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Depression of 1929, 3, 5 DeSilva, Joseph (Joe), 190 doctors See Permanente medical groups
1933-40: First Prepaid Health Insurance Plan Is Developed
1933: Doctor Sidney R. Garfield establishes a health plan for workers in the California desert.
One could begin in 1933, when young Doctor Sidney Garfield entered fee-for-service practice in the southern California desert and prepared to care for workers building the Metropolitan Water District aqueduct from the Colorado River to Los Angeles.
1938: Henry Kaiser convinces Garfield to establish a group-practice prepayment plan for Grand Coulee Dam construction workers.
When they undertook the Grand Coulee project, the Kaisers persuaded Doctor Garfield to come in 1938 to eastern Washington State, where they were managing a consortium constructing the Grand Coulee Dam.
Intrigued by the concept developed by Hatch and Garfield in the Mojave Desert, Henry Kaiser persuaded Garfield to open a prepaid practice for his construction workers building the Grand Coulee Dam in Washington state in 1938.
But when this construction project neared completion in 1941, it looked as if Garfield's innovative system of funding medical care was again going to be terminated.
The Permanente Foundation Hospital in Oakland after 1942 rebuild. (attribution: Kaiser Permanente)
In September, 1945, the Henry J. Kaiser Company established the Permanente Health Plan, a nonprofit trust, and the medical care program was on its way.
In order to keep the plans viable, in 1945 they were opened to the general public.
The organization was founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield.
The first medical group, The Permanente Medical Group, formed in 1948 in Northern California.
When Doctor Reimers moved to Denver in 1950, he joined the University of Colorado as a Surgical Fellow under Doctor Henry Swan.
In 1952, James Vohs began his career with Kaiser in labor and industrial relations with several different components of the Kaiser Company.
As noted earlier, starting in the spring of 1952, I'd been handling the duties of the corporate secretary's office--using probably about 5 percent of my working time.
The Regional Oral History Office was established in 1954 to augment through tape-recorded memoirs the Library's materials on the history of California and the West.
1955: Kaiser Permanente is reorganized to enable partnerships between the medical and management professions and to provide physicians with an investment stake in the program's future.
There were several key high-level meetings that occurred in the spring of 1955 between Permanente Medical group leaders and Mr.
Well, Sidney Garfield had been the "Central Office" prior to the events leading up to the Tahoe conference and continued to be effectively the central executive of the organization until the spring of 1955.
In 1957 he joined the Health Plan in Los Angeles as employee relations advisor, shortly thereafter becoming Health Plan manager of the Southern California Region.
The revised medical service agreement, as a true prospective agreement, first took effect in the beginning of 1957 in southern California.
However, that complex, high rise medical facility, commenced at the beginning of February, was serving patients November 15, 1958, just two weeks behind Mr.
Despite many inauspicious aspects of the startup, the facility opened to serve members and patients in mid November 1958.
In 1958, it establish a fourth region in Hawaii.
At the stage of development of dual choice plans in 1959 it was not at all evident that the selection problems were serious problems.
Pacific Medical Associates was the initial physicians' organization in the Hawaii Region, supplanted in August 1960 by the Hawaii Permanente Medical Group.
The schedules showed that each of the five partners received somewhat over $50,000 from the partnership for the calendar year 1961.
1963: Membership in Kaiser Permanente health plans reaches one million.
Fleming, do you recall why Edgar Kaiser and Gene Trefethen would have been opposed in 1964 to expansion?
Why was it formed in 1964?
When Henry J. Kaiser passed away in 1967, Kaiser Industries published this short book as a tribute to the company's founder.
The Colorado Permanente Medical Group, consisting of three doctors, was organized in 1969 with Bill Reimers as chief of surgery.
CPMG started as the first professional corporation approved under a new state law in 1969.
He became quite active in the health policy debate that was going on at about the time that the Nixon administration took office in 1969.
1970-96: Steady Growth Despite Stiffening Competition
Ernie Saward had left in 1970, and the successor to him as medical director, although a wonderful person, was not a strong leader.
*The preceding transcript is from the University of Virginia for the clearest possible presentation (pathway discovered by Vickie Travis). Check – February 17, 1971, 5:26 pm – 5:53 pm, Oval Office Conversation 450-23.
