As a Healthcare Finance and Delivery Strategic Consultant, Dr. Constantz ensures existing and prospective clients receive maximum value from current and future strategies and initiatives. In previous roles, Jed advised employers on measures to develop regional and community-based physician accountability and commitment through means of enhanced benefits and reduced costs; with the significant benefit of creating sustained loyalty between providers, patients and payers. He has successfully offered strategies that built on four pillars: actionable data, physician alignment, high-risk member targeting and network re-engineering.
Having begun his career on the payor’s side of healthcare (Blue Cross/Blue Shield of Central New York), Dr. Constantz has served in several positions for hospitals, home health agencies, physician organizations and physician/hospital organizations. Over his 30 plus years in healthcare, Jed has developed tools and resources for primary care providers and employers seeking to reduce costs, drive greater efficiency and quality outcomes and thereby create a “featured-and-favored” network in their regions and community. This process includes a deep focus on the selection of the right community of primary care physicians and specialists, a thorough audit of existing patient and population data, commitment to accountable care standards and improved compensation for the physician.
The end-objective is a better healthcare delivery model with an alignment of “enlightened self-interests” and a balance between rewards and value for the employer, employee and provider. For the employer, the financial benefits are immediate with on-going healthcare savings, a healthy workforce, and improved physician relationships. The provider can see greater patient volumes, improved care standards and compensation tied to performance. The employee will feel an improvement in care and attention, benefit with reduced out-of-pocket expenses and sense a higher level of satisfaction.
01:41 PCMHs - Patient-Centered Medical Homes.
02:30 “What continues to be an issue today is the way primary care gets paid.”
04:14 “...the practice gets paid nothing unless a physician is face-to-face with a patient… and often, that’s not the team member that needs to be face-to-face with the patient.”
08:00 “Services can be more efficient if cash flow is taken into consideration.”
10:42 The National Alliance’s guidance to buy - the payment model being recommended.
13:02 Looking at the claims data and preventing downstream spend.
14:54 “When your care delivery is better aligned with the needs of the covered individual, you are genuinely addressing their chronic condition needs…”
15:17 The other reason why payment reform is so important.
16:26 “There is a gap in understanding what true preventive care is.”
16:40 “True preventive care is more a conversation than it is an examination.”
20:02 The Advanced PCP payment models & the nuances behind these models.
21:04 “These deliverables should be guaranteed for the entire population.”
21:20 “The future value of primary care also is an invitation to redefine what you buy from primary care.”
24:35 The long term vs. short term benefits.
26:33 Jed’s advice on how to “deliver the goods.”
27:17 “Where is the physician in this conversation?”
27:32 Staffing model - “Do they have the right care team?”
27:46 Practice level technology.
28:28 “What is the practice’s continuous quality improvement commitment to ongoing staff training and development?”
30:01 How hospitals are challenged by this model.
30:32 “It’s not a matter of how much revenue they generate. It is a matter of how much margin they generate.”
32:40 You can learn more by visiting Jed on his LinkedIn page.