Chief Operating Officer – Employer Advantage Health Care Solutions
Jed C. Constantz, COO, of Employer Advantage Health Care Solutions teaches employers how best to leverage the growth and development of high performing primary care in their community. This is often a more cost effective and impactful approach for employers interested in or pursuing an on-site/near site primary care strategy. Jed is a health care professional from upstate New York with over 30 years of experience in the health care industry, beginning with Blue Cross/Blue Shield in Massachusetts and upstate New York.
Jed has served in a number of administrative and management positions for two upstate New York hospitals, a home health agency, several physician organizations, and a physician/hospital organization. Jed has provided support to employers and payer entities seeking to maximize and enhance their working relationship with local physicians, hospitals and other ancillary providers. Jed has established collaboratives with employers and physicians, leading to the creation of the Cornell Program for Healthy Living (CPHL), a primary care physician focused customized benefit plan design for employees and dependents of Cornell University. Cornell has reported CPHL enrollees are approximately $1,500 per year less expensive than non-CPHL enrollees.
Jed guided stakeholders involved in the Priority Community Health Care “medical home,” dedicated to the care and treatment of over 2,500 Medicaid Managed Care eligible, leading to National Committee for Quality Assurance (NCQA) recognition for this practice as a Level III Patient Centered Medical Home (PCMH). Jed directed the development of a “medical home” data mining solution empowering primary care access to “meaningfully actionable” data that co-mingled electronic medical record (EMR) data with paid claims data from all payer sources leading to an aggregate reduction in Medicaid spending by more than 8% year over year.
Jed’s ability to replicate the CPHL model, through Employer Advantage, has lowered aggregate spending in the first year of implementation, improved the health status of the target population, and generated high levels of patient/participant satisfaction with the employer sponsored benefit plan and the care delivered under that plan.
Key elements to the model include:
- Data driven decision-making
- Alignment with the “correct primary care”
- Patient/participant targeting – aligning services with those with the greatest need
- “Referred to” Network Re-engineering for Alignment of Accountability and improved “process of care” performance