In this interview, Halvorson discusses the rise and transformation, successes and challenges of health maintenance organizations in the United States. He details his agenda as leader of Kaiser Permanente, with particular focus on developing a robust electronic medical record, improving quality, establishing good relations with the Permanente Medical Groups, and building a diverse and effective leadership team. He also discusses his thoughts on and roles in health care reform, public health initiatives internationally, and his lifelong interest in improving intergroup relations.