RECOMMENDATION(S):
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County (1) a Master Agreement and (2) Order Forms 35544 and 35535 with Change Healthcare Technologies, LLC, in an amount not to exceed $878,803 for InterQual software for the period from January 22, 2020 through January 21, 2023.
FISCAL IMPACT:
This contract is funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
Change Healthcare Technologies, LLC licenses InterQual software, an evidence-based clinical decision support solution to help payers, providers, and government agencies make clinically appropriate medical utilization decisions. Contra Costa Regional Medical Center (CCRMC) uses the InterQual software and clinical content for performing medical necessity reviews. This software also helps determine appropriateness and level of admission, approximate length of stay, and determination of continued stay. The Contra Costa Health Plan (CCHP) has used InterQual to ensure appropriate utilization of resources and for medical necessity criteria.
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