Module 1
Kaiser Permanente 101
Your clients need high-quality, cost-effective health care that’s easy to manage — and you need solutions that set you apart. With Kaiser Permanente, you can offer a unique model that delivers better outcomes, simpler administration, and built-in cost control.
What sets us apart
Our model is different from traditional health care. Kaiser Permanente is more than just health coverage — it’s a fully connected care system.
Our integrated model connects primary care, specialists, pharmacy, labs, hospitals, and coverage so members get seamless, coordinated care.
Rather than rewarding volume, our value-based approach prioritizes better health outcomes — a results-driven, cost-saving difference.
We’re the nation’s top performer in 69 effectiveness-of-care measures — the most of any health plan.1
Care where your clients need it2
Kaiser Permanente is one of the nation’s largest health organizations, and we’re growing steadily. Your clients have access to care in eight regions, partner providers in other states, and 24/7 virtual care nationwide.
Integration drives value3
At Kaiser Permanente, care and coverage come together in one convenient package. When everything is connected, your clients get:
Affordable, high-quality care
Our integrated care model empowers us to reduce costs, improve quality, drive innovation, and personalize care for members.
Care that’s connected
Our care teams work together in the same electronic health record system — unlike disconnected providers or vendors who can’t see patients’ full medical histories.
Simple, easy access
We’re not a claims-based organization. When our doctors determine a member needs treatment, they order it — no red tape.
More care in fewer trips
Many of our locations have doctors, specialists, labs, and a pharmacy in one place, saving members time and money.
A leader in value-based care4
Most U.S. care systems depend on “fee for service” care models that largely rely on providing higher volume of medical services to generate revenue. For the past 80 years, Kaiser Permanente has used a value-based care approach that rewards healthy outcomes while making care more affordable.
Learn more about what sets us apart in the market
Win more clients with nation-leading care and superior outcomes.
Helping your clients manage costs and leveraging data to deliver more value.
We make it easy for your clients to get started with their health plan.
Footnotes:
1Kaiser Permanente 2024 HEDIS® scores. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. Kaiser Permanente combined region scores were provided by the Kaiser Permanente Department of Care and Service Quality. The source for data contained in this publication is Quality Compass 2024 and is used with the permission of NCQA. Quality Compass 2024 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® and HEDIS® are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality. Continue at 1
2A graphic of the United States with Kaiser Permanente areas shaded, including California, Colorado, Washington D.C., Georgia, Hawaii, Maryland, Oregon, and Washington. Continue at 2
3A graphic showing the spectrum of care in Kaiser Permanente’s integrated health care system. 6 categories are arranged in a circle with specific labels that fall under those 6 categories. The 6 categories and their subheadings are: Medical facilities, Coverage, Labs, Pharmacy, Specialty care, and Primary care. Continue at 3
4A graphic comparing two models of health care. On the left, Traditional fee-for-service is shown with three connected labels: Quantity-driven, Pays per visit or procedure, and Providers work separately. On the right, Kaiser Permanente’s value-based care is shown with three connected labels: Quality-driven, Rewards keeping members healthy, and Integrated, collaborative teams. Continue at 4