiserpapers.org/
businesspractices/mammogramcutback.html

- 11 May, 2004 --  Additional insight into the Kaiser programs.
Almost 100% of errors in this system turn out to be done or to have happened for more money. That is the primary problem with this system.

They have so many tiers of bonuses that can be gamed and are gamed at patient expense that the Kaiser program often just doesn't work for anything other than bumps and bruises, bandages and fixing broken bones.

Anything else and you stand a chance of being on your own.

Remember - Kaiser claims to exist to help people, and they can, but helping patients is a by-product and not the goal. 

Their goal is to make money and they are very good at doing so, often at the detriment of the patient who often does not receive needed care or is outright ignored.


What could have been a program that was good for all people has instead become a program that financially benefits not only employees of the health program/hospitals/doctors groups but also raises the question of just how much of a conflict of interest such employees and appointed officials of regulatory agencies have. Focus should be placed on the regulatory agencies and how they enforce rather than solely on the corporations that violate regulations because they appear to be just as responsible for the problems.
See: http://www.dmhc.ca.gov/aboutthedmhc/org/org_dept.aspx

and http://www.mbc.ca.gov/board/members/levine.html
see also:



Focus should also be placed on who the legislators are that have enacted statutes without public participation that have benefited HMO's while eventually harming the public.  Issues as large and as serious as citizen's healthcare should involved honestly well-publicized and open public participation.  The burden to get this information to the
public should be on the legislators and not on the citizens that have to learn about these actions on their own.


The following is fact as proven in a court of law -
In 2001, the Department of Health and Human Services cited Kaiser-Bellflower for failing to provide appropriate medical screening examinations, failing to provide stabilizing treatment for emergency medical conditions and failing to provide care in the emergency room without regard to the patients’ ability to pay. Kaiser-Bellflower’s policy was to keep patients waiting in the emergency room until they left without treatment. Between 1999 and 2006, more than 5,000 patients were sent home without receiving medical screening exams. Kaiser intentionally understaffed and understocked the hospital to increase profits and to decrease the number of patients who would avail themselves of the emergency room. Kaiser also provided inadequate and unsanitary care for its patients. Treatment of several patients suffering from chest pains and possible myocardial infarctions was delayed because the emergency room lacked appropriate medications such as nitroglycerin and resuscitation bags. Other patients were placed in rooms soiled with blood and excrement. In one instance, a patient was placed in a room with an aborted fetus and blood clots in the sink. Kaiser permitted physicians to refer patients, including children, to a doctor who was mentally ill and a known child molester. It also scheduled doctors, including Dr. Woods, to work consecutive evening or overnight shifts in violation of Medical Group rules, a practice which threatened patient care. - http://www.harp.org/WoodsVKaiser.htm


The Culture of Luxury/Greed and how if Affects Patients


The clear link to the fact that Permanente had to trust its alter-ego Kaiser with its pension money making each physician a direct creditor of the Plan. 
http://www.aaluwr.org/displayreport.php?wrID=975

When the Permanente Map says "Our Sustainable Future" they mean the Kaiser Plan has their money.  This is the very money that through investment lost the $2.3 billion in value as the
Stock Market tanked.  Each physician is less secure until that money is raised one way or another.  No doubt there is a Recovery Plan by 2011 being written with Kaiser being tougher than ever on patients.  They also hope to get part of the $20 billion set to stimulate electronic charts as they got an early and unearned boost with Medicare D.

 
The Rise and Fall of a Kaiser Permanente Expansion Region
DANIEL P. GITTERMAN, BRYAN J. WEINER, MARISA ELENA DOMINO, AARON N. McKETHAN, and ALAIN C. ENTHOVEN

The Kaiser Money Trail Mirror Site of Money Trail at Kaiser Papers Hawaii
Please also review two documents located at: http://selfincrimination.kaiserpapers.org/
Both indicate that the Permanente Physician, both vested and the Pool docs are contracturally
obligated to act against the well being of the public.  Under no circumstances may a physician of the Permanente involved in any government program, whether serving a voluntary position or in a position of regulatory influence find wrong doing with Kaiser.  

The Great Kaiser Shame and Disgrace What they tried to get away with in Texas. Slow reading but well worth your time.  It's called Managed Care Liability in Texas

Insightful articles that present a mirror into the mind set of the average Permanente Physician.  It's All About How they make "Their" Money.

