Title
a. Ratify United Health Care Insurance ("Agreement") Between United Healthcare and Natividad Medical Center ("NMC"), executed by the former Chief Executive Officer for NMC, for an original one year term effective December 22, 2009, renewing annually effective January 1, 2011, until terminated pursuant to the Agreement.
b. Authorize execution by the Chief Executive Officer of NMC of Amendment No. 1 to Agreement, designating County of Monterey, on behalf of NMC, as the proper party to the Agreement, revising reimbursement rates and implementing medical necessity protocols effective January 1, 2016.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors
a. Ratify UnitedHealth Care Insurance ("Agreement") Between United Healthcare and Natividad Medical Center ("NMC"), executed by the former Chief Executive Officer for NMC, for an original one year term effective December 22, 2009, renewing annually effective January 1, 2011, until terminated pursuant to the Agreement.
b. Authorize execution by the Chief Executive Officer of NMC of Amendment No. 1 to Agreement, designating County of Monterey, on behalf of NMC, as the proper party to the Agreement, revising reimbursement rates and implementing medical necessity protocols effective January 1, 2016.
SUMMARY/DISCUSSION:
United Healthcare Insurance provides health care coverage to members. United Healthcare and NMC have had a long standing relationship and desire to continue the relationship.
The initial agreement was entered into as of December 22, 2009 by the former CEO, without obtaining County Counsel approval. The renewal and Amendment No. 1 designates County of Monterey, on behalf of NMC, as the proper party to the Agreement, revises reimbursement rates to include trauma services and implements medical necessity protocols effective January 1, 2016. The Agreement renews annually, with a prior written notice of termination 120 days before the next annual renewal date.
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