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MCRC
The Manipulation of HMO Medical Testing
By Charles Phillips, MD FACP -
CPhil49401@aol.com
Fresno, California, April 22, 2003
XIII. Exhibits
#l - Kaiser Ads - the Promises:
1a - website posting - "absolute.. trust";
1b - Senior Advantage Ad - "we'd like to be there for you";
1c - Another Senior Advantage Ad - "patient care comes first";
1d A
Third Senior Advantage Ad "secret opinion walking down the hallway";
1e - A Fourth Senior Advantage Ad - "a plan you can trust"
#2 -
"Patient" vs. "Customer" Detailed Essay;
#3 -
Sample Cover of the Permanente Journal;
#4 -
Kaiser Cartoon - why the lines will stay long;
#5 -
Web Pathway and Article - "Selecting and Interpreting Diagnostic Tests" - and the table on Lyme's testing;
#6 -
Abnormal Stress Test - read by Kaiser as "unremarkable";
#7 - Comparing Blood Counts:
a.
7a - WBC - Kaiser - 1995 - Southern California;
b.
7b - WBC - Kaiser - 1998 - Southern California;
c.
7c - WBC - Kaiser - 2001 - Southern California;
d.
7d - WBC - Kaiser - 1997 - Northern California (TPMG);
e.
7e - WBC - Kaiser - 1998 - Northern California (TPMG);
f.
7f - WBC - Kaiser - 1998 - Northern California (TMPC);
g.
7g - WBC - Victor Valley Hospital;
h.
7h - WBC - National Standard - not Kaiserized;
i.
7i - WBC - National Standard
#8 -
Renal Tests - Northern California - creatinine - upper limit set too high.
#9- Lyme Tests
a.
9a-Topic
Introduction
;
b.
9b -
Overview by Miguel Perez-Lizano
;
c.
9c -
Kaiser's Lyme protocol - now taken offline by Kaiser;
d.
9d -
Dr. Donta's published protocol on Lyme - Boston;
e.
9e -
A Critique of Kaiser v. Dr. Donta
;
f.
9f -
One Lyme patient's experience with Kaiser;
g.
9g -
Another Patient's Experience;
h.
9h -
Yet Another Patient;
i.
9i -
$65,000 Award for Missed Lyme Disease and a Wrecked Life.
#10- Anthrax
a.
l0a-
Kaiser's Advice vs. that of the CDC
;
b.
l0b-
Kaiser uses Anthrax Posting on Web to Recruit MDs
#11- Chest X-rays:
a.
11a-
Patient with CXR sent by outside ER
;
b.
11b-
Kaiser Loses X-ray;
c.
11c-
Dramatized True Story - Kaiser Delays Ordering a Chest X-ray;
d.
11d-
Chest x-ray reading simply a checked box, not a description
#12- Underreading of MRIs
a.
Contract Group Avoids Mentioning Cruciate Ligament and Minimizes Damage to the Meniscus Cartilage;
b.
Correct Reading of the same MRI
;
#13 -
California Leads the Nation in HMO Penetration - [Bad News]
;
#14-
Cover and page II of "The Evolution of Medical Groups and Capitation in California
";
#15 - Fewer Physicians for More Patients
a.
Older Kaiser Doctors Pack their Bags
;
b.
Physician Moves Away From Patients as More DistantTeam Leader
Spin Picture to Look Like the Patient will have More Access;
#16-
The Permanente Map
;
#17 - Patients vs. Staff
17a.
"External Customers" pictured as Drab People
;
17b.
Kaiser staff- pictured as a more elite group of people;
#18 -
Kaiser's Dirty Little Secret
;
#19 -
Kaiser Colorado Spin on Physician Incentives
;
#20 -
Medicare Benefits Going Down
;
#21 - Dr. Lawrence's Life Style:
#21 a -
$2,800,000 Home
;
#21 b
Questionable Relationship to Watson Pharmacenticals
;
#21c
-$14 Million Kaiser Investment for Caretouch, then Spinoff with Dr. Lawrence still on board;
#21d -
Home Forgiveness - "In Silicon Valley a new kind of house call"
#22 -
Mr. Halvorson - Kaiser's New CEO - Caught with Huge Perks in Minnesota -Fooling his own Staff;
#23 -
Bayer/Kaiser Fraud - Scheming to Defraud the Government on Cipro;
#24 -
Kaiser Uses 990 to Emphasize Non-profit images with for profit physicians obscured;
#25 -
Kaiser Tries to Look Benevolent (no KP stocks);
#26 -
The Permanente Medical Group Clearly Has Stock;
#27 -
My Own Physician Profile on the Kaiser Computer Note secret "Report Card" (that I'll never see);
#28 -
Outcome Goes Down for the Poor and Elderly in Managed Care
#29 -
Kaiser's Net Income $137 per Quarter - or $648 million a year (Now divide
half of that among the 3000 Permanente partners) = $100,000+ per year in
dividend from under treating and undertesting;
#30 -
Kaiser Hints at Incentives but Down Plays the Amount Every Time;
#31 -
Physicians Brag about being Part Owners;
#32 -
The Tahoe Agreement;
#33 -
Documents Disappear Easily at Kaiser - State Department of Corporation Investigator Notices.
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