1 percent of a health plan’s members typically account for 30 percent or  more of its costs and that 5 percent of its members generate 50 percent of its costs.  -
Retiring KP CEO G.C. Halvorson
Original link: http://www.deloitte.com/dtt/cda/doc/content/us_healthcare_hcr_0603.pdf

PACTS - The Kaiser/Epic Population and Condition Tracking System.

Kaiser Permanente's basic organizational chart.  The names change frequentlybut that isn't
important.  What is important is that the basic structure remains the same.

The Rise and Fall of  a Kaiser Permanente Expansion Region
http://businesspractices.kaiserpapers.org/scarlinakp.html

George Halvorson's Culture of Luxury
and
The State of Minnesota Attorney General's Office - Lori Swanson, Attorney General Report -
George Halvorson, current CEO of Kaiser Health Plan and Hospitals,  a non profit HMO and the Permanente Medical Group  was found to be funding a lavish lifestyle off of patient money while employed at Kaiser partner organization, HealthPartners of Minnesota. HealthPartners is also designated by the I.R.S. as a non profit, public benefit corporation!


 SIX COMPANIES - A PATTERN THAT SHOWS DECADES OF ABHORRANT TREATMENT OF PATIENTS AND EMPLOYEES http://kaiserpapers.org/businesspractices/6companies.html

The Misuse of Evidence-Based Medicine - by Dr. Charles Phillips
http://kaiserpapers.org/drphillips/november142007.html

An essay on the history of Evidence - BasedMedicine and how it's original intent has been distorted and misused for purposes of HMO financial gain rather than to provide proper medical diagnosis and treatment for the patient.  Informative information for the physician, patient, clergy, philosopher
and all members of the legal profession.

Section 805 of the California Business and Professions Code

http://selfincrimination.kaiserpapers.org/

Kaiser insurance risk adjustment using newborn blood to determine inborn errors of
metabolism - i.e. defects. If you have a "defect" and if you get sick it will cost so much money to treat.Will they ignore you or treat you?

Kaiser Permanente California IT Functionality Needs for Population Management - 04/23/01

Kaiser Medical Treatment Documents

1999 -
The Sensitivity and Specificity of Forecasting High-Cost Users of Medical Care

"As long as the outcomes are behaviorally based, we can measure the outcomes in terms of reduced medical visits and reduced medical visits translates to dollars, savings. "
mirrored at: http://kaiserpapers.org/behavioral/cam1.html
In only six minutes according to Kaiser Permanente they can diagnosis your psychiatric conditionhttp://kaiserpapers.org/behavioral/povs.html
also
The Kaiser Foundation Psychology Research Project Timothy Leary of  LSD Fame,CIA and  Director of Research


Dr. Robert Pearl, chief executive of Kaiser, said at a private meeting that "we chose not to provide our patients with what they desired," the Times reported.

Kaiser has come out best for heart attacks by talking people out of intensive care before
they go upstairs from the emergency room.

PAYMENTS TO PHYSICIANS IN THE PERMANENTE MEDICAL GROUP

Number of Patients per Physician - specialists are included in this figure because there
is no way to exclude them with publicly available material.

http://govinfo.library.unt.edu/whccamp/meetings/transcript _9_8_00_s3_4_5.html

 "Targeting the insurance companies of the nation is important to identify the idea that upstream intervention is going to save the insurance dollar. There is cost savings and the business department  of Kaiser has data to support that.

Kaiser Employees in Government Positions of Authority
Government employees with close/questionable Kaiser Permanente affiliations
Ethics and Health Cost Containment by Carol Levine from February 1979 - This
material is not dated.  Everything in it is relevant to today.


