As Chief Strategy Officer for Employer Advantage Health Care Solutions, Jed leverages current trends and local initiatives relating to the medical home model of primary care, as the foundation for efficient health care delivery and employer driven "value based purchasing" benefit plan redesign and data driven decision making to improve outcomes and lower cost.
Jed Constantz is a health care professional from upstate New York with over 30 years of experience in the health care industry, beginning his career with Blue Cross/Blue Shield of Massachusetts in 1978 following graduation from Emerson College with a BS in Education. Jed, a native of northern Virginia, has lived in upstate New York since 1980 when he began working for Blue Cross/Blue Shield of Central New York, now known as Excellus Blue Cross/Blue Shield. While working at BCBS, Jed earned a Master's in Human Resource Administration from the University of Scranton. In addition to having worked on the payer side, Jed has also 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. As a consultant, 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 firms that provide tools and resources for primary care and employers seeking to improve the health status of patients and employees. One such collaborative includes a risk assessment tool, which is at present the foundation for enhanced patient engagement for the Cornell Program for Healthy Living, a primary care physician focused customized benefit plan design for employees and dependents of Cornell University. The risk assessment tool is designed to help physicians establish meaningful health status improvement goals with their patients. Cornell reports CPHL enrollees are approximately $1,500 per year less expensive than non-CPHL enrollees.
While serving as a consultant to Chemung County Government, he guided stakeholders involved in the Priority Community Health Care "medical home," dedicated to the care and treatment of over 2,500 Medicaid Managed Care eligibles. Jed successfully managed the process of gaining National Committee for Quality Assurance (NCQA) recognition for this practice as a Level III Patient Centered Medical Home (PCMH). Jed has also been instrumental in the recognition of 9 practices in Michigan and 4 practices in upstate New York by NCQA as Level I and Level III PCMH practices. The focus of the efforts for Michigan and New York was on developing PCMH capability as the foundation for Accountable Care Organization development and the creation of a Clinically Integrated Network acceptable to the Federal Trade Commission (FTC), respectively.
Jed served as a Principal Advisor for Salient Management Company, a data management, data mining concern that was part of the Chemung County effort. Salient, under Jed's direction developed 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. Jed assisted the development team with data mapping, gap analysis and data validation.
