RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, to execute, on behalf of the County, Contract #27-599-13 with Paladin Managed Care Services, a corporation, in an amount not to exceed $400,000, to provide claims processing and negotiation services for the Contra Costa Health Plan for the period from June 1, 2016 through May 31, 2018.

FISCAL IMPACT:

This is a contingency fee contract. Contractor receives a percentage of the savings received from their actions. (No rate increase)

BACKGROUND:

On July 8, 2012, the Board of Supervisors approved Contract #27-599-12 with Paladin Managed Care Services, for the period from June 1, 2014 through May 31, 2016 for the provision of claims processing services and negotiation services for the Contra Costa Health Plan 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. Approval of Contract #27-599-13 will allow Contractor to continue providing services through May 31, 2018.