Jed Constantz's guest appearances

Jed Constantz

Relentless Health Value™

ALTIUS Answers

The Race to Value Podcast

Darrell Moon

Shannon Brownlee

Vikas Saini

Dave Chase

Marshall Allen

David Carmouche

Andrew Eye

Robert Pearl

Eric Weaver

David Smith

Jason Rose

Johns Hopkins

James Grant

Erin Whitehead

Lisa Simpson

OwlTail

Primary care is especially compromised in the ongoing pandemic crisis. PCPs are uniquely vulnerable to the deleterious economic effects of COVID-19, since most of their revenue still comes from in-person visits which have plummeted since March amid widespread stay-at-home orders and fears about in-office virus transmission. The pain has been particularly acute for PCPs who are not backed financially by health systems, private equity or other entities. Roughly half of U.S. doctors still own their own practices, and those independents were already operating on razor-thin margins after years of reimbursement cuts, unfavorable payment structures, and expensive EHR and tech implementations. Add a pandemic to the mix, and it’s a recipe for disaster. We are pleased to welcome Dr. Jed Constantz as our guest this week. As a primary care finance and delivery reform strategy consultant, he has worked with payers, employers, and providers, all the way from independent primary care physicians to large health systems. Over his 30 plus years in healthcare, he 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. Jed comes with wisdom and critical counsel for sustaining PCPs as the foundation of our health care system. Bookmarks: 5:50 The lack of a payment strategy for primary care prevents trusting relationships. 6:50 COVID-19 has provided a deeper understanding of why primary care needs to be purchased differently. 8:00 Payment reform will allow primary care to live up to the expectations of true patient-centered care and population health. 10:30 Primary Care must retain the agency to care for patients when underlying financial arrangements and equity positions change. 11:30 Terms and conditions of primary care business arrangements must allow physicians to continue to have a high level of accountability to the patient. 14:30 Primary care physicians must pursue business models that allow them to practice independent clinical decision-making. 16:00 The VillageMD and Walgreens partnership is a perfect example of a corporate model that retains primary care independence. 16:45 Blue Cross North Carolina as an example of how to calculate the future value of primary care so money in health care can be spent more intelligently. 21:55 Innovation must be focused on meeting the needs of the patients, and F2F encounters are not as important as we once thought. 22:40 Dr. Constantz explains how the FFS economic model makes it impossible to spend quality time with patients. 23:17 The innovation of telemedicine is a great example of how primary care was able to make a pivot towards improved population health during COVID-19. 24:00 The Primary Care Innovators Network (PCIN) and its contribution to innovating care delivery through payment reform. 24:42 The Triple Aim as a foundation for patient activation to improve health outcomes (Dr. Constantz cites the research of Judith Hibbard.) 25:08 Payment reform in primary care gives you the opportunity to imagine a different relationship between the primary care team and the patient. 26:50 The disruption of the employer-sponsored health insurance marketplace 27:52 Rosen Hotels as an example of what employers can do to take charge of healthcare costs and funnel savings back into the community. 31:15 Dr. Constantz shares his perspective on how self-funded employers are planning their health benefits strategy for 2021. 33:54 Partnership between The National Alliance of Healthcare Purchaser Coalitions (National Alliance) and the American Academy of Family Physicians (AAFP). 35:21 Collaboration between employers and community-based primary care to rebuild healthcare 37:53 Practice-level technologies are a core element of an advanced primary care model practice 39:00 AthenaHealth and Navina collaboration as an example of a technology enablement that drives clinical decision-making 40:20 The coupling of payment reform and a strong practice-level technologies program allows the care team to be redeployed more effectively 41:41 More effective ICD-10 documentation and capture is an opportunity to improve care in the “New World” of primary care 43:05 Dr. Constantz addresses the various factions of the primary care community that are still resistant to change 46:30 Not all primary care is created equal – focus on the most exceptional segment of advanced primary care first as a source of inspiration for the laggards. 48:57 The repositioning of the primary care industry to make it the predominant force of reshaping the future healthcare 50:00 Dr. Constantz questions the notion of a national primary care shortage and proposes that we instead consider more effective deployment of existing resources 50:51 Care team innovation will address the “shortage” of primary care by allowing for more effective execution of care plans (references the work of Dr. Peter Anderson) 53:20 Dr. Constantz posits that we should zero in on the sincere interest in succeeding in the care of an individual (instead of defaulting to financial risk arrangements) 56:20 The PCMH laid the foundation for primary care transformation but didn’t meet expectations because the money didn’t follow 58:30 True patient-centered care can improve outcomes and lower costs and is an important part of the ongoing evolution of primary care 59:45 The important of the ACLC in creating a catalog of resources for primary care and disseminating that knowledge to the entire industry 60:00 “The ACLC is the kind of organization that strengthens the ability to design a best-in-class primary care capability that is ultimately able to deliver the goods.”

