mercer one model one program - kaiser permanente

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California Colorado Georgia Hawaii Mid-Atlantic States Northwest Ohio Details Northern California Southern California Denver, Boulder Southern Colorado Atlanta metro area Hawaii, 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 hospitals 45 contracted community hospitals (PPO and POS) 4 affiliated community hospitals 13 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 Plans HMO (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 l HSA+HRA l HSA+HRA l HSA+HRA l HSA+HRA l HSA+HRA l l Supplemental products Medicaid 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 products Hearing 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.

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Page 1: 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.

Page 2: Mercer One Model One Program - Kaiser Permanente

kp.orgBusiness Marketing Communications1827-0104-01-r99 February 2010

Regional overview