Agenda

Return

C. 52

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	February 26, 2013

Contra

Costa

County

Subject:

Amendment #26-681-4 with Mark H. Kogan, M.D.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/26/2013

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
Federal D. Glover, District V Supervisor

Contact:	David Goldstein, M.D. 925-370-5525
cc:	D Gary K Cyr

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: February 26, 2013
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or designee, to execute, on behalf of the County, Contract Amendment Agreement #26-681-4 with Mark H. Kogan, M.D., a self-employed individual, effective December 1, 2012, to amend Contract #26-681 (as amended by Amendment Agreements #26-681-2 and #26-681-3) to increase the payment limit by $30,038, from $430,000 to a new payment limit of $460,038, with no change in the original term of January 1, 2011 through December 31, 2013.

FISCAL IMPACT:

This Amendment is funded 100% by Enterprise Fund I. No increase in rates.

BACKGROUND:

On January 11, 2011, the Board of Supervisors approved Contract #26-681 (as amended by Amendment Agreements #26-681-2 and #26-681-3) with Mark H. Kogan, M.D., for the period from January 1, 2011 through December 31, 2013, for the provision of gastroenterology services including clinic coverage, gastrointestinal laboratory sessions, consultation, training, on-call coverage and medical and/or surgical procedures. At the time of negotiations the Payment Limit was based on target levels of utilization. However, the utilization was higher than originally anticipated due to another gastroenterologist’s reduction in hours.

Approval of Contract Amendment Agreement #26-681-4 will allow the Contractor to provide additional hours of gastroenterology services through December 31, 2013.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, this physician would not be paid for additional gastroenterology services.

CHILDREN'S IMPACT STATEMENT:

Not applicable.