Claremont Partners has introduced Health Program Integration to the Fresno Unified School District Joint Health Management Board, which is responsible for over $100 million in benefits to 24,000 individuals.
In partnership with FUSD/JHMB, we have developed a program that aligns health and wellness benefit vendor goals. New protocols for proactively identify co-morbid health conditions. Moreover, we coordinate health care delivery among primary care providers, counselors and psychiatrists. We assure that all benefit plan elements work together to provide coordinated treatment and support of employees and their families, as well as labor and management.
Known as the Health Advocacy and Health Program Integrator Program, Claremont’s facilitates internally “owned” efforts to improve both health and productivity. Measurable improvements will be achieved through outreach and communication to all stakeholders, coordinated vendor responses to individual needs, and an integrated Solution Center.
The program’s data-driven and integrated approach assures that individual health, wellness and productivity issues are coordinated across the full spectrum of available benefit services: EAP, wellness, risk appraisals, health coaching – as well as health plan service delivery, pharmacy benefits, and other ancillary health services.
Claremont’s approach includes process integration based on referral triggers that incorporate risks associated with productivity (absence, performance and labor/management relations), risk management (workers comp, occupational health and safety, general employment practices), and health and wellness benefits.
An underlying goal of the program is to assure collaborative labor/management problem solving and overall fairness when responding and resolving individual health and productivity concerns.