KP Chronicles
The city where Kaiser Foundation Health Plan's national headquarters is located.
What is Oakland, CA
Demographics, geographic area, claims & utilization, benefits & cost-sharing, contributions, and participation.
What are things that impact a group's rates?
Everyday derogation, slights and invalidation that are often delivered to people of minority or marginalized backgrounds.
What are microaggressions?
Build consultative skills, work to understand the business, learn to use data and metrics to measure the impact of learning programs on business outcomes, stay updated on industry trends and best practices, and focus on proposing strategies and solutions to improve learning outcomes.
What are some areas of opportunity to transition from Order Taker to Learning Consultant?
Someone who gets paid commission to sell Kaiser Permanente but doesn't work for the company.
What is a broker?
This term describes Kaiser Permanente's healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. It emphasizes the alignment of payments with the quality of care provided, rather than the quantity of services delivered.
What is value-based care?
For KP's Commercial large groups, this is the minimum amount of the employee-only premium an employer must pay.
What is 50%?
Take care of your health, foster social connections, move your body, and practice mindfulness.
What are four categories for which we can develop concrete steps to managing stress/burnout?
A type of consultant that focuses on business outcomes. They understand the clients' business deeply to integrate solutions that drive results, adopting a data-driven approach to evaluate success. They use tools like the Performance Chain and Six Boxes models and play roles such as analyst, performance improvement specialist, change manager, and evaluator.
What is a Performance Consultant?
This entity is responsible for coordinating sales, marketing, product management across the KP organization, and for ensuring sustainable growth.
What is Kaiser Foundation Health Plan?
This entities contracts exclusively with KP to provide primary and specialty care to our members.
What are the Permanente Medical Groups?
The percentage of eligible employees who are enrolled in an employer sponsored health plan.
What is participation?
This visual tool helps us understand and reflect on how different aspects of our identity intersect to create varying levels of privilege or disadvantage in our society. It facilitates self-awareness and discussion around systematic inequalities.
What is the Wheel of Power (Privilege)?
In the Six Boxes model, this box includes information about what to do and produce, how to do it, and how one is performing compared with objective standards of quality and productivity. It has a significant impact (35%) on performance.
What is Box 1: Expectations & Feedback?
In the Six Boxes model, personal goals/options and attraction to company values are examples of behavior influences that fall into this box.
What is Box 6: Motives & Preferences?
As a nonprofit organization, KP can purchase these at a significant discount.
What are pharmaceuticals and mail delivery services?
As both a care delivery system and a health plan, Kaiser Permanente is described as this type of organization, and sets its rates to ensure we have sufficient revenue to provide care for our members as well as fixed costs for our delivery system.
What is a budget-based organization?
What am I reacting to? Am I jumping to conclusions? Is there another way of dealing with this? How important will this be in six months? Am I trying to control a situation outside of my control? Does this problem need to be addressed RIGHT NOW?
What are examples of questions that can help reframe our thinking in moments of stress and dysregulation?
In the Six Boxes model, performance-based pay and performance improvement plans are examples of behavior influences that fall into this box.
What is Box 3: Consequences & Incentives?
This term originated in a London coffeehouse in the 1600s, related to covering the risk of ships sinking.
What is underwriting?
KP's nonprofit status allows us to issue these at lower interest rates.
What are tax-exempt bonds?
This is the term used for the overhead cost included in the rate build-up for a group.
What is retention?
Restate or paraphrase, ask for clarification, separate intent from impact, use humor, expresss your feelings, challenge the stereotype.
What are examples of tools to respond to microagresssions?
Membership, revenue, and market share, as they relate to the Performance Chain model
What are examples of Kaiser Permanente's Business Results?
This underwriting mechanism sets a ceiling (and floor) for rate adjustments to avoid a large increase in a group's rates in an anomaly year.
What is capping?