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C. 68
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: February  7, 2023
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendment/Extension #23-652-1 with Change Healthcare Technologies, LLC
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On:   02/07/2023
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Rajiv Pramanik MD, 925-765-8689
cc: F Carroll     M Wilhelm    
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  7, 2023
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment/Extension Agreement #23-652-1 with Change Healthcare Technologies, LLC, a limited liability company, effective January 21, 2023, to amend Contract #23-652, to increase the payment limit by $1,197,192, from $878,803, to a new payment limit of $2,075,995, and extend the termination date from January 21, 2023 to January 21, 2026 for additional InterQual software support and services for the Health Services Department.

FISCAL IMPACT:

Approval of this amendment will result in additional annual expenditures of up to $1,197,192 and will be funded as budgeted by the department in FY 2022-26, by 100% 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 since (at least) 2020 to ensure the appropriate utilization of resources and for medical necessity criteria. The contractor was awarded a sole-source contract for its solution based on its established communication cadence with Epic, the department's electronic health records system that helps to ensure best practices when integrating revenue cycle technology.

On December 8, 2020, the Board of Supervisors approved Contract #23-652, with Change Healthcare Technologies, LLC, for the provision of software licenses and services regarding its InterQual software, for the period from January 22, 2020, through January 21, 2023. The department requests a retroactive effective date due to a delay in documentation from the contractor.

Approval of Contract Amendment/Extension Agreement #23-652-1 will allow the contractor to continue providing software licensing and services through January 21, 2026.
CONSEQUENCE OF NEGATIVE ACTION:

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