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Government employees with close/questionable
Kaiser Permanente affiliations
This is a short list of some Former Kaiser Permanente physicians, other medical
personnel and "politicians" closely related to Kaiser Administrators that may have a
conflict of interest with their new jobs at government regulatory agencies and
government contractees overseeing patient matters. First Understand What the
definition of a Conflict of Interest as per United States Law is.
Cross referenced with:
Note that most government agencies do not ask about this form of financial information when
clearing someone for ethics issues which could show a potential conflict of interest. Probably it
is because these agencies are not aware that this gag clause and other gag clauses not displayed
on this web site are even in existence. Definitely the California Ethics rules do not cover this type
of issue and should.
While it is highly illegal to have these gag clauses and orders in any retirement contract and
Kaiser and Permanente probably will lose in any court action when any physician challenges
the clause referenced above if it is enforced, it will still cost an enormous amount of money for
a physician to do so in any court. The physician does not have to be retired to have these gag
clauses enforced. Several physicians that did decide to go forward and not be compromised with
their personal ethics have been used as examples by Permanente and Kaiser as to what happens
if they do talk or do act responsibly when dealing with our government.
See: http://businesspractices.kaiserpapers.org/advisory.html and
and United State Office of Ethics at: http://www.usoge.gov/home.html
Public service is a public trust, requiring employees to place loyalty to the Constitution, the laws,
and ethical principles above private gain.
Employees shall not hold financial interests that conflict with the conscientious performance of duty.
Employees shall not engage in financial transactions using nonpublic Government information or
allow the improper use of such information to further any private interest.
Volunteers, non salaried appointees and retired physicians and other medical personnel that obtain
employment under Federal Personnel Jurisdiction are still representatives of our government and
still have to abide by the law.
Many people have had the experience of having government agencies stop formal investigations
into Kaiser questionable activities with the excuse used that "Mr. Upstairs" ordered the investigation
stopped. This list of people may be who "Mr. Upstairs" actually is. It really is a silly term to use.
and - http://businesspractices.kaiserpapers.org/scpmgretire.html
Page 74 of the SCPMG Retirement Program.
"11.2 Limitation on Participants' Rights.
"The Partnership reserves the right to expel any Partner without liability for any claim either against the Plan, except to the extent provided for herein, or against the Partnership."
It is likely that current and former Kaiser Permanente physicians that obtain jobs in government
agencies where they have responsibilities to oversee, investigate, inspect, etc., most likely have a
conflict of interest that no matter what they may say about it, is still there.
The terms of the vested Permanente physicians contract states very clearly that they may not do
or say anything against Kaiser or the Permanente or they risk losing their retirement package and
anything else that is held by the Permanente. See link above for current document clearly stating
There are court documents showing that Permanente and Kaiser have enforced this document
for those that dared to find wrong doing or talk to the authorities.
"...the physician will not work against the interest of Kaiser Permanente."
SEE THE PERMANENTE MEDICAL GROUP ARTICLE K
Kaiser and the Permanente business practices are also showing up overseas. Queensland,See Also:
Australia which had the misfortune of hiring a dismissed Kaiser Physician,
(news articles link) Jayant Patel (also at Wikipedia - http://en.wikipedia.org/wiki/Jayant_Patel)
found out the hard way how the three Kaiser corporation's business practices intertwine with
government officials and agencies to the detriment of patients. Today they are untangling the
roots of the cancerous Kaiser type business practice which is successful only by the corporate
preying on common human greed. Queensland is making sure that such business practices
will not gain a greater hold within their government system.
Hedley Thomas, senior writer for The Australian is the author of Sick To Death, a newly released
book about Dr Jayant Patel and how he thrived in a sick health and political system.
Do the following individuals have a conflict of interest with their jobs?
We will be adding to the list those pertinent individuals from other organizations and government
agencies as time permits.
We are beginning this list with those currently employed or financially involved with the QIO Lumetra.
A QIO is a Quality Improvement Organization. The one in California is Called Lumetra. All QIO's are really started out as tracking databases for Congress to monitor the effectiveness of the HMO's. Today, they have a few other sideline businesses. Here is what the law says they are supposed to be doing.
Here is the original Lumetra web address:
It used to be called CMRI or California Medical Review. Lumetra had a really big contract with the Federal Government to review Medicare Patient Medical Records.
