Rita Pichardo-Geisinger, assistant professor of dermatology at Wake Forest Baptist Medical Center, in Winston-Salem, N.
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Geisinger, like Kaiser Permanente in California, owns the hospital, health plan and employs physicians.
Kennedy Jr. discussed the Geisinger report in recent weeks with Cuomo, his former brother-in-law.
Kennedy, brother of Cuomo's ex-wife, Kerry, called the Geisinger report "pivotal" when he and several others spoke to Cuomo.
"You get the cuticle protected for a longer time, " Dr. Pichardo-Geisinger says.
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Shah, a nationally respected public health figure, was an associate investigator at the Geisinger Center for Health Research before going to work for Cuomo.
Conversations keep coming back to a handful of entities like Kaiser Permanente or Geisinger Health System that both insure and provide healthcare for their patients.
The study by the Geisinger Health System of Pennsylvania is expected to have preliminary results within a year, but there is not yet any timetable.
Preliminary results of the Geisinger study are expected within a year.
There are examples of large enough companies working directly with providers (Catepillar, Inc.) and providers assuming the role of insurer as well (Geisinger and Kaiser Permanente).
Health Commissioner Nirav Shah also said he met with researchers from the U.S. Environmental Protection Agency and Geisinger Health System in Pennsylvania within the past two weeks.
We have long known that some places, like the Intermountain Healthcare in Utah or the Geisinger Health System in rural Pennsylvania, offer high-quality care at costs below average.
He said he's unsure what the Geisinger report will conclude.
Shortly after the conversations with Kennedy in early February, Cuomo's health commissioner, Dr. Nirav Shah, mentioned the Geisinger study among three health reviews still pending and which could enter into Cuomo's decision.
President Obama has touted "staff models" like the Geisinger Health System in Pennsylvania and the Mayo Clinic in Minnesota that employ doctors and then succeed in reducing costs by closely managing what they do.
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The Independent Democratic Conference, which shares control of the Senate with Republicans, said the Geisinger study and two other reviews on drinking water must be completed before Gov. Andrew Cuomo settles the 5-year-old debate.
It teamed up last year with Pennsylvania-based Geisinger Health System to engage patients at risk of developing type 2 diabetes and cardiovascular disease, and increase the likelihood they will take their drugs as prescribed.
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The Assembly's Democratic majority wants a two-year moratorium, while the Independent Democratic Conference, which shares control of the Senate, has a bill that would delay action until the Geisinger report and lesser studies are complete.
The Geisinger study will look at detailed health histories of hundreds of thousands of patients who live near wells and other facilities that are producing natural gas from the same Marcellus Shale formation that New York would tap.
The few providers that fit this profile Kaiser Permanente in California, Intermountain Healthcare in Utah, Geisinger Health in Pennsylvania should expand their geographic scope to a regional or national scale and encourage providers that are not now integrated to become so.
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