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Thomas Culhane's avatar

Kaiser Permanente has been doing exactly this for 80 years. They now serve 12 million people. Why no hue & cry before?

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Phil Moeller's avatar

Nice piece, Wendell.

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JPO's avatar

Why do experts applaud Kaiser Permanente, Geissinger and other integrated care management companies that take capitated risk but melt down when others try to integrate?

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james's avatar

Whats a PBM? SHOULDNT have to google it.

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Chad Gammage's avatar

You're going to need a lot of Nurse Practitioners...

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BradF's avatar

Where is the kickback? CVS/Aetna employed doc refers (or doesnt) to desired specialist? Unless primary care doc gets a bonus for actions such as those, or you consider savings to MCO, how does that constitute a kickback? There are specialists who receive Mcare now who spend a half day a week in PCP's office seeing DM or geriatric problems ("referrals"). No difference.

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