What value-chain segments has KP chosen to enter and perform internally?

Kaiser Permanente (KP) has become a model for delivering good healthcare cost-effectively. Concepts & Connections, 6.3, describes how KP has made vertical integration a central part of its strategy.

What value-chain segments has KP chosen to enter and perform internally?
Has vertical integration strengthened or weakened its market position? Explain why or why not?

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