I did see the movie and I had no idea myself on the involvement of Nixon in managed care, it was one of the true eye openers included in the movie "Sicko".  Was the bonus system in place in 2002 the start of P4P?  BD

Thanks to the Watergate scandal, Michael Moore's documentary SiCKO was able to report some history of the Kaiser Permanente health maintenance organization (HMO). It's history that Kaiser would prefer you do not know. Moore included tape of President Nixon and chief aide John Erlichman discussing what would become the HMO Act of 1973. Based on conversations with executives at Kaiser Permanente, the largest health plan in California, Erlichman assured Nixon that the incentives at Kaiser run toward less medical care. The less care provided to members paying a flat premium, the more money Kaiser makes. Nixon expressed his approval.

The drive to minimize care caused Kaiser much embarrassment in 2002 when the Los Angeles Times reported that Kaiser "awarded financial bonuses to call center clerks who spent the least amount of time on the phone with each patient and limited the number of doctors'

Charles Andrews, "Who's Right about Kaiser -- Michael Moore or SEIU?

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