Kaiser Permanente
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Category: Miscellaneous
Contact Information United States
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Kaiser Permanente Reviews
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sarabert
July 21, 2011
Patient Abandonment, Violation of Elder Abuse Law
There is a time and place for doctoral degrees, PhD's of law and philosophy, and a time for common sense alone
Let me share with you a situation where common sense was been thrown to the wind with tragic results.
When a simple problem that cries out for mercy and charity presents itself, and instead of running to scripture, we run to our law books, those books which have in America attempted to replace the ten commandments (with over 20, 000 new laws per year, and ten times as many regulations) we are expressing the very hardness, the coldness that is reflected in this story..
The following is a tale of a former football player with a single, simple problem, a problem that begged for a common sense solution.
Instead what we as a society delivered was abandonment, and even cruelty, as Kaiser Permanente's famed Risk Management, Oakland attempted decide not how to reduce risk for an elderly patient, but rather to reduce risk to the millions of dollars that comes into that behemoth every month in the form of premiums, premiums that are then used to discover ways and methods to deprive Kaiser members of the most inexpensive services.
THE STORY.
Approximately three months ago, an elderly man (69 yr old former football player) who had been treated for a deteriorating skeletal condition for ten years, was assigned a temporary replacement
Permanente physician, Dr. Susan Scholey, while his permanent physician, Dr. Gary Rinzler, took a few weeks to rest.
Dr. Scholey decided that, even though X-rays and ten years of ongoing evidence of success with this patient were present, they were insufficient.
Dr. Scholey therefore, placed an assessment requirement before the patient which was not part of the agreement the patient had with his permanent doctor, an assessment that Dr. Scholey could not defend in terms of either science or medical necessity.
Since Dr. Scholey was theoretically in charge in Dr. Rinzler's absence, and since her recommendations to interrupt the ongoing treatment were not overturned by her immediate supervisors, Dr. Scholey terminated care of this elderly patient, including all medications.
Upon the return of Dr. Rinzler to the scene, he attempted to simply take back the patient and resume care. However, Drs Scholey, Midgley, Isaacs and Pearl evidently had decided that the independent assessment was necessary.
That being the case, the patient found the time resources to comply, since the assessment was now being recommended by Dr. Rinzler, if only so that he could resume care. The patient therefore underwent the assessment with Permanente physician, Dr. Kegang Hu.
As the patient knew he would, Dr. Hu agreed wholeheartedly with Dr. Rinzler that the treatments being provided to the patient for ten years were appropriate.
However, when the patient then asked to be returned to Dr. Rinzler's care as agreed, Dr. Scholey advised everyone that the matter had been referred to Permanente RISK MANAGEMENT, in Oakland, CA.
So, now we have a patient paying $5, 000 in premiums, still only wanting to resume his decade long medical regimen, having complied with an unnecessary assessment, still being denied the only medical services Kaiser Permanente was providing to him for this premiums.
Actions taken by the patient's Medical Representative thus far:
Medical Licenses of Drs. Scholey, Midgley, Isaacs and Pearl have been reported to the Medical Board of California. The Charge: Violation of the Elder Abuse Laws and Patient Abandonment.
Kaiser Permanent has been reported to the California Department of Managed Health Care for the same violations of law.
The patient himself has repeated constantly that the only thing he requires is a return to the regimen that several physicians prior to Dr. Scholey felt was perfectly appropriate.
It is amazing all the staff time expended and agony generated when the resolution of this issue has always been so simple: Return the patient to the regimen that was in place prior to Dr. Susan Scholey deciding for non-medical, non-scientific reasons that an interruption was appropriate.
The patient has unilaterally indicated to anyone who will listen that he has backed away from a consideration of litigation, and simply and humbly continues to request that the simple treatment for his deteriorating skeletal condition be resumed under the direction of Dr. Gary Rinzler.
Not that it is particularly relevant, but to follow up on the football comment above. The condition was the result of a violent illegal back block during a football game that caused the compromised spinal condition initially. At that time, those kinds of hits were legal.
AGAIN THE SOLUTION IS SIMPLE: A RETURN TO WHAT WAS THREE MONTHS AGO BEFORE DR. SUSAN SCHOLEY decided an elderly man didn't deserve to have his suffering ameliorated.