It appears to us that the following former Kaiser Permanente physicians do not belong on Lumetra
decision making or quality evaluation boards - both by basic ethics and financial conflicts against
their retirement pot of gold.
Board Members of the QIO (Quality Improvement Organization) Lumetra - an organization with a
really big Medicare contract to review Medicare Patient records where Kaiser is never found to
have ever been wrong. 12 Kaiser people and still counting in the following list: (Note: Lumetra did not keep the Federal Contract and were replaced by another QIO. Their government solutions web page is at
Linda Sawyer - COO Lumetra -
Physician lead for Kaiser's Epic disaster
D. Lynn Fiorria - Kaiser Permanente - Vallejo
Ana M. Perez - Former Diabetes Manager for Spanish Population at Kaiser Permanente
Mindy-Coots Miyazaki - Past Home Health Nurse and Staff Nurse with Kaiser Oakland
Laura Stewart - Kaiser San Francisco
Janet E. O’Brien, MD, MSPH, MS
District Office Medical Consultant
O’Brien provides utilization review services in
for the Yolo County Department of Public Health, director of community education
for the Watsonville Community Hospital, and as medical economist
for the Kaiser Foundation Health Plan.
Roderick N. Seamster, MD, MPH
Vice-Chair, Lumetra Board of Directors
Medical Director, Watts Healthcare Corporation
Roderick Seamster is medical director and chief physician in internal medicine at the
Watts Healthcare Corporation in Los Angeles.He has served as medical director and/or
staff physician in internal medicine and family practice settings, including the Watts Health
Center, Compton Medical Center, Kaiser Permanente, and the San Carlos Indian Hospital
(United States Public Health Service).
Anthony G. Wagner
Vice President, Kaiser Permanente, Oakland
Anthony Wagner currently serves as vice president of the Office of Labor Management
Partnership at Kaiser Permanente in Oakland, California,
Ann Von Gehr (MD)
unestablished if Dr. Von Gehr is still directly affiliated with Kaiser Santa Teresa
Dr. Ira Jeffry Strumpf
Dr. Strumpf is physician in charge of the pulmonary division at Kaiser Permanente
Medical Center in Woodland Hills.
Short background on JCAHO: JCAHO takes in $113 million annually, mainly from
hospitals that pay large fees to be accredited so they can receive Medicare dollars.
Accreditation means a hospital has successfully passed a JCAHO inspection once
every three years. Inspections are traditionally announced well in advance, although
JCAHO promises to begin “surprise” visits next year. And, a subsidiary of JCAHO
consults (for a hefty fee) with hundred of hospitals each year to help them to
get a passing grade on their inspection. These “crib” courses bring in another $10.5
million to JCAHO each year.
Senior Vice President for Quality LeadershipAmerican Hospital Association
Nielsen, M.D., is an infectious diseases physician and senior
In this role, Nielsen oversees
Quality Agenda, which
Nielsen worked at the Permanente
Company as vice
Nielsen is active on the boards of the American
serves on the editor boards of the World
Association’s WMA Global
BARBARA PAUL, M.D.,
CMS Administrator Tom Scully today announced the appointment of
Barbara Paul, M.D., to direct the agency's initiatives to improve health care
quality for Medicare and Medicaid beneficiaries.
Dr. Paul, a board-certified internist, has been director of the agency's
Physicians' Regulatory Issues Team (PRIT) since 1999. She also served as
assistant to the deputy administrator for the Open-Door initiative with physicians.
Dr. Paul will replace Steve Clauser, Ph.D., who has taken a position with the
National Cancer Institute.
Dr. Paul was a full-time internist from 1987 to 1999 in Northern California. She
also was director of women's health services from 1993 to 1995 for Queen of
the Valley Hospital in Napa, Calif. Currently, she returns every few months
to her former clinic in California to see patients at the Kaiser Permanente facility
in Vallejo, Calif.
Among her professional activities, Dr. Paul served in 1998 on the board of trustees
of the California Medical Association, representing physicians in eight Northern
California counties. She also was president of the Napa County Medical Society from
1995 to 1996, and served from 1993 to 1999 on the board of directors of the
California Health Facilities Financing Authority.