PHYSICIAN STOCK ISSUES
The Kaiser Tahoe Accord
Kaiser Decisions of the Working Council


Link to actual images of the original Tahoe Accord Document at: http://businesspractices.kaiserpapers.org/tahoe/tahoedocs.html

Link to Kaiser's write up on the Tahoe Agreement and the how and why it happened in the words of their own doctors.
http://businesspractices.kaiserpapers.org/tahoe/tahoegg.html

The Kaiser Tahoe Accord

Northeast Permanente Newletter bragging about the shareholder status of physicians after one year, etc.
http://kaiserpapers.org/businesspractices/
northeastnewsletter.html

The 50% Split of Profits
Kaiser and Permanente Medical Services Agreement

Examination of Article K
Article K for the Permanente Physician:
  • Article K is a document that both Kaiser and Permanente go out of their way to hide from 
  • the public.  They intentionally try to omit this document from all legal proceedings.  It was 
  • obtained as part of the Medical Service Agreement legal papers from Johnson County, 
  • Kansas Civil court Department.
The document that best proves the ongoing 50:50 profit split is the KP contract that spilled into
the Kansas City court papers in Johnson County as Kansas City Kaiser failed.  This year's profit split may net the Permaente docs close to $1 billion!!!  This is above salaries of $22,000 a month average per partner, forgiven home loans, and 25% benefit package.
This money accumulates under the plan - immune from all outsiders even bankruptcy trustees - until the Kaiser doc proves himself or herself by vesting to 20 years, keeping silent forever, and never turning against the Permanente Culture.  Once you are in, don't try to get out - til death do us part.
http://businesspractices.kaiserpapers.org/articlek.html

Commentary from Dr. Charles Phillips regarding the relevance of the above documents -
Article K of the Medical Service Agreement between Kaiser Plan and Permanente Physicians.

http://drphillips.kaiserpapers.org/kansaswaxman.html

 

INCOME TAX - IRS - NON PROFIT OR REALLY FOR PROFIT WITH ALL COMPANY AFFILIATES AND HOLDINGS

2005 Form 990 IRS Tax filing for PERMANANTE MEDICAL GROUP LIFE INS & MEDICAL BEN PLAN & TR FOR RET PHYS
 
The Southern California Permanente Medical Group Retirement Program (SCMG) beginning with Declaration of Rose Dodge, Retirement Plans Coordinator. 

KaiserGate - What Nixon said about Kaiser

EHRENBERG v SOUTHERN CAL PERMANENTE - Dr. Max Moses

Dr. Moses and his wife pleaded guilty to misdemeanor tax evasion

Should not-for-profit tax status be only for strictly charitable groups?
Is Kaiser Permanente Really A For Profit Organization?-  The IRS doesn't know who they are in their non profit database - Is This Self Proclaimed Not For Profit Which is Really Three Separate Companies Actually an Impostor? 

 Only the health insurance plan and the hospitals are non profit.  The Permanente part is for profit!
http://drphillips.kaiserpapers.org/billion.html

Non-Profit Status is not Enough–Kaiser’s Questionable Privilege

GOVERNMENT EMPLOYEES CONFLICT OF INTEREST
Government employees with close/questionable Kaiser Permanente affiliations
Federal Advisory - 5 USC TITLE 5 - APPENDIX 01/02/01


Appointment of Special Government Employees (SGE)

"...the physician will not work against the interest of Kaiser Permanente."
SEE THE PERMANENTE MEDICAL GROUP ARTICLE K
2005 Form 990 IRS Tax filing for PERMANANTE MEDICAL GROUP LIFE INS & MEDICAL BEN PLAN & TR FOR RET PHYS

The Southern California Permanente Medical Group Retirement Program (SCMG) beginning with Declaration of Rose Dodge, Retirement Plans Coordinator. 

KaiserGate - What Nixon said about Kaiser -  

EHRENBERG v SOUTHERN CAL PERMANENTE - Dr. Max Moses


Dr. Moses and his wife pleaded guilty to misdemeanor tax evasion

Should not-for-profit tax status be only for strictly charitable groups?

How can Kaiser Permanente represent itself to be non-profit when, in fact, it made $1.8 billion
in profit in 2004 and will pass $2 billion in profit in 2005?

http://drphillips.kaiserpapers.org/billion.html


Kaiser Privacy Issues

Ever wonder what they do with your patient information?
Research: Kaiser Permanente engages in extensive and  health research. Some of the research may involve medical procedures and some is limited to collection and analysis of health data. Research of all kinds may involve the use or disclosure of your PHI.  Your PHI can generally be used or disclosed without your permission.....Was originally posted at:http://ckp.kp.org/privacy/ privacypractices_co.html, but has been removed.