That the Permanente Medical Group has chosen to ignore this patient's pain and legitimate need in the face of several evaluations which support the patient's long term regimen is testimony that, when an organization loses contact with the human aspects of medicine, all sorts of abuses are possible.
As of this writing, this elderly man, 69 years of age, is without medical services of any kind. He is currently paying Kaiser Permanente $5, 000 in premiums for absolutely nothing.
Isn't there a word for that someone in America?
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Claudia C
April 15, 2011
Appointments
What is up with Kaiser's appointments. My mother in law has Kaiser health insurance through her job. She is currently suffering with depression and anxiety last month March 2011 she scheduled an appointment she was scheduled for a month after her booking it. She just went two day's ago and even when she explained to whoever scheduled her appointment, that she was suffering from depression and anxiety, they made her appointment with a THERAPIST!!..So the therapist could not prescribe her anything or help her at all, the only think the THERAPIST said to her was that she needs to see a psychologist and they gave her an appointment until JUNE 2011!!! what in the world. This other time she was suffering from back problems to the extend of her not being able to go to work... and Kaiser gave her an appointment that was scheduled 4 weeks after she called. Then they took an X-ray of her back and told her she would get the results in 2 weeks. MAN KAISER TAKES FOR EVER TO GIVE YOU APPOINTMENTS!!! I cant believe government insurance like medical and medicare takes less time to give you appointments . I have medical for low income families and I call my Dr. one day and I see him the next.
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Marin Pitu
April 2, 2011
Fraud; abuses; Human Rights Violations
To better understand Kaiser Permanente and see the big picture read the following and understand that from its creation by Mr. Edgar Kaiser in 1973, this HMO inherited a "DNA" mutation that made this organization so successful.
"Perhaps the best introduction to the Kaiser HMO and Kaiser Permanente Medical Care Plan is the summary by Mr. Edgar Kaiser that the less Kaiser does for patients the more money it makes. To get the full context one can go to the University of Virginia and review the presentation Mr. Edgar Kaiser (then Kaiser CEO) made to President Nixon through Mr. Erlichman — the less we do the more we earn". “All the incentives are toward less medical care, because—the less care we give them, the more money we make”.
Protect yourself and your family; learn from other victims horror stories. Kaiser Permanente is in business to please the stock holders, NOT its members!
Remember Kaiser Permanente's main policy: “All the incentives are toward less medical care, because the less care we give them, the more money we make”.
Kaiser Permanente has no interest to maintain you healthy!
Is a conflict of interest--they will get broke! Therefore, KP makes more and more billions each year, NOT on maintaining you healthy, BUT on maintaining you SICK!
If you don’t get it, Google my name Marin Pitu, see video(s); check www.kaiserpapers.org and learn how to avoid being a victim of Kaiser Permanente.
Please forward the video(s) to all your friends. Expose and confront Kaiser Permanente’s illegal activities.
Kaiser Permanente HMO: The biggest scheme in the history of mankind.
ALWAYS remember: “All the incentives are toward less medical care, because the less care we give them, the more money we make”
Learn how to maintain you healthy and STOP paying Kaiser Permanente to MAINTAIN YOU SICK!
Read, see video and pictures and hopefully you will understand how America’s biggest health care scheme works!
They will ruin your health and life the way THEY did to me and thousands of other victims!
See a great documentary: “The Beautiful Truth” and learn about another best kept secret: Dr. Max Gerson’s treatment; contact Gerson Institute in San Diego California.
Remember to Google my name Marin Pitu, see video(s); check www.kaiserpapers.org and forward it to all your friends. Expose corruption and fraud on The For-profit health care.
Marin Pitu
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Adam
December 25, 2010
Malpractice
Kaiser eye doctor failed to diagnose problem with the retina in my left eye.
As a result I had detached retina and had 3 surgeries. I have less than 20% vision in my left eye and I can't read or drive using my left eye.
When I complained to Kaiser, they denied responsibility and informed me that it is more than 6 months to seek arbitration. I filed complaint with the state optometry board and they have filed charges against Dr. Leland Toy for gross negligence, incompetence etc. and will revoke or suspend his license.
