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Kaiser Foundation Health Plan

BUSINESS
August 1, 1997 | DAVID R. OLMOS, TIMES STAFF WRITER
For the last two years, Kaiser Foundation Health Plan's mandatory system for arbitrating legal disputes with its members has been the focus of news media scrutiny, complaints from lawyers, legislators and consumer groups, and, last month, a stinging rebuke from the California Supreme Court.
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BUSINESS
April 24, 1997 | DAVID R. OLMOS, TIMES STAFF WRITER
Kaiser Foundation Health Plan in Texas routinely refused to pay for emergency room care, even in some cases where Kaiser nurses advised patients to seek emergency treatment, according to a controversial state report released by Texas regulators. The report, provided to The Times on Wednesday, also said Kaiser failed to act on complaints against its physicians, and it faulted the company for "an unacceptable disregard for quality-of-care issues."
BUSINESS
April 9, 1997 | DAVID R. OLMOS, TIMES STAFF WRITER
Lawyers for Kaiser Foundation Health Plan underwent sharp questioning Tuesday by the California Supreme Court in a case that could change the ground rules for companies that require customers to agree to arbitrate disputes. Several justices strongly disputed oral arguments that Kaiser's out-of-court system for resolving malpractice and other claims is a fair and speedy process for Kaiser members.
OPINION
January 26, 1997
Re "HMO Trend Demands Eagle-Eyed State Oversight," by Jamie Court, Commentary, Jan. 15: The Kaiser Foundation Health Plan is indeed a nonprofit organization, and the "profits" Court discusses so glibly are plowed right back into the health plan to benefit the members through new technology, upgraded facilities and expanded services. According to the California Medical Assn.'s analysis of various public financial filings, Kaiser Foundation Health Plan spends 96.8% of every dollar on actual medical care--more than any other California health plan.
BUSINESS
July 23, 1996 | DAVID R. OLMOS, TIMES STAFF WRITER
If medical care can be rated like automobiles, then the Kaiser Foundation Health Plan might be considered the Lexus of California health plans, at least according to a survey of HMO member satisfaction conducted by Consumer Reports magazine.
BUSINESS
December 22, 1995 | DAVID R. OLMOS, TIMES STAFF WRITER
In what is believed to be the first effort of its kind, the giant Kaiser Foundation Health Plan is seeking to pay bonuses to nurses who help move patients out of hospitals faster and cut other medical costs. Critics of such incentives--widely offered to doctors--say they create a conflict of interest by encouraging medical providers to skimp on care so they can make more money. Because they are paid less than doctors, nurses may be particularly vulnerable to such conflicts, critics add.
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