HomeMy WebLinkAboutMINUTES - 07082014 - C.83RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract
#27-599-12 with Paladin Managed Care Services, a corporation, in an amount not to exceed $400,000, to provide
claims processing and negotiation services for the Contra Costa Health Plan for the period from June 1, 2014 through
May 31, 2016.
FISCAL IMPACT:
This is a contingency fee contract. Contractor receives a percentage of the savings received from their actions. (No
rate increase)
BACKGROUND:
On June 5, 2012, the Board of Supervisors approved Contract #27-599-11 with Paladin Managed Care Services, for
the period from June 1, 2012 through May 31, 2014 for the provision of claims processing services and negotiation
services for the Contra Costa Health Plan including:
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 07/08/2014 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Tanquary,
313-6004
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: July 8, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: A Down, C Rucker
C. 83
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:July 8, 2014
Contra
Costa
County
Subject:Contract #27-599-12 with Paladin Managed Care Services
BACKGROUND: (CONT'D)
acting as billing agent to negotiate discounted rates, reviewing the documentation of medical claims, and
electronically transmitting claims from out-of-network medical providers.
Approval of Contract #27-599-12 will allow Contractor to continue providing services through May 31, 2016.
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