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Llfsmith
November 30, 2010
Stay away
I was just denied by Kaiser Permanente for being pregnant. Apparently, the result of being in-between insurance policies that you can afford but do to pure circumstance, are not covered, results in you having absolutely no coverage or hope for coverage for nine months and going into extreme debt. To add insult to injury, you are asked to take a urine test, like a criminal. So after crying hopelessly about the evil of insurance companies and the horrific state of healthcare in America, I curled up on the couch.
Then I turned on the TV and low and behold, a beautiful advertisement with babies, strollers, and all the joys of parenthood. Then boom: Kaiser Permanente: Thrive.
How DARE you put that ad up with your policy of complete discrimination. You should all be ashamed of yourselves. Pregnant women are not a disease. And I notice how no medical responsibility is carried by the other half of the equation: males. Ther coverage is both less costly and without restraints.
Thanks for making the joys of motherhood transform into terror and sadness, Kaiser Permanente.
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Kaiser
August 5, 2010
Administrative incompetence
I have been a Kaiser Employee at Woodland Hills for many years. The one thing you can count on is incompetency. They have too many chiefs in the kitchen making alot of money. I work in a department that has four administrative staff members that do nothing but harass the staff. Staff members receive corrective action for calling in sick. Someone please get rid of Betsy Diep. She is the most incompetent of them all. She has a masters degree in acting arrougant and pretending to comprehend nursing. The Emergency Room is failing because of her and the other assistant administrator Antonio Molina. The Department Administrator Caryn Pola is a tyrant. When she came to our department she stated she came to fire employees. Someone look into these corrupt people!!!
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disappointed client_1
July 29, 2010
Incompetent medical staff
This organization is well known for hiring cheapest doctors and nurses in the area and underpaying them. As a consequence patients get low quality medical services and have to face staff incompetence everywhere. Have been with them for 1 year so far and cant wait to get rid of them. Doctors are never there for you, if they are they have no idea what they are doing. I have been prescribed antibiotics when I had NO infection at all, which caused a severe yeast infected right away I had to treat. The doctor just did that "in case".. The other time I had a doctor who couldn't give a diagnosis and wasn't sure what she was treating for 3 months, she was just trying different meds to see what will work...Another time they called me themselves to make an appointment and after coming there it turned out the doctor is not going to see me at all because there is no need and that was a mistake! After arguing for 20 minutes I finally got my appointment but it lasted for 4 minutes (!!!) and he behaved like he is making a huge favor to me (ObGyn department). At my prenatal appointment I had to wait 40 minutes before a nurse found time for me and then even didn't hear any sort of apology for being late - let me say they charge you for parking all that time. Kaiser is the only clinic where I regularly see nurses wearing no uniform - the last one I saw had winter boots on, pink sweatpants and a military jacket, and was chewing a gum! What a stupid unprofessional look! She also tried to prepare vaginal ultrasound for use and put gel underneath the condom, just on plastic thing instead of putting it on top of it! Lots of their nurses have tattoos and are constantly chewing smth when doing their jobs. My husband cant get a normal treatment from them for 6 months either. You should literally go there and die before they start treating you. If you have a chance get another health care provider like blue cross or smth else.
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Angry Member
February 16, 2010
Medicare funds wasted
Was referred to Kaiser sleep facility in Penderbrooke Va. for sleep apnea
issues. Kaiser was aware of age (85 yrs. old) and Medicare benefits. Met
w/ Greg Carter sometime around Sept 2009, and a sleep study was issued.