V. HOW WE MAY USE AND DISCLOSE YOUR PHI
http://kaiserpapers.org/businesspractices/privacy.html

ENSURING THE PRIVACY AND CONFIDENTIALITY OF ELECTRONIC HEALTH RECORDS
Nicolas P. Terry* Leslie P. Francis**

Kaiser Permanente HIPPA Privacy Training, Manual Part II - Just About Everyone but your
family and in somecases yourself can have your patient information - 6 consecutive pages

 Some ASSETS

Some Kaiser Financial and Real Estate Public Information
http://businesspractices.kaiserpapers.org/money.html

Kaiser Sanctions and Fines

The Misuse of Evidence-Based Medicine - by Dr. Charles Phillips

Section 805 of the California Business and Professions Code

http://selfincrimination.kaiserpapers.org/

 "As long as the outcomes are behaviorally based, we can measure the outcomes in terms of reduced medical visits and reduced medical visits translates to dollars, savings. "
mirrored at: http://kaiserpapers.org/behavioral/cam1.html
In only six minutes according to Kaiser Permanente they can diagnosis your psychiatric conditionhttp://kaiserpapers.org/behavioral/povs.html

Kaiser Permanente Final Medical Survey Report - 1989 - CA Dept. of Corporations




Kaiser Employees in Government Positions of Authority


Government employees with close/questionable Kaiser Permanente affiliations

Marketing of the Kaiser and the Permanente


KP National Strategy - Guiding Vision as an Organization - these documents are the hard copy from a Power Point Presentation that the Permanente used for marketing their plan to others as well as trying tosell it to the patients.

Some ASSETS


Some Kaiser Financial and Real Estate Public Information
http://kaiserpapers.org/businesspractices/money.html

MISCELLANEOUS
The Criminalization of American Medicine 1965-1993by Madeleine Pelner Cosman

Interview with Madeleine Pelner Cosman

Quick Facts/Generalizations

SIX COMPANIES - A PROVABLE PATTERN SHOWING DECADES OF ABHORRANT TREATMENT OF PATIENTS AND EMPLOYEES http://kaiserpapers.org/businesspractices/6companies.html

Why Physicians Should Not Kill Their Patients - Just the Facts -
Followed by a brief summary of recent historical events of medical conduct contrary to basic physician to patient promises.
Fibs and Half Truths from the Lips of Kaiser and the for profit Permanente

Beware of Special Interests that Promote any HMO Program

There are now probably more fake public interest groups than actual ones in America today.
And many formerly legitimate public interest groups have been taken over or compromised by big
corporations. Our favorite example is the National Consumer League. It’s the oldest consumer group in the country.
It was created to eradicate child labor.

But in the last ten years or so, it has been taken over by large corporations. It now gets the majority
of its budget from big corporations such as Pfizer, Bank of America, Pharmacia & Upjohn, Kaiser
Permanente, Wyeth-Ayerst, and Verizon.
http://uspolitics.tribe.net/thread/3c6bf945-d0f5-493f-ac65-2ab565eb9177#6de3ac91-378f-49af-a0a0-926e3ed785c8

The Affiliation between Kaiser the Permanente and Bayer
The Bayer Institute for Health Care Communication began working with the Permanente Medical Groups
(PMG) in 1989 and now works with five regions within PMG to teach communication skills to clinicians.

also the Bayer Institute for Healthcare Communication has a lot of Kaiser and Permanente awards back and forth
between each other.

Twenty Things You Should Know About Corporate Crime - To assist the average citizen in understanding why small fines are given to Kaiser -  further insulting the people that have been victimized by Kaiser proven criminal actions please read: Twenty Things You Should Know About Corporate Crime
21 Corporate Crime Reporter 25, June 12, 2007 from Corporate Crime Reporter in Washington D.C.
http://corporatecrimereporter.com/twenty061207.htm


CNA 
California Nurses Association Documents

The Union -The Agreement 1997 National Labor Management Agreement

Kaiser Foundation Research Institute
has large, fully integrated databases, some dating back to 1981, representing all 6.1 million current Kaiser Permanente members in northern and southern California. The Kaiser databases are linked annually to state vital statistics and cancer registry files. Electronic records will be fully implemented in 2006.
http://www.fda.gov/cder/pike/September2006-4.htm

Kaiser overbills Medicare
http://oig.hhs.gov/oas/reports/region5/50100094.pdf


KaiserPapers.org