Henry J. Kaiser Family Foundation, 1971, 92 pages
The Kaiser-Permanente Medical Care Program New York: The Commonwealth Fund, 1971.
The ball began to roll with the legislation of 1973-4, when the federal government got into huge funding into this area.
In 1974 Henry Meade Kaiser became CEO of KFI. Was that a titular position?
In 1977 Fleming returned to the Central Office as Senior Vice President in its Executive Department.
A Perspective on Kaiser-Permanente Type Health Care Programs: The Performance Record, Criticisms and Responses Oakland: Kaiser Foundation Health Plan, Inc., January 1979.
Kay, Raymond M. Historical Review of the Southern California Permanente Medical Group: Its Role in the Development of the Kaiser Permanente Medical Care Program in Southern California Los Angeles: Southern California Permanente Medical Group, 1979.
In 1980, the organization established its first region in the eastern United States, in the Washington, D.C., area.
In 1980, Kaiser acquired a non-profit group practice to create the Mid-Atlantic region, encompassing the District of Columbia, Maryland, and Virginia.
The combination of taking an underwriting risk and being subject to retroactive changes through cost reimbursement methodology was not practical from the viewpoint of Kaiser Permanente and most other plans. It was not until the Medicare amendments of 1982, when the Medicare authorities were beginning to recognize the value of a price system as contrasted with a cost system, that the legislation was finally amended in a manner that permitted
He attended Harvard Business School's Advanced Management Program, and proceeded to shepherd the Permanente Medical Group's growth to 150 physicians and nearly 155,000 members by the time he retired, for medical reasons, at the end of 1984.
The organization expanded again in 1985, when it added three more geographic regions to its total: Georgia, Kansas City, and North Carolina.
The Kaiser Permanente Oral History Project staff, comprised of Malca Chall, Sally Hughes, and Ora Huth, met frequently throughout 1985 to assign the interviews, plan the procedures and the time frame for research, interviewing, and editing, and to set up a master index.
1985 Establishment of the Reimers Lectureship 10-1-85
Similarly the project lost Karl Steil due to his lengthy illness and death in 1986.
1987: Membership climbs to five million.
Kaiser Foundation Health Plan, Inc., March 15, 1989.
Doctor Saward died in 1989.
Kaiser spokespersons were also placed on MacNeil-Lehrer, First Business, and CBS Evening News to promote the Kaiser brand of HMO. A report by the California Nurses Association found that in 1995 Kaiser paid out $96.1 million to its top four management consultant firms alone.
In 1995, Kaiser celebrated its fiftieth anniversary as a public health plan.
In 1996, the year following its 50th anniversary, Kaiser Permanente enrolled health plan membership reached 7.4 million.
It was also in 1997 that the organization took a groundbreaking step when it established a partnership with the AFL-CIO, becoming the first health-care management program to partner management with labor.
However, despite its membership growth, Kaiser Permanente faced some tough problems in 1997.
The problems in Texas were so severe that Kaiser directed its law firm to attempt to block the release of a Texas Department of Insurance report in 1997 – a report that prompted the state attorney general to threaten to revoke Kaiser’s license.
In the search for more profitable markets to enter, in 1998 the company also undertook a partnership alliance with Miami-based AvMed Health Plan, thereby gaining a foothold in Florida.
Kaiser sold its Texas HMO in 1998.
Kaiser closed its unprofitable Northeast division in 2000.
In March 2002, Kaiser Permanente announced that it was naming George C. Halvorson as its new chairman and CEO. At the time of his selection, Halvorson was president and CEO of HealthPartners of Minneapolis.
In 2004, Kaiser launched a $40 million dollar ad campaign titled “Thrive”. The television, radio, billboard, print, and web campaign focuses on the theme of preventive care.
In 2005, The United States and state attorneys general penalized Kaiser Foundation Health Plan Inc., Kaiser Foundation Hospitals and the Hawaii Permanente Medical Group $1.9 million for making improper Medicare and Medicaid claims.
In 2005, the California Department of Managed Health Care (DMHC) levied an historic fine of $200,000 against Kaiser Permanente for disclosing patient information on a public web site.
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