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C.128
To: Board of Supervisors
From: William Walker, M.D., Health Services Director
Date: January  10, 2012
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendment Agreement #27-633-7 with PerformRx, LLC

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   01/10/2012
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
ABSENT:
Gayle B. Uilkema, District II Supervisor
Contact: Patricia Tanquary, 313-6004
cc: A Down     D Gary    
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     January  10, 2012
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract Amendment Agreement #27-633-7 with PerformRx, LLC, a limited liability company, effective December 15, 2011, to amend Contract #27-633-4 (as amended by Assignment Agreement #27-633-5), to increase the payment limit by $13,000,000, from $70,000,000 to a new payment limit of $83,000,000, with no change in the original term of May 1, 2009 through April 30, 2012.

FISCAL IMPACT:

This amendment is funded 100% by Health Plan Member Premiums. (No rate increase)

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, Health Plan members will not have access to pharmacy benefits as required by existing State and Federal contracts.







BACKGROUND:

On June 23, 2009, the Board of Supervisors approved Contract #27-633-4 with AmeriHealth Mercy Health Plan, for provision pharmacy administration services for Contra Costa Health Plan members, including providing drug utilization review and management, prior authorization procedures, account management, member pharmacy call center, analysis and reporting services and developing partnerships with prescribers and pharmacies, for the period from May 1, 2009 through April 30, 2012, including a mutual indemnification clause for the parties to hold each other harmless for any claims arising out of the performance of this contract.   
  
In April 2010, Assignment Agreement #27-633-5 assigned the Contract from AmeriHealth Mercy Health Plan to PerformRx, LLC.  
  
Approval of Contract Amendment Agreement #27-633-7 will allow the Contractor to provide additional services made necessary by the addition of nearly 7000 new Health Plan members since June of 2011, many of whom are Seniors and Persons with Disabilities (SPDs) with heavy medication needs, through April 30, 2012.   

CHILDREN'S IMPACT STATEMENT:

Not Applicable.

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