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HomeMy WebLinkAboutMINUTES - 11081988 - 1.42 / qZ__ TO: BOARD OF SUPERVISORS + Mark Finu ane , Health Services Director Contra FROM: By : Eliz beth A. Spooner , Contracts Administrator Costa DATE: November 29, 1988 County Approval of Medical Specialist Contract #26-879-4 owit SUBJECT: Lorre T . Henderson, M.D . SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION : Approve a d authorize the Chair to execute on behalf of the County , M dical Specialist Contract #26-879-4 with Lorre T. Henderson , M.D. ( specialty: Otolaryngology) for the period November 1 , 1988 - October 31 , 1989 to be paid as follows : a . $42 .80 per hour for consultation and training. b . For surgery, fifty percent (50% ) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents , State of California in effect on the date of surgery. II . FINANCIAL IMPACT : Cost to the County depends upon utilization. As appropriate , patients and/or third party payers will be billed for services . III . REASONS FOR RECOMMENDATIONS/BACKGROUND : For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics . Contract #26-879-4 continues Otolaryngology services by Lorre T. Henderson , M.D . through October 31 , 1989 . This Medical Specialist Contract is prepared in the standard format approved by County Counsel ' s Office and has been submitted to Dr . Henderson for signature . After signature by the contractor , the contract will be delivered to the Clerk of the Board or signature by the Board Chairman. I GM CONTINUED ON ATTACHMENT: YES SIGNATURE: ' P. RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT ON OF BOARD CO MITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER 1 VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE )C UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES'.- NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR Contractor _ BY DEPUTY M382/7-83 .�. ,� TO BOARD OF SUPERVISORS Mark Finucane , Health Services Directort* FROM: By : Elizabeth A. Spooner , Contracts Administrator Contra DATE: October 20, 9.88 Costa Approval of Medical Specialist Contract 426-865-6 County SUBJECT; with Charles Youngquist , M. D. , Inc. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION : Approve and authorize the Chair to execute on behalf of the County, Medical Specialist Contract 426-865-6 with Charles Youngquist , M. D . , Inc. ( specialty : Otolaryngology) for the period November 1 , 1988 - October 31 , 1989 to be paid as follows : a . For consultation and training , $42 . 80 per hour, and b . For surgery, fifty percent (50% ) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents , State of California in effect on the date of surgery. II . FINANCIAL IMPACT : Cost to the County depends upon utilization. As appropriate , patients an /or third party payers will be billed for services . III . REASONS FORRECOMMENDATIONS/BACKGROUND : For a number of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics . Contract #2 -865-6 continues Otolaryngology services by Charles Youngquist , M. D. , Inc . through October 31 ,, 1989 . This Medica Specialist Contract is prepared in the standard format appr ved by County Counsel' s Office and has been submitted t Charles Youngquist , M. D. , Inc. for signature . After signa ure by the contractor , the contract will be delivered t the Clerk of the Board for signature by the Board Chair . CONTINUED ON ATTACHMEN _ YES SIGNATURE; RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEND 10 OF BOARD C MMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON U APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES:_ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT; _ � ABSTAIN: OF SUPERV I=THESHOWN. /�CC: Health Services (Contracts) ATTESTED1. _�__ /) /% ,f-f Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF Auditor-Controlle SUPERVISORS AND COUNTY ADMINISTRATOR Contractor 13Y �1- DEPUTY M382/7-83 rl- 1� it ti TO BOARD OF UPERVISORS Mark Finuc ne , Health Services DirectoA FROM; By : Elizabeth A. Spooner , Contracts AdministratorContra Costa DATE*. October 20, 988 County Approval of Medical Specialist Contract 426-877-4 � �l SUBJECT; with Hillary Lerner , M. D . SPECIFIC REQUEST(S) ORRECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION : Approve and authorize the Chair to execute on behalf of the County , Medical Specialist Contract 426-877-4 with Hillary Lerner , M. D . ( specialty : Opthalmology Services ) for the period November 1 , 1988 - October 31 , 1989 to be paid as follows : a . $ 170 per session , defined as the provision of four hours of consultation and/or training services during any single continuous appearance at Merrithew Memorial Hospital during one calendar day, or b . For surgery, fifty percent ( 50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents , State of California in effect on the date of surgery. II . FINANCIAL IMPACT : Cost to the County depends upon utilization. As appropriate , patients and/or third party payers will be billed for services . III . REASONS FOR ECOMMENDATIONS/BACKGROUND : For a numbe of years the County has contracted with Medical and Dental Specialists to provide specialized professional services which are not otherwise available in its hospital and clinics . Contract #215-877-4 continues Opthalmology Services services by Hillary Lerner , M. D. through October 31 , 1989 . This Medica Specialist Contract is prepared in the standard format appr ved by County Counsel' s Office and has been submitted t Hillary Lerner , M. D. for signature . After signature b the contractor , the contract will be delivered to the Clerk o the Board for signature by the Board Chair . CONTINUED ON ATTACHMENT; YES SIGNATURE; RECOMMENDATION OF COVNTY ADMINISTRATOR RECOMMENDATI N F BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED -L\ OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES; NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT; ABSTAIN: OF SUPERVI S ON THE DATE SHOWN. cc: Health Services (Cntracts) ATTESTED Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR Contractor BY C41 ,DEPUTY M382/7-83 -- -- 1-042 TO BOARDOF UPERVISORS Mark Finuc ne , Health Services Directorm� FROM: By : Eliza I