Barbara R. Paul, M.D., is Senior Vice President and Chief Medical Officer of Beverly
Enterprises, a leading provider of elder care headquartered in Fort Smith, AR.. She was
previously director of the Quality Measurement and Health Assessment Group for the
Centers for Medicare and Medicaid Services (CMS), Department of Health
and Human Services, in Baltimore, Md. While at CMS, she led the launch of HHS
Secretary Tommy G. Thompson's Nursing Home Quality Initiative and Home Health Quality
Initiative, and played a key role in the agency's overall quality measurement and public
reporting work. She represented the agency on the boards of the National Quality
Forum and The Leapfrog Group.
CMS Applicants from Southern California Permanente
Paul J. Wallace, MD
He was previously the Executive Director of Kaiser Permanente’s
Care Management Institute (CMI) from 2000 – 2005 and continues as a
Senior Advisor to CMI and to KP Healthy Solutions, the KP
disease management company established in 2005. Dr. Wallace,
an Internist and Hematologist, joined Kaiser Permanente in 1989, and
has participated on Kaiser Permanente’s program wide New Technology,
Research, Guidelines and Diversity Committees. He is a member of the
National Advisory Council for the Agency of Healthcare Research and Quality (AHRQ),
the Institute of Medicine Board on Population Health and Public Health Practice, the Medical
Coverage Advisory Committee for the Center for Medicare and Medicaid Services (CMS),
and the Committee on Performance Measurement for NCQA. He is the Board Chair for
the Center for Information Therapy, and is also a Board member for the Disease
Management Association of America (DMAA). In 2004 he was recognized by DMAA
with the Karen Coughlin Individual Disease Management Leadership Award.
AHRQ Announces New Preventive Services Task Force Members
Diane Petitti, M.D., M.P.H., senior scientific advisory for Kaiser Permanente of Southern
California, is the new vice chair.
Executive Director, Health Policy and Evidence-based Medicine,
Johnson & Johnson
Peter Juhn is responsible for helping shape evidence-based medicine policies,
especially as payers use EBM as a basis for decisions on reimbursement and
coverage of pharmaceuticals and medical devices. He works with the operating
companies to anticipate the methods and types of evidence needed in this evolving
payer environment. He also provides policy coverage for developments in the
Health Information technology initiatives as well as quality-based "pay-for-performance"
Most recently, Dr. Juhn was Vice President, Health Improvement Resources, at
WellPoint Health Networks, where he managed the disease management programs.
He also held senior positions at Kaiser Permanente, including Executive Director, Care
Management Institute and President and CEO of CareTouch, Inc., an e-health start-up
venture. He has a BA from the University of Chicago, an MD from Harvard and an MPH
from the University of Washington, where he was a Robert Wood Johnson Clinical Scholar.
He completed his Internal Medicine residency at the University of Pennsylvania.
Sharon Levine, MD
STAKEHOLDER The Permanente Medical Group, Kaiser Permanente
Dr. Levine is a pediatrician and has practiced with The Permanente Group since 1977.
She has held multiple leadership roles within the Medical Group and has served as
Associate Executive Director of the medical group since 1991. She has responsibility
for human resources, (recruitment, compensation, clinical education, management training
and leadership development); government and community relations, health policy and
community benefit and pharmacy policy and drug use management.
Dr. Levine is board certified by the American Board of Pediatrics and is a member of the
American College of Physician Executives, California Medical Association and the American
Medical Association. She is a member of the Board of Directors of the Integrated
Healthcare Association, The Women's Foundation of California, the California Hospital
Association and the Public Health institute of California. She is a frequent speaker on
issues of health policy, drug use management and delivery of health care services. Dr.
Levine received her undergraduate degree from Radcliff College at Harvard University and
her MD degree from Tufts University School of Medicine.
The Permanente Medical Group employs 5,500 physicians and serves 3.2 million Northern California members
enrolled in the Kaiser Permanente Medical Care Program, the states largest HMO.
Jay Crosson - Member of the Medicare Payment Advisory Commission appointed by Comptroller General Walker.
of the United States
United States General Accounting Office
Washington, DC 20548
May 20, 2004
Comptroller General Walker Announces Appointment of Members to the Medicare
Payment Advisory Commission Francis J. Crosson, M.D. is the executive director
of the Permanente Federation of medical groups that make up the physician component
of Kaiser Permanente. He also co-chairs the Kaiser Permanente Partnership Group,
the organization’s management committee. He also has experience in connection with
prescription drug arrangements. He joined Kaiser Permanente in 1977 and was the Chief
of Pediatrics and Assistant Physician-in-Chief of one of Kaiser’s major medical centers.
