Agenda

Return

C. 69

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	December 20, 2016

Contra

Costa

County

Subject:

CCHP Member Incentives to Promote Better Health Behaviors

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/20/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor

ABSENT:

Federal D. Glover, District V Supervisor

Contact:	Patricia Tanquary, 925-313-6004
cc:	Tasha Scott Marcy Wilhelm Kevin Drury

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: December 20, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Purchase Agent, on behalf of the Health Services Department, to execute a Purchase Order in the amount of $9,000, for $20 Target gift cards to be used as an incentive for Contra Costa Health Plan (CCHP) Members to participate in activities to improve their health, for the period from January 1, 2017 through December 31, 2017.

FISCAL IMPACT:

Funds come from CCHP premiums and are expected to result in lowering costs by encouraging improved health status.

BACKGROUND:

Since 2000, the Board of Supervisors has approved utilization of small incentives for CCHP members. The California Department of Health Care Services recommends incentives to promote healthy behavior and the proposal and program were created following their guidelines.

BACKGROUND: (CONT'D)

Incentives are tied to the Healthcare Effectiveness Data and Information Set (HEDIS), which is used to determine how many “default” Medi-Cal members are assigned to CCHP, and subsequently increases the capitation CCHP is paid by the State. Ultimately, the higher the HEDIS rate the higher the default rate and capitation becomes, so the investment in incentives is expected to pay off monetarily. Our default rate recently decreased, and we would like to be able to bring it back up.

W&I Code, Section 14407.1 and Title 28, CCR, Section 1300.46 authorize the use of non-monetary incentives to promote good health practices provided they are pre-approved by the Department of Health Care Services.

CONSEQUENCE OF NEGATIVE ACTION:

If this item is not approved, CCHP and its Disease Management Program and Health Outreach efforts will lose an important tool for influencing member behavior, and the population’s health may suffer as a consequence. Additionally, lack of member incentives may lead to a further loss in the allocation of new Medi-Cal members to CCHP.

CHILDREN'S IMPACT STATEMENT:

Some of the incentives are specifically aimed at children’s care and at getting them off to a better, healthier start in life.