Agenda

Return

C. 59

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 12, 2019

Contra

Costa

County

Subject:

Contract #77-217 with Healthrisk Resource Group, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/12/2019

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

ABSENT:

Diane Burgis, District III Supervisor

Contact:	Sharron Mackey, 925-313-6004
cc:	L Walker 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: March 12, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #77-217 with Healthrisk Resource Group, Inc., a corporation, in an amount not to exceed $300,000, to provide claims processing and negotiation services to Contra Costa Health Plan (CCHP) members, for the period from March 1, 2019 through February 28, 2021.

FISCAL IMPACT:

This is a contingency fee contract. Contractor receives a percentage of the savings received from their services.

BACKGROUND:

Under Contract #77-217, Contractor will provide claims processing services and negotiation services for CCHP, including, acting as billing agent to negotiate discounted rates, reviewing the documentation of medical claims, and electronically transmitting claims from out-of-network medical providers, for the period from March 1, 2019 through February 28, 2021.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, CCHP will not have access to Contractor’s negotiation, claims processing and price factoring services.