“We follow a published methodology so that there is no mystery about what we're doing now and what needs to be done next - for us it is essential to demystify the process of creating a high performance health plan”

— Thomas Bjornson

Solutions

Health Program Integration (HPI) helps leaders manage complex health programs, reduce financial exposure and control population health risks.  Designed to align the different health programs around a unified strategy, HPI assures that each participant understands their role and how they contribute to the goals of the health plan. These alignment goals are backed up by independent reporting and analysis to guarantee performance.

Each vendor, along with the benefits’ consulting functions, is engaged to achieve respective business goals and client objectives:

  • At-risk health conditions connected to needed services
  • Confusion, partisanship, and effort reduced
  • Increased use of vendor tools
  • Facilitation of evidence-based clinical practice
  • Measured outcomes, both quantitative and qualitative
  • Engagement and motivation of employees and employee family members to act
  • Improved management and labor relations
  • Enhanced overall system fairness

 

Blueprint for Proactive Solutions

Claremont Partners tailors a Blueprint at the outset of the client engagement that identifies health, productivity, and risk management situations.  Intervention opportunities for immediate action naturally exist in the workplace.

HPI provides a data-driven planning process that facilitates routine use of the Labor/Management Solution Center. The Center supports skillful individual case handling and problem resolution with a step-by-step methodology.

Accountable Care Integrator

HPI Delivers Results

Health Program Integration promises measurable results and four deliverables:

  1. Doubles Utilization of Benefits’ Health & Productivity Tools (e.g. EAP & Work Life, Health Promotion & Wellness, Behavioral Health Care and Disease Management)
    • 180° paradigm shift to inside-out approach with vendors
    • Robust and targeted communications to at risk condition stakeholders
    • Population-wide engagement operated to the benefit of all concerned
  2. Facilitates Case Handling Coordination
    • Psychiatrist, Primary Care Physician, and Counselor communications
    • Evidence-based clinical practice
    • Pharmacy optimization & prescription compliance
    • Integrated identification and treatment of co-morbid conditions
    • Routine cross-referrals and interface between silo programs
  3. Involves Labor/Management Operating Stakeholders to Act on Referral Triggers
    • HR Productivity e.g. absence management, performance management
    • HR Risk Management e.g. workers’ compensation, security and employment practices
    • Labor/management relations and collaborative problem solving
  4. Provides Data Mining/Analytics & On-Going Quarterly Reporting

Download this presentation for a complete description of how ACI works to lower your company’s health care costs and to improve productivity.