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Select two or three health care delivery systems to examine.
Provide a description and relevant details of the selected delivery systems.
Summarize the mission or philosophy statement for each of the health care delivery systems you selected.
Formulate your own mission or philosophy statement, with rationale as to why you chose these elements to include.
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Selecting two contrasting systems—one a highly integrated private model and the other a value-based, population-focused framework—offers a clear comparison of philosophies.
Kaiser Permanente is a prominent example of a Managed Care/Integrated Delivery System (IDS) in the United States. It's unique because it combines three distinct, but interconnected entities under a single organizational structure:
Kaiser Foundation Health Plan: The insurance provider that collects premiums.
Kaiser Foundation Hospitals: The facilities and medical centers.
The Permanente Medical Groups: The physician groups, who are salaried and exclusively serve KP members.
This structure eliminates the traditional fee-for-service (FFS) incentive to provide unnecessary care. Since the organization receives a fixed pre-payment (capitation) for each member, its financial incentive is to keep members healthy, thus reducing the total cost of care. This alignment drives a focus on preventive medicine, population health, and system-wide efficiency through a unified electronic health record (EHR).
Mission: "To provide high-quality, affordable health care services and to improve the health of our members and the communities we serve."
Philosophy: Kaiser's core philosophy is integrated, prepaid group practice. It is predicated on the belief that placing the health plan, hospitals, and medical groups under one umbrella leads to better outcomes and lower costs. The focus is on total health, encompassing not just treatment but also mental health, prevention, and addressing social determinants of health within the communities they serve. Physicians are incentivized to provide quality, evidence-based care, not volume.
Mayo Clinic is a global leader in specialty/complex care and a unique example of an Integrated Academic Medical Center (AMC). It operates as a non-profit organization primarily across three main campuses (Rochester, MN; Jacksonville, FL; and Phoenix, AZ), integrating clinical practice, education, and research (often called the "three shields").
Mayo's model of care is characterized by multispecialty group practice, where doctors, researchers, and educators from different fields work together as a single, coordinated team to diagnose and treat patients, particularly those with rare or complex conditions. The compensation structure for physicians is salaried, which eliminates financial incentives for unnecessary procedures, allowing doctors to focus solely on what is best for the patient.