Kaiser is a rare gem in the u.s. healthcare system, and the reason is that they are integrated system: they integrate insurance with treatment. Since Kaiser if

Kaiser is a rare gem in the u.s. healthcare system, and the reason is that they are integrated system: they integrate insurance with treatment. Since Kaiser if payed a fixed sum and not a fee for service it has motivation to reduce costs, hence the expert system. Patients at Kaiser also stay for the long haul(who wants to switch doctors?), so it makes sense for Kaiser to invest in prevention, and they do. Finally, Kaiser is an NGO, which i'm sure helps to keep they're priorities straight. Maybe Kaiser is a good target for startups ?