HomeMy WebLinkAboutMINUTES - 05012001 - C.43 TO: BOARD OF SUPERVISORS
FROM: William Walker, M.D. , Health Services Director
By: Ginger Marieiro, Contracts Administrator �' Contra
ot
Costa
nt
DATE: April 18, 2001 ' '` l.an„
�n4rA [OUli'N.Sy COty
SUBJECT: Approval of Contract Amendment Agreement #27-087-6 with Pharmaceutical
Care Network (PCN)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee (Milt
Camhi) , to execute on behalf of the County, Contract Amendment Agreement #27-
087-6 with Pharmaceutical Care Network (PCN) , effective March 1, 2001 to amend
Contract #27-087-5 to modify the payment provisions to allow the Contractor to
provide additional pharmacy administration services by the addition of three new
subparagraphs (10) , (11) and (12) , to read as follows :
(10) On-Line Prior Authorization (PA) $3 . 50 per PA
(Key Data Entry only)
(11) Prior Authorization Clinical Review $17 . 50 per PA Review
(12) Participating Pharmacy Audits 15% of recoveries
FISCAL IMPACT:
This Amendment will modify the payment provisions to allow the Contractor to
provide additional pharmacy administration services in the form of prior
authorizations for high cost pharmaceuticals . Pharmaceutical costs savings for
the first year of the program are projected at $250, 000 . The additional costs
associated with the Contractors provided services are projected at approximately
$4 , 300 .
The fiscal impact of the participating pharmacy audit program is unknown except
that 85% of the recoveries resulting from this program will be returned to the
County.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S) :
The Health Plan has an obligation to provide certain specialized professional
health care services for its members under the terms of their Individual and
Group Health Plan membership contracts with the County. Pharmaceutical .Care
Network (PCN) provides cost effective and efficient distribution of needed
pharmaceutical supplies to support the health care needs of Health Plan members .
On January 18 , 2000 , the Board of Supervisors approved Contract #27-087-5 with
Pharmaceutical Care Network (PCN) , for the period from February 1 , 2000 through
January 31, 2002 , for the provision of pharmacy administration services for the
Contra Costa Health Plan.
Approval of this Contract Amendment Agreement #27-087-6 will modify the Contract
payment provisions to allow the Contractor to provide additional pharmacy
administration services, through January 31, 2002 .
CONTINUED ON ATTACHMENT: Y S SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
—�/ PPROVE OTHER
1
SIGNATURE S
ACTION OF BOARD N APPROVED AS RECOMMENDED 2( OTHER
VOTE OF SUPERVISORS
`- �-1,,,,n ` I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENTJJ� 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.
ATTESTED
JOHN SWEE ,CLERK OF THE BOARD OF
SUPERVISO AND COUNTY ADMINISTRATOR
Contact Person: Milt Camhi (313-6004)
CC: Health Services Dept. (Contracts)
Auditor-Controller
Risk Management BYRigh I DEPUTY
Contractor