Primary care is especially compromised in the ongoing pandemic crisis. PCPs are uniquely vulnerable to the deleterious economic effects of COVID-19, since most of their revenue still comes from in-person visits which have plummeted since March amid widespread stay-at-home orders and fears about in-office virus transmission. The pain has been particularly acute for PCPs who are not backed financially by health systems, private equity or other entities. Roughly half of U.S. doctors still own their own practices, and those independents were already operating on razor-thin margins after years of reimbursement cuts, unfavorable payment structures, and expensive EHR and tech implementations. Add a pandemic to the mix, and it’s a recipe for disaster. We are pleased to welcome Dr. Jed Constantz as our guest this week. As a primary care finance and delivery reform strategy consultant, he has worked with payers, employers, and providers, all the way from independent primary care physicians to large health systems. Over his 30 plus years in healthcare, he 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. Jed comes with wisdom and critical counsel for sustaining PCPs as the foundation of our health care system. Bookmarks: 5:50 The lack of a payment strategy for primary care prevents trusting relationships. 6:50 COVID-19 has provided a deeper understanding of why primary care needs to be purchased differently. 8:00 Payment reform will allow primary care to live up to the expectations of true patient-centered care and population health. 10:30 Primary Care must retain the agency to care for patients when underlying financial arrangements and equity positions change. 11:30 Terms and conditions of primary care business arrangements must allow physicians to continue to have a high level of accountability to the patient. 14:30 Primary care physicians must pursue business models that allow them to practice independent clinical decision-making. 16:00 The VillageMD and Walgreens partnership is a perfect example of a corporate model that retains primary care independence. 16:45 Blue Cross North Carolina as an example of how to calculate the future value of primary care so money in health care can be spent more intelligently. 21:55 Innovation must be focused on meeting the needs of the patients, and F2F encounters are not as important as we once thought. 22:40 Dr. Constantz explains how the FFS economic model makes it impossible to spend quality time with patients. 23:17 The innovation of telemedicine is a great example of how primary care was able to make a pivot towards improved population health during COVID-19. 24:00 The Primary Care Innovators Network (PCIN) and its contribution to innovating care delivery through payment reform. 24:42 The Triple Aim as a foundation for patient activation to improve health outcomes (Dr. Constantz cites the <a href="https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2012.1061" rel="nofollow" target="_blank">research</a> of Judith Hibbard.) 25:08 Payment reform in primary care gives you the opportunity to imagine a different relationship between the primary care team and the patient. 26:50 The disruption of the employer-sponsored health insurance marketplace 27:52 Rosen Hotels as an <a href="https://www.orlandosentinel.com/opinion/os-ed-how-employers-can-fix-health-care-harris-rosen-20180809-story.html" rel="nofollow" target="_blank">example</a> of what employers can do to take charge of healthcare costs and funnel savings back into the community. 31:15 Dr. Constantz shares his perspective on how self-funded employers are planning their health benefits strategy for 2021. 33:54 Partnership between The National Alliance of Healthcare Purchaser Coalitions (National Alliance) and the American Academy of Family Physicians (AAFP). 35:21 Collaboration between employers and community-based primary care to rebuild healthcare 37:53 Practice-level technologies are a core element of an advanced primary care model practice 39:00 AthenaHealth and Navina collaboration as an example of a technology enablement that drives clinical decision-making 40:20 The coupling of payment reform and a strong practice-level technologies program allows the care team to be redeployed more effectively 41:41 More effective ICD-10 documentation and capture is an opportunity to improve care in the “New World” of primary care 43:05 Dr. Constantz addresses the various factions of the primary care community that are still resistant to change 46:30 Not all primary care is created equal – focus on the most exceptional segment of advanced primary care first as a source of inspiration for the laggards. 48:57 The repositioning of the primary care industry to make it the predominant force of reshaping the future healthcare 50:00 Dr. Constantz questions the notion of a national primary care shortage and proposes that we instead consider more effective deployment of existing resources 50:51 Care team innovation will address the “shortage” of primary care by allowing for more effective execution of care plans (references the <a href="https://www.teamcaremedicine.com/dr-peter-anderson-speaks-benefits-family-team-care-model/" rel="nofollow" target="_blank">work</a> of Dr. Peter Anderson) 53:20 Dr. Constantz posits that we should zero in on the sincere interest in succeeding in the care of an individual (instead of defaulting to financial risk arrangements) 56:20 The PCMH laid the foundation for primary care transformation but didn’t meet expectations because the money didn’t follow 58:30 True patient-centered care can improve outcomes and lower costs and is an important part of the ongoing evolution of primary care 59:45 The important of the ACLC in creating a catalog of resources for primary care and disseminating that knowledge to the entire industry 60:00 “The ACLC is the kind of organization that strengthens the ability to design a best-in-class primary care capability that is ultimately able to deliver the goods.”