Overnight sleep study was performed at 3rd party facility (Sleep Med /
Digitrace). Results required a second sleep study, which was performed in
11-2009 at different facility around Washington DC beltway. Results
required a 3rd sleep study, performed again around beltway. Test report was
read by Dr. Richey @ Kaiser, who composed conclusions of test and sleep aid
machine was ordered. That was Dec. 7th. During this adventure (late Oct.),
employer switched insurance for 2010 from Kaiser Permanente to CareFirst
BC/BS effective 1-1-10. In checking status of order later in Dec, the games
began. Machine was 1st ordered from wrong company. Then machine was
ordered from a company that actually could provide it. While trying to
confirm order, and status, Krista Bernier, Clinical Coordinator for Kaiser
at their Penderbrooke Va assured me that Kaiser had already authorized this
referral for a sleep aid machine, and it really didn’t matter at that
point when the machine was ordered, before or after Jan 1. I explained my
concern was if the correct machine was ordered BEFORE Jan 1, then there
should be no issues. She reiterated that Jan 1 meant nothing. After not
receiving anything, I found out the order was cancelled Jan 7th, as Kaiser
ordered incorrect machine. We were told machine ordered required 50% of
apnea to be central apnea, yet results show ZERO% of apnea is central.
Requirement is a Medicare requirement that Kaiser should have been aware of.
I have no idea of the hows and whys regarding why the machine was
cancelled, but if a mistake was made, no big deal, as I am not above making
a mistake. What does concern me is the Clinical Coordinator, Krista Bernier
and Kaisers response and attitude after Jan 1, 2010. I called Krista
Bernier and left messages every day for a week. No response. Upon
continuing to call her, I caught her at her desk one day, and she answered
her phone. She was rude and short, claiming she was busy, and did not have
any time to talk to me. I mentioned I had left many messages, none of which
were returned. She said she did not have time for me, and after Jan 1st
there was nothing she could do, and would have to hang up.
I believe that is a text book definition of “TWO FACED LIER”. How she
ever progressed to her management position is a mystery to me. My biggest
regret was that my phone conversation with her in Dec were not witnessed or
recorded. The only thing worse then my experience would be to have to work
for her I guess. This is my main concern / complaint. People like her have
no business in a management position.
My second concern or complaint is Kaisers lack of response. I called
members services several times, called a Tina Brown (complaint investigator
w/ Kaiser) several times, leaving messages, but never heard from her.
It is now 6 weeks into 2010, and we have nothing to fix the sleep apnea
issue. No machine, no test reports for another doctor to interpret, only
conclusions that are confusing to me and the new pulmonary doctor. So, as I
had expected, 2009 came and went with Medicare paying for 3 overnight sleep
studies, countless hours wasted driving to and from studies, and we have
NOTHING to show for it. No machine, no test reports to pass on to new
doctor. What a COMPLETE WASTE of time, money, and resources.
Again, sleep aid machine was ordered Dec 7th, and we have nothing as of
Feb. 16th. Plus repeated request to get sleep studies reports have resulted
in nothing. I feel Kaiser should reimburse Medicare for whatever they were
charged for the sleep studies, as that time and data was a waste.
My point in taking the time to generate this complaint is this: 1) To
obtain TEST REPORTS of 3 sleep studies so new physician can determine his
own conclusion. 2) To bring to light the need for Krista Bernier to be
retrained, and progress monitored. 3) To alert other consumers of the
Kaiser incompetence in this case, and waste of Medicare money, as new
physician will require new sleep study so he can finally get the test data &
reports, so he can make his own conclusion, and hopefully order a machine.
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BenL51
January 8, 2010
Worst customer service
I've been calling Kaiser customer service 866-238-2808 almost everyday for a week now to cancel my moms insurance policy and its bean a real pain. First of all most customer service reps are not that helpful. The representative I spoke today 10:01 ET 01/04/10 was the worst of them, she try to ignore all my questions and attempted to hang up on me. She was very rude.
It was also especially hard to send a fax to them, I faxed cancellation notice almost everyday and they have 2 days to verify if the fax went through. I've faxed my docs at home and thru outside fax service but when I try to verify later, they were not able to receive it.
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EdwardV
January 4, 2010
Poor Customer Service
I've been calling Kaiser customer service 866-238-2808 almost everyday for a week now to cancel my moms insurance policy and its bean a real pain. First of all most customer service reps are not that helpful. The representative I spoke today 10:01 ET 01/04/10 was the worst of them, she try to ignore all my questions and attempted to hang up on me. She was very rude.
It was also especially hard to send a fax to them, I faxed cancellation notice almost everyday and they have 2 days to verify if the fax went through. I've faxed my docs at home and thru outside fax service but when I try to verify later, they were not able to receive it.
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