HomeMy WebLinkAboutMINUTES - 06052012 - C.81RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27-599-11 with Paladin Managed Care Services, Inc. (formerly Total Healthcare Management, Inc.), a corporation,
in an amount not to exceed $500,000, to provide claims processing and negotiation services for the Contra Costa
Health Plan for the period from June 1, 2012 through May 31, 2014.
FISCAL IMPACT:
This is a contingency fee contract. Contractor receives a percentage of the savings received from their actions.
BACKGROUND:
On May 26, 2010, the Board of Supervisors approved Contract #27-599-10 with Total Healthcare Management, Inc.
(now known as Paladin Managed Care Services, Inc.), for the period from June 1, 2010 through May 31, 2012, for
the provision of claims processing services and negotiation services for the Contra Costa Health Plan, including
acting as billing agent to negotiate discounted rates, reviewing the documentation of medical claims, and
electronically transmitting claims
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 06/05/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Tanquary,
313-6008
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: June 5, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: A Down, D Gary
C. 81
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:June 5, 2012
Contra
Costa
County
Subject:Contract #27-599-11 with Paladin Managed Care Services, Inc.
BACKGROUND: (CONT'D)
from out-of-network medical providers.
Approval of Contract #27-599-11 will allow Contractor to continue providing services from June 1, 2012 through
May 31, 2014.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, Contra Costa Health Plan will not have access to Contractor’s negotiation, claims
processing and price factoring services.
CHILDREN'S IMPACT STATEMENT:
Not Applicable