In 1988 he was appointed associate executive director of the Permanente Medical Group
and served in that position until his current appointment. He has led efforts on comprehensive
public report cards on clinical quality, management of a drug formulary and adoption of a
state-of-the-art electronic medical record. Dr. Crosson received his undergraduate degree
in political science from Georgetown University and his M.D. degree from Georgetown’s
School of Medicine.
WINKENWERDER SWORN IN AS HEALTH AFFAIRS ASSISTANT SECRETARY
Dr. William Winkenwerder Jr. took the oath of office yesterday as the new assistant
secretary of Defense. Winkenwerder was nominated for the position by President Bush on
September 21, 2001, and confirmed by the Senate on October 16, 2001.
Winkenwerder has held a variety of senior-level positions in the healthcare industry.
Most recently, he was vice chairman, Office of the Chief Executive, and executive
vice president of Health Care Services for Blue Cross Blue Shield of Massachusetts,
the largest health insurance plan in New England with more than 2.4 million
enrollees. Before moving to Massachusetts, Winkenwerder served as associate vice
president for Health Affairs and vice president of Emory Healthcare at Emory University
in Atlanta, Ga.
From 1992 to 1995, Winkenwerder held the position of vice president and chief medical
officer for Southern Operations for Prudential Healthcare based in Atlanta. Prior to this
position, he served as the associate medical director at the Southeast Permanente
Medical Group of Kaiser Permanente in Atlanta. From 1987 to 1988, Winkenwerder
worked at the Health Care Financing Administration, now Centers for Medicare
and Medicaid Services, Department of Health and Human Services, in Washington, D.C.
Winkenwerder received his bachelor's degree of science from Davidson College, Davidson,
N.C., in 1976, his medical degree from the University of North Carolina School of Medicine,
Chapel Hill, N.C., in 1981, and his master's of business administration from The Wharton
School, University of Pennsylvania, Philadelphia, Pa.,
Winkenwerder has completed post graduate training and fellowships in internal medicine,
epidemiology and health services research. He also completed a fellowship at the Department
of Health and Human Services where he helped develop a catastrophic Medicare
legislation proposal for the Reagan Administration. Winkenwerder holds a number of board
memberships, has written broadly on health policy issues, and is active in a variety of
As the Assistant Secretary of Defense for Health Affairs, Winkenwerder serves as the principal
staff assistant and advisor to the secretary and deputy secretary of Defense and the under
secretary of Defense for Personnel and Readiness for all Department of Defense health
policies, programs, and activities. He will have the responsibility to effectively execute the
department's healthcare mission. This mission is to provide, and to maintain readiness
to provide, healthcare services and support to members of the armed forces during military
operations. In addition, the department's healthcare mission provides healthcare services and
support to members of the armed forces, their family members, and others entitled to DoD
HRSA - U.S. Department of Health and Human Services - Health Resources and Services
TECHNICAL EXPERT PANEL
The Technical Expert Panel, although not convened as a consensus panel, provided
significant input and insight throughout the course of the projec.
Robert Carson, PhD
Brecksville VA Medical Center
Towie Fong, MD
Senior Staff Internist and Geriatrician
Kaiser Permanente Medical Center
San Francisco, CA
NCVHS Membership of the WORKGROUP on the
NATIONAL HEALTH INFORMATION INFRASTRUCTURE
The NCVHS serves as the statutory public advisory body to the Secretary of Health and
Human Services in the area of health data and statistics. In that capacity, the Committee
provides advice and assistance to the Department and serves as a forum for interaction
with interested private sector groups on a variety of key health data issues. The NCVHS
home page is http://www.ncvhs.hhs.gov/
National Director for Health Information Policy
Simon P. Cohn, M.D., M.P.H., FACP
Kaiser Permanente Medical Care Program
One Kaiser Plaza
Oakland, California 94612
Term: 06/30/99 - 06/30/03
STATE OF CALIFORNIA
Brent A. Barnhart, Director Department of Managed
Do individuals employed at the following government agencies have a conflict of interest with their jobs?
We will be adding to the list those pertinent individuals from other organizations and government agencies as time permits.