This Contract is funded by Enterprise I Budget. Cost to the County depends upon utilization. As appropriate, patients and/or third party payors will be billed for services. Rates for surgical procedures have increased. The surgical procedure rate is being decreased.
On December 14, 2010, the Board of Supervisors approved Contract #26-938-14 (as amended by #26-938-15) with David H.C. Raphael, M.D., to provide general surgery services including consultation, training, on-call, medical and/or surgical procedures, for patients at Contra Costa Regional Medical Center and Contra Costa Health Centers, for the period from January 1, 2011 through December 31, 2012.
In consideration of Contractor’s agreement to continue providing services, both parties have agreed to decrease the surgical procedure rate. Therefore, in accordance with General Conditions, Paragraph 5. (Termination and Cancellation) of the Contract, the Department and Contractor have agreed to a mutual cancellation of Contract #26-938-14 (as amended by #26-938-15). Approval of Cancellation Agreement #26-938-16 will accomplish this termination.
Under Contract #26-938-17, Contractor will provide professional general surgery services, including, clinic coverage, consultation, training and medical and/or surgical procedures, through December 31, 2012.
If this Contract is not approved, this physician would continue to be reimbursed at the higher surgical procedure rate. This rate is being reduced to reflect current industry compensation and the County’s budgetary requirements.