HomeMy WebLinkAboutMINUTES - 12162008 - C.83 TO: BOARD OF SUPERVISORS - Contra
FROM: William Walker, M.D., Health Services Director ' Costa
By: Jacqueline Pigg, Contracts Administrator s
DATE: December 3, 2008 sr_ County
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SUBJECT: Approval of Contract 427-599-7 with Total Healthcare Management, Inc.
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND JUSTIFICATION
RECOMMENDATION(S):
Approve and authorize the Health Services Director, or his designee (Patricia Tanquary) to
execute on behalf of the County, Contract #27-599-7 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 (CCHP), for the period from December 1, 2008 through
November 30, 2009.
FISCAL IMPACT:
This is a contingency fee contract. Contractor receives a percentage of the savings received from
their actions.
BACKGROUND/REASON(S)FOR RECOMMENDATION(S):
On December 4, 2007 the Board of Supervisors approved Contract 427-599-6 with Total HealthCare
Management, Inc. for the period from December 1, 2007 through November 30, 2008.
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 #27-599-7 will allow the Contractor to continue to provide claims
processing and negotiation services through November 30, 2009.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
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RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
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SIGNATURES . o.
ACTION OF BOARD ON APPROVED AS RECOMMENDED_L( OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
Y, UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES:
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
Contact Person: Patricia Tanquary 313-6004 ATTESTED '
DAVID TWA, CLERK OF THE BOAPD OF
CC: Health Services Department (Contracts) SUPERVISORS AND COUNTY ADMINISTRATOR
Auditor Controller
Contractor BY �, , DEPUTY