eth A. Spooner , Contracts Administrator Contra October 20, 988 Costa DATE'. County Approval of Medical Specialist Contract 426-879-4 SUBJECT: with Lorre T. Henderson , O .D. , M. D. , Inc. SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION : Approve and authorize the Chair to execute on behalf of the County, Medical Specialist Contract 426-879-4 with Lorre T . Henderson , O .D. , M. D . , Inc . ( specialty : Otolaryngology) for the period November 1 , 1988 - October 31 , 1989 to be paid as follows : a. $42 .80 per hour for consultation and training. b . For surgery, fifty percent (50%) of the fee stated in the official fee schedule approved by the Division of Industrial Accidents , State of California in effect on the date of surgery. II . FINANCIAL IMPACT : Cost to the County depends upon utilization. As appropriate , patients and/or third party payers will be billed for services . III . REASONS FOR ECOMMENDATIONS/BACKGROUND : For a numbe of years the County has contracted with Medical and Dental Spec ' alists to provide specialized professional services which are not otherwise available in its hospital and clinics . Contract #2 -879-4 continues Otolaryngology services by Lorre T. Henderson , . D. , M. D. , Inc . through October 31 , 1989 . This Medica Specialist Contract is prepared in the standard format appr ved by County Counsel ' s Office and has been submitted to Lorre T. Henderson , O .D. , M.D. , Inc . for signature. After signature by the contractor , the contract will be delivered to the Clerk of the Board for signature by the Board Chair . CONTINUED ON ATTACHMENT; YES SIGNATURE; , RECOMMENDATION OF C UNTY ADMINISTRATOR RECOMMENDAT N OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES:_ AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTEDi_P_36&Z_ `1 /, I�Fcc: Health Services (C ntracts) _.__.. ..__... Risk Management PHIL BATCHELOR, CLERK OF THE BOARD OF Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR Contractor BY01f,1,17 27/Z DEPUTY M382/7-83 — — - -- 1-042 TO BOARD OF S PERVISORS , t FROM: Mark Finuca e , Health Services Director By : Elizab th A. Spooner , Contracts Administratoto Costa DATE: October 27, 1S88 County SUBJECT: Approval of Contra Costa Health Plan Medicare Contract 429-608--4 ( ���/ with the U. S. Department of Health and Human Services SPECIFIC REQUEST(S) OR R COMMENDATION(.S) & BACKGROUND AND JUSTIFICATION I . RECOMMENDED ACTION : Approve and authorize the Chairman to execute on behalf of the County, Contra Costa Health Plan Medicare Contract 429-608-4 with the U . S. Department of Health and Human Services for the period January 1 , 1989 - December 31 , 1989 , and automatically renewed for successive periods of one year unless terminated by written notice of intention not to renew at least 90 days before the end of the current contract period. II . FINANCIAL IMPACT : The current Medicare contract covers 1 , 119 Health Plan members and is budgeted to cover 1 , 213 members in Fiscal Year 1988-89 . As in the current agreement , Contract #29-608-4 is a cost reimbursement agreement and will produce a total annual revenue of $3 , 416105 3 in Federal , member premium and State payments . Cost of this group of members depends on the use of services by Medicare-eligible members and the Health Services Department costs . Terms of the contract provide for reimbursement to Contra Costa Health Plan for the cost of Medicare-covered services . State provided rates for Medi-Cal and Medicare eligibles in the Plan, and Board-approved premiums for private Medicare members , cover benefits and services which exceed the Medicare level. VIII . REASONS FOR RECOMMENDATIONS/BACKGROUND : On October 26 , 1976 the Board approved Contract 429-608 with the U. S: Secretary of Health, Education and Welfare for prepaid health sere ces by the County for Medicare-eligible persons . The Department of Health and Human Services developed a new standard contract for health insurance benefits for the aged and disabled which was approved by the Board on June 25 , 1985 . A revised standard contract #29-608-2 was approved :by . the Board on June 4 , 1987 , and Contract Amendment Agreement 429-608-3 was approved on December 1 , 1987 . Contract #29-608-4 continues the reimbursement arrangement with the U. S. Department of Health and Human Services . CONTINUED ON ATTACHMENT' X YES SIGNATURE' RECOMMENDATION OF COUITY ADMINISTRATOR RECOMMEND 10 OF BOARD 0MMITTEE APPROVE OTHER 1 � SIGNATURE S : ACTION OF BOARD ON NnV R APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES. AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: AdSTA1N: OF SUPERVISORS ON THE/ DATE SHOWN, CC: Health Services (Contracts) ATTESTED �O• 8 1989 Auditor-Controller (Claims) PHIL BATCHELOR, CLERK OF THE BOARD OF U.S. Dept. of Health & Human Services SUPERVISORS AND COUNTY ADMINISTRATOR M382/7-83 BY� ,DEPUTY U. S . Department f Health and Human Services Health Plan Medic re Contract X629-608-4 Board Order Page 2 The only ignificant changes in the new contract are those necessary o make the contract conform with the Omnibus Budget Reconcilia ion Act of 1987 (OBRA) and the Medicare Catastrophic Coverage A t of 1988 . OBRA requires all non-renewing organiza- tions to p ovide or arrange for supplemental coverage of bene- fits for 'beneficiaries affected by exclusionary periods for pre-existi g conditions , and the Catastrophic Coverage Act has expanded Medicare-covered benefits . In addition ,, the Secretary of the Federal Department of Health and Human Services has promulgated proposed regulations governing coordinated open enrollment (COE ) which was a require- ment in the Deficit Reduction Act of 1984. The changes do not affect the operations of the Contra Costa Health Plan since it does not have exclusionary periods , already provides t ie benefits required by the Medicare Catastrophic Coverage Act , and has continuous open enrollment . This docum nt has been approved by County Counsel . The Board Chairman s ould initial on page 2 and sign and date seven copies of the co tract on page 18. Six original signature copies should be returned to the Contracts and Grants Unit for sub- mission to the U. S. Department of Health and Human Services .