5 ms·
This is particularly interesting in light of how much of an impact KP has had on the US healthcare industry, and the recent announcement about Amazon, Berkshire
by djrogers 9y ago
This is particularly interesting in light of how much of an impact KP has had on the US healthcare industry, and the recent announcement about Amazon, Berkshire Hathaway, and Goldman doing the 21st century version of this.
- johnward 9y agoI think it was JP Morgan, not Goldman.
- perseusprime11 9y agoInteresting cognitive dissonance.
- lotsofpulp 9y agoHow is incorrectly recalling the name of a company with its competitor cognitive dissonance?
- thanatropism 9y agoHe probably meant Freudian slip.
- Kikawala 9y agoAh yes, when you say one thing but mean your mother.
- perseusprime11 9y agoI was referring to my own thoughts when I read it. I could not identify the mistake which means Amazon and Berkshire stick but not JP Morgan for some reason.
- tssva 9y agoWhat has been Kaiser's great influence on healthcare in the US? They were far from the first HMO and have never been the largest? CIGNA has the longest history as an HMO and before the HMO act of 73 was the largest. Is it the model of owning coverage and delivery because that is a model that even Kaiser doesn't completely follow in all the regions it provides coverage in. And also one that has not spread widely in the US. Maybe it is different in Northern CA and the rest of the Pacific Northwest where Kaiser is strongest but in my region Kaiser has never had a great reputation. It was the cheap insurance you bought when you were young and hoped nothing really bad ever happened to you. It is known for poor access to and quality of care. These days it is still known for that but premiums, co-pays and deductibles now equal or exceed those of other insurance providers.
- giobox 9y agoI'm no expert in this field, but with my CA based employer the co-pay/deductible via Kaiser is quite significantly less than the other insurance options my employer offers. I switched to Kaiser two years ago and have found no material difference in the standard of care for my family's medical requirements, aside from having significantly more money in my own pocket.
- Stratoscope 9y agoThat's interesting; I wonder if it is a regional difference as you mentioned. I'm in Northern California, and I remember 30 years ago people here did view Kaiser as a second-rate option. It doesn't seem that way today; my friends who are on Kaiser speak very highly of their experience with them.
- swasheck 9y agoI think that Kaiser's poor reputation is primarily driven by their managed healthcare model (which you rightly mention isn't consistent outside of their region). I don't have evidence to support why this is the case, but colloquially it has to do with this fear of losing choice. People would rather select their labs and pharmacies than just "go downstairs and wait for it to be filled." Additionally, they feel like they don't have a choice in PCP when they're just given a list of doctors at their nearest clinic.