Manage Costs

Manage Costs

How our integrated approach keeps costs under control

Our team-based model provides our 10 million members with the right care at the right time—to reduce unnecessary treatments, improve patient engagement, lower costs, and keep employees healthy.

How Kaiser Permanente's patient-centered, team-based healthcare reduces costs while maintaining high quality.

Kaiser Permanente helps you manage costs in every way by providing:

Our approach carefully coordinates the work done at every point in our care delivery system—from primary care and specialty doctors, to pharmacies and laboratories. And we continue to be recognized for improving quality, reducing costs, and allowing for innovation.

  • Leading the nation in effectiveness-of-care measures — In 2015, we led the nation with the highest rate for 21 effectiveness-of-care measures — the most of any health plan. While Kaiser Permanente was No. 1 in 21 of the 48 care measures rated in NCQA's Quality Compass dataset, no other health plan had more than four No. 1 rankings.1
  • Highest quality for the seventh year in a row — The 2015 Hewitt Health Value Initiative showed that, for the seventh year in a row, we outperformed other plans in clinical quality in the Mid-Atlantic States Region, scoring 85% better than the average HMO in the market and 265% better than the all-plan average.2
  • Medical Centers recognized for excellence — The National Committee for Quality Assurance (NCQA) has awarded its highest accreditation status of Excellent, effective through August 2019, to Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., for service and clinical quality that meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement. Visit reportcard.ncqa.org for more information.3

It costs less to prevent illness than to treat it. In fact, preventable ongoing conditions account for 75% of health care costs.1 That's why keeping members healthy has been the foundation of our coordinated care model for more than 65 years. Because when your employees get the right care at the right time, they stay healthier and more productive—which saves you money.

  • Early detection — Our doctors are prompted to ask members about risk factors like smoking habits and exercise frequency at every routine office visit.
  • Preventive screening alerts — When your employees visit any of our facilities, electronic health alerts tell our caregivers about any upcoming or overdue screenings, even if they're not related to that day's visit.
  • Earlier flu shots reduce costs — Employees who receive flu shots in November instead of December could save employers between $63 and $95 per person.2

Almost half of all health care professionals identify lack of coordination as the top driver of health care waste.1

In our integrated model, our entire organization comes together for a single purpose—better health. Your employees receive better care that's more efficient—which means healthier outcomes for them and lower costs for small businesses.

  • Better cost efficiency — Aon Hewitt reported for the fifth year in a row that we're the most cost-efficient plan in the Mid-Atlantic States Region — 15% more cost-effective than the average HMO and 17% more cost-effective than the all-plan average.2
  • Fewer unnecessary tests reduce costs — Our physicians are 46% less likely to repeat tests or procedures than physicians at other large practices.3
  • Healthier employees — Primary care physicians and specialists can view each other's treatment notes in real time via the member's electronic medical record. This allows for a thorough and accurate exchange of information, which can help keep members healthier.4
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Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
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