Title
a. Approve and Authorize the Contracts/Purchasing Officer to sign Amendment No. 4 to the Primary Care Physician Services Agreement and Referral Physician Services Agreement with Central California Alliance for Health's Primary Care Physician Care Based Incentive Program for 2014 with the Clinic Services Bureau budget Unit 4000- HEA007; and
b. Authorize the Contracts/Purchasing Officer to sign up to three (3) future Amendments to this Agreement that does not materially change the scope of work or the anticipated revenues.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and Authorize the Contracts/Purchasing Officer to sign Amendment No. 4 to the Primary Care Physician Services Agreement and Referral Physician Services Agreement with Central California Alliance for Health's Primary Care Physician Care Based Incentive Program for 2014 with the Clinic Services Bureau budget Unit 4000- HEA007; and
b. Authorize the Contracts/Purchasing Officer to sign up to three (3) future Amendments to this Agreement that does not materially change the scope of work or the anticipated revenues.
SUMMARY/DISCUSSION:
The County of Monterey entered into a Primary Care Physician Services Agreement and Referral Physician services agreement with Central California Alliance for Health (CCAH) effective January 1, 2011. This Agreement provides for reimbursement of healthcare and referral services provided to qualified patients in programs such as Medi-Cal and Access for Infants and Mothers. The Central California Alliance for Health is responsible for assigning qualified patients to health providers in Monterey County as well as reimbursing the health providers for the services provided. This Agreement also includes participation in the Primary Care Physician Care Based Incentive Program (CBI), which provides an incentive program for participating in core health measures. These measures are reviewed and revised annually by CCAH to ensure that measures are still meaningful and appropriate; revisions are submitted annually through an Amendment to the Agreement which defines new and changed measures. The measures for 2014 cover health and cost management, quality of care, access to care, information technology, extended office hours, diabetes care management, healthy weight management, asthma care management and medication management.
On February 15, 2011, the Board of Supervisors approved and authorized the Contracts/Purchasing Officer to sign the Primary Care Physician Services Agreement and Referral Physician services agreement with Central California Alliance for Health and up to three Amendments that did not materially change the scope of work or anticipated revenues. Amendments No. 1, 2 and 3 were signed and approved annually to update the CBI program participation. Amendment No. 4 is submitted for approval to accept the 2014 CBI changes and program participation.
This work supports the Monterey County Health Department 2011-2015 Strategic Plan initiatives to empower the community to improve health through programs, policies and activities; to enhance community health and safety by emphasizing prevention; and to ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one or more of the ten essential public health services, specifically, to inform, educate and empower people about health issues, link people to needed personal health services; and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel and the Auditor-Controller have approved Amendment No. 4 as to Legal Form. A copy of Amendment No. 4 to the Primary Care Physician Services Agreement is on file with the Clerk of the Board.
FINANCING:
This Amendment updates the existing program that has been in effect for three years by providing financial incentives based on meeting quality based measures successfully and therefore generates revenue.
Prepared By: Robin Kimball, Management Analyst, 1344
Approved By: Ray Bullick, Director of Health, 4526
Attachments:
Amendment No. 4 to the Primary Care Physician Services Agreement on file with the Clerk of the Board