Section 5: Market Shares of Health Plans - 10020 | KFF (2024)

FAQs

What is Kaiser market share in California? ›

Kaiser Permanente now has a 43% market share in the commercial market in California) and steadily growing.

Doctors often prefer PPOs because they offer greater reimbursem*nt rates compared to HMOs and have less administrative paperwork. Is a PPO a good thing? For many, a PPO's flexibility and coverage make it a favorable choice, but it comes with higher premiums.

Even if they don't have group coverage, it's likely their policy is a PPO plan. PPOs are the most common type of health plan available. KFF¹ found that 46% of the roughly 153 million Americans with employer-sponsored health coverage had a PPO policy.

2023 Employer Health Benefits Survey

PPOs are the most common plan type. Forty-seven percent of covered workers are enrolled in PPOs, followed by HDHP/SOs (29%), HMOs (13%), POS plans (10%), and conventional plans (1%) [Figure 5.1].

The Kaiser Permanente Los Angeles Medical Center is 23rd in California for overall care and 40th nationwide for neurology and neurosurgery.

Kaiser Permanente's primary competitors are Sutter Health, Mayo Clinic, Blue Shield and 10 more.

HMO plans might involve more bureaucracy and can limit doctors' ability to practice medicine as they see fit due to stricter guidelines on treatment protocols. So just as with patients, providers who prefer a greater degree of flexibility tend to prefer PPO plans.

Out-of-Network Coverage: HMOs generally provide limited or no coverage for out-of-network services, except in emergencies. If individuals need to seek care outside the network, they may face higher costs and reduced coverage, which can be a disadvantage for those who prefer greater flexibility in choosing providers.

In general, PPO plans tend to be more expensive than an HMO plan. Your monthly premium will be higher and you will have to meet your deductible before your health insurer starts paying. You will also have to pay more out-of-pocket if you visit a provider who is not part of your PPO network.

Who has the largest PPO network? ›

The MultiPlan PHCS network is the nation's largest and most comprehensive independent PPO network. This network offers access in all states and includes more than 700,000 healthcare professionals, 4,500 hospitals and 70,000 ancillary care facilities. How do I find PHCS providers?

PPOs offer more flexibility and allow out-of-network care, but that type of care typically comes with a higher cost. Which type of health plan is right for you depends on what you want to pay and whether you prefer a plan with fewer restrictions.

Medicare is the best health insurance option for seniors and retirees. Medicare is the cheapest health insurance with the best benefits for people age 65 and older or who have a qualifying disability. You can choose between two different options: Original Medicare and Medicare Advantage.

PPO plans provide more flexibility when picking a doctor or hospital. They also feature a network of providers, but there are fewer restrictions on seeing non-network providers. In addition, your PPO insurance will pay if you see a non-network provider, although it may be at a lower rate.

Limited plan types: Kaiser offers mostly HMO plans, so most members must work within Kaiser's network of medical providers. Low member experience ratings: Kaiser's member experience ratings, including customer service and getting needed care, are lower than other major providers.

Our approach is part of why we're one of the top health care organizations in California, with many top-rated hospitals. Kaiser Permanente is the largest private employer in the state. We have more than 18,177 physicians and 179,239 employees, including 130,500 union members in California.

Market cap: $1.09 Billion

As of September 2024 Kaiser Aluminum has a market cap of $1.09 Billion. This makes Kaiser Aluminum the world's 5247th most valuable company by market cap according to our data.

As of December 2020, the Kaiser Permanente California Regions together made up about 9 million of Kaiser Permanente's then 12.2 million members.

Kaiser's financial profile is very strong. Fitch expects capital-related ratios to remain robust, even in a stress scenario.