HomeMy WebLinkAboutMINUTES - 01092007 - C.85 TO: BOARD OF SUPERVISORS Contra
FROM: William Walker, M.D., Health Services Director
By: Jacqueline Pigg, Contracts Administrator Costa
DATE: December 26, 2006 -� County
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SUBJECT: Approval of Contract#27-599-5 with Total Healthcare Management, Inc. �--
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Richard Harrison) to
execute on behalf of the County, Contract #27-599-5 with Total HealthCare Management, Inc., a
corporation, in an amount not to exceed $250,000 to provide claims processing and negotiations
services for the Contra Costa Health Plan, for the period from December 1, 2006 through November
30, 2007.
FISCAL IMPACT:
This is a contingency fee contract. Contractor receives a percentage of the savings received from
their actions.
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S):
On December 6, 2005 the Board of Supervisors approved Contract#27-599-4 with Total HealthCare
Management, Inc. for the period from December 1, 2005 through November 30, 2006.
At the request of CCHP, the Contractor will act as CCHP's billing agent to negotiate discounted
rates, review the documentation of medical claims, and electronically transmit claims from out-of-
network medical providers to CCHP.
Approval of Contract 427-599 5 will allow the Contractor to continue to provide claims
processing and negotiation services through November 30, 2007.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
✓RECOMMENDATION OF COUNTY ADMINISTIRATOR RECOMMENDATION OF BOARD COMMITTEE
I
APPROVE OTHER
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SIGNATURES 1
ACTION OF BOAR 0 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
W14— AND CORRECT COPY OF AN ACTION TAKEN
AYESIM0U5 (ABSENT AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
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Contact Person: Richard Harrison 3ATTESTED
JOH CU LEN, CLERK OF THE BOARD OF
CC: Health Services Department (Contracts) SUP RVISORS AND COUNTY ADMINISTRATOR
Auditor Controller
Contractor BY A ,