justen justen blog : justen deal

Kaiser Permanente membership growth plummets.

Kaiser Permanente membership growth plummets

Update: Two hours later and KP still has not yet posted the results to its website, so here is a link to a PDF of the results. You have to dig down to the sixth paragraph to find mention of the “relatively flat” membership growth, which I’ve highlighted for your convenience.

Kaiser Permanente announced its most recent quarterly results today. Membership growth crumbled, with no new members added during the quarter, compared to more than 30,000 new members being added in the year-ago quarter. Reported operating income improved slightly, inflated by George Halvorson’s continued short-sighted efforts to burnish operating results at the expense of the organization’s balance sheet.

Year to date, membership growth has fallen more than 75%. This is the third quarter in a row that California healthcare consumers showed they were tired of George Halvorson’s “transformation” of Kaiser Permanente. For two quarters in a row now, Kaiser Permanente hasn’t added a single net new member (compared to having added nearly 75,000 net new members during the same period last year). How’s that for a testament to George Halvorson’s leadership?

It was a year ago this week that my internal message on the perils of Mr. Halvorson’s flawed leadership first became public. The key concern I emphasized most was the impact of Mr. Halvorson’s financial mismanagement of the organization. Internal financial models projected $2 billion in operating losses this year, $5 billion for 2008. Mr. Halvorson has worked to hide operating costs at the expense of our long-term stability, and his efforts have helped postpone those losses until another day. But our faltering membership shows the true colors of Mr. Halvorson’s mismanagement of the organization, as more and more of the organization’s precious resources have been shifted to Mr. Halvorson’s HealthConnect, instead of in true investment in our infrastructure and care delivery.

George Halvorson is trying to hold on to his job as long as possible. To do that, he will continue to erode investments in healthcare delivery for Kaiser Permanente members, to try and conceal his mismanagement of the organization’s finances. One tactic he is employing is job cuts. Barely a month ago, he trimmed a little less than 2% of our staff in Hawaii (which follows up on initial cuts in Hawaii late last year). In the past few days, he shipped another 2% of our information technology positions overseas. Two percent here, two percent there will add up.

This didn’t start last month, though. Over the past two years, Mr. Halvorson has been gradually degrading healthcare quality at Kaiser Permanente to fund his legacy, his pet project, HealthConnect. The kidney transplant fiasco in Northern California was a core component of Mr. Halvorson’s plan: cut costs by transferring patients from more expensive outside hospitals to new, cheaper in-house programs. The results were devastating for those patients and their families, and the program was eventually halted, but not before much damage had been done.

George Halvorson is determined to cut expenditures on patient care to fund his broken projects and misaligned priorities, and the only place for those cuts to come from is the quality of healthcare delivered at Kaiser Permanente.

Mr. Halvorson will continue to impose measures that hurt healthcare delivery to continue to polish results. The picture is clear: Mr. Halvorson will continue to do serious damage to Kaiser Permanente as long as he is permitted to do so by our unaccountable Board of Directors.

8 Comments on “Kaiser Permanente membership growth plummets.”

  1. #1 Sherry
    on Nov 7th, 2007 at 18:54

    Blue Cross and Blue Shield are adding new members hand over fist and we’re ‘relatively flat’? Something’s got to give. How can that be? I see new members every day.

  2. #2 Paul S.
    on Nov 7th, 2007 at 19:01

    I thought this money was being spent on KPHC so that we could offer health savings account and high-deductible plans to INCREASE membership?? Those plans have been out for a while now — where are the results??

  3. #3 johnathan
    on Nov 7th, 2007 at 19:14

    Kaiser’s churn is pretty bad which could explain why you see lots of new members but membership is flat. Or maybe that new computer system can’t even keep count? Or both!

  4. #4 debbie n
    on Nov 7th, 2007 at 19:54

    I think it has something to do with people who can not get medical insurance at all. Layoff from job and have high blood pressure and even kaiser refuses to insure people

  5. #5 Kaiser reports obscene $2.5 billion in net income through 3rd qtr » Kaiser Permanente Thrive Exposed
    on Nov 8th, 2007 at 14:37

    [...] so we’ll just ask one question: How can a non-profit double its net income — with zero membership growth — and still call itself a [...]

  6. #6 CW
    on Nov 8th, 2007 at 16:28

    From the press release:

    According to KFHP/H Executive Vice President and Chief Financial Officer Kathy Lancaster, the
    organization’s performance…will also support reduction in the rate of premium increases.

    They ought to start issuing refunds!

  7. #7 justen :: George Halvorson: Killing Kaiser Permanente.
    on Nov 12th, 2007 at 10:31

    [...] posted last week that membership growth at Kaiser Permanente has crumbled for the past three quarters, down 75% so far this year, a seemingly significant fact that was [...]

  8. #8 justen :: Kaiser Permanente silently offshoring.
    on Nov 15th, 2007 at 12:12

    [...] might already know that not a dime of corporate income tax will be paid on that $2.5 billion in profit Kaiser Permanente has made so far this year. That’s because the Kaiser Foundation Health Plan [...]

Leave a Comment