Accountable Care Integrator Complete

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A Central California school district now coordinates labor, management, and over 12 vendors in pursuit of new protocols for improving medical and financial outcomes. Measuring value delivered by each vendor creates accountability for positive clinical and financial outcomes for the nearly 25,000 members.

Although health purchasers have recognized the importance of health and wellness, and their impact on productivity, few at this time have developed a formalized health and productivity strategy and tactical roll-out plan. Today, Claremont Partners announced the completion of its Accountable Care Integrator program to address these needs. According to Tom Bjornson, managing partner at Claremont, “Accountable Care Integrator is a step-by-step planning and implementation methodology that empowers labor and management and systematically engages and positively addresses complex human factor issues in the workplace.”

Given the huge variations in delivery of care across the country, Claremont advocates a step-by-step change must be tailored to specific populations. In the the initial implementation of the Accountable Care Integrator program, Claremont assisted the fiduciaries of a Central California school district to develop a blueprint for change tailored to the 25,000 individuals covered under the school district’s health benefits plan. Labor, management, and over 12 vendors are now coordinating pursuit of new protocols for improving medical and financial outcomes contained within the blueprint.

Following execution of appropriate HIPAA business associate agreements, data feeds were established and data received from all vendors. Technicians incorporated historical data reaching back to January 2006 through present. Going forward, the same case ID number for participants is used by each vendor.

A virtual meter has now been installed to measure on-going quality of care and financial results. Claremont monitors, for example, the opt-out rate for disease management programs to ensure that the school district is not overcharged. At the same time, Claremont facilitates bundled payments to primary care physicians for ensuring that patients do receive all recommended care.

The clients at the school district now have the beginnings of health and behavioral information systems that communicate information in a form that will be understood in exactly the same way by both sender and recipient. The blueprint for change shows connections between data provided by the school district’s health benefits vendors and systems internal to the school district (e.g., HR systems). Future health benefits spending will be informed by data on how to concretely improve the care of its covered individuals so that they may better meet the educational needs of their community.

Claremont Partners is a new company that develops creative health and productivity solutions for employers and health benefit trustees. The managing partner, Tom Bjornson, has spent over 30 years each developing successful businesses that focus on solving health, behavioral and personal needs for the tens of thousands of individuals and hundreds of HR, benefit and risk managers in the public and private sectors. Claremont Partners benefits from the infrastructure of Claremont Behavioral, a leading EAP firm, to help clients improve health and productivity.

http://claremontpartners.net

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Tom Bjornson
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