Agenda

Return

C. 28

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	May 1, 2018

Contra

Costa

County

Subject:

Contract #27-599-14 with Paladin Managed Care Services, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 05/01/2018

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
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Patricia Tanquary, (925) 313-6004
cc:	A Floyd 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: May 1, 2018
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #27-599-14 with Paladin Managed Care Services, 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 June 1, 2018 through May 31, 2020.

FISCAL IMPACT:

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

BACKGROUND:

On May 24, 2016, the Board of Supervisors approved Contract #27-599-13 with Paladin Managed Care Services, Inc. for the period from June 1, 2016 through May 31, 2018 for claims processing 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. Approval of Contract #27-599-14 will allow the contractor to continue to provide services through May 31, 2020.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, Contra Costa Health Plan will not have access to the contractor’s negotiation, claims processing and price factoring services.