Kaiser Permanente, or simply Kaiser, is a United States-based integrated managed care consortium formed in 1945 by entrepreneur Henry J. Kaiser and physician Sidney Garfield in Oakland, California. The Kaiser Foundation Health Plan, Inc. (KFHP) and its regional operating subsidiaries, Kaiser Foundation Hospitals, and regional Permanente Medical Sets are the three independent yet interrelated groups of entities that make up Kaiser Permanente. Kaiser Permanente is the largest managed care organization in the United States, with operations in eight states (Hawaii, Washington, Oregon, California, Colorado, Maryland, Virginia, and Georgia) and the District of Columbia as of 2017.
With over 12 million members, Kaiser Permanente is one of the largest nonprofit healthcare plans in the United States. It employs over 300,000 people, including over 80,000 physicians and nurses, throughout 39 hospitals and over 700 medical offices.
While none of the Permanente Medical Groups publicly announces their financial results, each is primarily supported by reimbursements from its regional Kaiser Foundation Health Plan company. KFHP is one of the country's major not-for-profit organizations.
The emphasis on preventive care, its doctors being salaried rather than paid on a fee-for-service basis, and an aim to reduce the time patients spend in high-cost hospitals by carefully managing their stay have all contributed to Kaiser Permanente's high quality of care. Kaiser, on the other hand, has had labour disputes, has faced civil and criminal charges for falsifying records and patient dumping, has faced regulatory action over the quality of care it provided, particularly to patients with mental health issues, and has faced criticism from activists and regulatory action over the size of its cash reserves.
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