Ep 7 – Realizing the Vision of Advanced Primary Care, with Jed Constantz, DBA

“Primary care is an investment; the rest of healthcare is a payment.” In the 8th episode of the ALTIUS Answers podcast, CEO Stephanie Dorwart is joined by guest Dr. Jed Constantz, healthcare strategist and leading expert in primary care finance and delivery, to discuss the evolution of primary care as the center of the patient care experience. Throughout 30+ years in healthcare, Dr. Constantz has developed tools and resources for primary care providers, specifically his trademarked program the Patient Commitment Level, focused on patient engagement and high-level activation in an effort to reduce costs and drive greater efficiency. Dr. Constantz believes that everyone deserves a relationship with primary care and recognizes the opportunity for providers to coordinate care planning for all patient needs going forward. With the dramatic shift to telehealth services and the significant impact on public health related to the COVID-19 crisis, Dr. Constantz shares tactics that primary care practices in all markets can use to ensure success now and beyond the pandemic. Listen to the podcast to learn more!--- This episode is sponsored by · Anchor: The easiest way to make a podcast.  https://anchor.fm/app--- Send in a voice message: https://anchor.fm/altiushcg/message

“Primary care is an investment; the rest of healthcare is a payment.” In the 8th episode of the ALTIUS Answers podcast, CEO Stephanie Dorwart is joined by guest Dr. Jed Constantz, healthcare strategist and leading expert in primary care finance and delivery, to discuss the evolution of primary care as the center of the patient care experience. Throughout 30+ years in healthcare, Dr. Constantz has developed tools and resources for primary care providers, specifically his trademarked program the Patient Commitment Level, focused on patient engagement and high-level activation in an effort to reduce costs and drive greater efficiency. Dr. Constantz believes that everyone deserves a relationship with primary care and recognizes the opportunity for providers to coordinate care planning for all patient needs going forward. With the dramatic shift to telehealth services and the significant impact on public health related to the COVID-19 crisis, Dr. Constantz shares tactics that primary care practices in all markets can use to ensure success now and beyond the pandemic. Listen to the podcast to learn more!--- This episode is sponsored by · Anchor: The easiest way to make a podcast. <a href="https://anchor.fm/app" rel="nofollow" target="_blank">https://anchor.fm/app</a> --- Send in a voice message: <a href="https://anchor.fm/altiushcg/message" rel="nofollow" target="_blank">https://anchor.fm/altiushcg/message</a>

ALTIUS Answers with Dr. Jed Constantz

Jed Constantz, DBA 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 &amp; 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.

Jed Constantz, DBA 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 &amp; 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.

EP209: Primary Care is an Investment. The Rest of Healthcare is a Payment, with Dr. Jed Constantz