1. Davis Liu, MD Board Presentation

2. Thank you!

3. Here’s why I chose Kaiser for my medical needs at age 25: I liked their Web site. You can choose a primary care physician and OB/GYN by location, gender, and bio. It was easy to set up appointments over the phone and via the Internet. They have a 24-hour Advice Nurse phone line, helpful if your parent is not “just a phone call away”. You can email non-urgent messages to your doctor. The Kaiser Web site will email you when test results are available online.

4. At age 29, here’s why I know Kaiser was the best decision I ever made:

5. We never had to figure it out all by ourselves

6. I

8. One - Advantage

9. We believe integrated will trump fragmented every time. Apple CEO – Steve Jobs

10. When you ask people to go outside of the mainstream, they take a risk. So there has to be some important reward for taking that risk or else they won't take it. Apple CEO – Steve Jobs What we learned was that the reward can't be one and a half times better or twice as good. That's not enough. The reward has to be like three or four or five times better to take the risk to jump out of the mainstream.

12. Complexity Simplicity

16. We believe integrated will trump fragmented every time. Apple CEO – Steve Jobs

17. Two – Challenges

19. What is the Future of American health care? Everyone Else

20. Purchasers / Employers / Government Kaiser's rising premiums spark employer backlash State bill would force HMO to reveal details on rates, spending – Employers and lawmakers are "trying to force us to report information in the same fashion as every other health plan, which basically breaks us apart at the seams," said Teresa Stark, Kaiser's director of government affairs. July 2013

21. Kaiser's rising premiums spark employer backlash - State bill would force HMO to reveal details on rates, spending "It is undoing everything about Kaiser Permanente that does make us special. The message is Kaiser: you are doing it all wrong." July 2013

22. New Entrants The Henry Ford of Heart Surgery In India, a Factory Model for Hospitals Is Cutting Costs and Yielding Profits November 2009

23. New Entrants Highly focused, cherry pick segments of work Fanatical focus on high volume, standardization of supplies, disciplined approach.

24. Retail $5000 deductible will be commonplace by 2018. Auto insurance! HMO DHMO

25. Retail Will they use KP? Or go outside? How will we “integrate” or “value” this information?

26. New Entrants Outside of health insurance

27. Everyone’s POV – all the same…

28. Challenges - Internal One KP “flexible” mutual exclusivity Growth Affordability

29. Challenges - Internal Do we have the right culture? What are our values? In the service of what?

30. Three – TPMG values Summer 2013

31. Values Do the right thing for the patient. Working with trusted colleagues who are positive, collegial, supportive, and who genuinely care for each other. Practicing better medicine. Creating and improving a streamlined system which is focused on making care even better. Being a part of something greater than ourselves. Our uniqueness and willingness to be different. A physician led medical group.

32. Noble Cause In service of: Our patients, neighbors, and community to be healthier and better than they would have been otherwise. Doctors and other health care professionals there is a better way to practice medicine in its purest form. Our nation that Permanente Medicine is how all Americans should get health care.

33. Values Do the right thing for the patient. Working with trusted colleagues who are positive, collegial, supportive, and who genuinely care for each other. Practicing better medicine. Creating and improving a streamlined system which is focused on making care even better. Being a part of something greater than ourselves. Our uniqueness and willingness to be different. A physician led medical group.

34. Values Do the right thing for the patient. Working with trusted colleagues who are positive, collegial, supportive, and who genuinely care for each other. Practicing better medicine. Creating and improving a streamlined system which is focused on making care even better. Being a part of something greater than ourselves. Our uniqueness and willingness to be different. A physician led medical group.

35. We believe integrated will trump fragmented every time.

36. Revered

37. Most Trusted

38. Legendary. Simple Convenient Personal Care

39. The reward has to be like three or four or five times better to take the risk to jump out of the mainstream.

40. Four – Colleague

41. What is the Future of American health care? Everyone Else

43. Setbacks /Judgment Calls / Blind Spots

44. Science of Business

46. Culture Teamwork Innovation Learning Change

47. Patient Advantage Challenges TPMG Values Colleague

48. Davis Liu XXX XXX-XXXX @davisliumd www.davisliumd.com davisliumd

50. Davis Liu, MD Thank you.