Agenda

Return

C. 34

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 9, 2021

Contra

Costa

County

Subject:

Contract #77-217-2 with Healthrisk Resource Group, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/09/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

ABSENT:

Candace Andersen, District II Supervisor

Contact:	Sharron Mackey, 925-313-6104
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 9, 2021
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 #77-217-2 with Healthrisk Resource Group, Inc., a corporation, in an amount not to exceed $600,000, to provide claims processing and negotiation services to Contra Costa Health Plan (CCHP), for the period from March 1, 2021 through February 29, 2024.

FISCAL IMPACT:

This contract will result in contractual service expenditures of up to $600,000 over a 3 year period and will be funded 100% by CCHP Enterprise Fund II. (No rate increase)

BACKGROUND:

Healthrisk Resource Group, Inc. has been providing claims processing and negotiation services for CCHP since March 2019. Contractor acts as a billing agent to negotiate discount rates, review documentation of medical claims and electronic claims from out of network medical providers services, which results in saving dollars for CCHP.

On March 12, 2019 the Board of Supervisors approved Contract #77-217 in an amount of $300,000 to provide claims processing services and negotiation services for CCHP for the period from March 1, 2019 through February 28, 2021. On December 10, 2019, the Board of Supervisors approved Amendment Agreement #77-217-1 to increase the payment limit by $300,000 to a new payment limit of $600,000 to provide additional claims processing services and negotiation services through February 28, 2021.

Approval of Contract #77-217-2 will allow the contractor to continue providing claims processing services and negotiation services through February 29, 2024.

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.