Title
Authorize the Chief Executive Officer of Natividad Medical Center (NMC) to execute the Central California Alliance for Health (CCAH) Fifth (5th) Amendment to the Primary Care Physician (PCP) Services Agreement effective January 1, 2016, changing CCAH's criteria for 2016 Care Based Incentive Program and updates the Agreement to reflect a program name change.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
Authorize the Chief Executive Officer of Natividad Medical Center (NMC) to execute the Central California Alliance for Health (CCAH) Fifth (5th) Amendment to the Primary Care Physician (PCP) Services Agreement effective January 1, 2016, changing CCAH's criteria for 2016 Care Based Incentive Program and updates the Agreement to reflect a program name change.
SUMMARY/DISCUSSION:
The Central California Alliance for Health (CCAH) is the Medi-Cal Managed Care Commission for Santa Cruz-Monterey-Merced counties. NMC provides primary care physician services to CCAH members. The County of Monterey, on behalf of NMC, entered into a Primary Care Physician Agreement with CCAH with an original term of January 1, 2011 through December 31, 2011. Since then, the Agreement has been renewed automatically for successive one-year terms, subject to to three termination provisions (immediate termination, termination without cause, termination with cause).
The Care Based Incentive Program is designed to compensate Primary Care Physicians based on a point system for efforts undertaken to improve the care provided to eligible members as reflected by data measured by CCAH. For 2016, CCAH is adding four new measures and changing three others. The incentive payment is made annually to providers.
In addition, the Fifth Amendment updates the Agreement to reflect a name change for the Access for Infants and Mothers (AIM) Program to the Medi-Cal Access Program (MAP). The program benefits, structures and processes remain the same but are bei...
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