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File #: A 25-352    Name: Health Management Associates Amendment No. 1
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 8/12/2025 In control: Board of Supervisors
On agenda: 9/16/2025 Final action:
Title: Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 1 to the agreement with Health Management Associates, Inc. for consulting services pertaining to patient alignment, county ambulatory clinics and health plan member access, adding $300,000 for a revised total agreement amount not to exceed $500,000 with no change to the Agreement term of March 1, 2025 through February 28, 2027.
Attachments: 1. Board Report, 2. Health Management Associates Amendment No. 1 (vendor CC AC sig), 3. Health Management Associates Agreement
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Title
Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 1 to the agreement with Health Management Associates, Inc. for consulting services pertaining to patient alignment, county ambulatory clinics and health plan member access, adding $300,000 for a revised total agreement amount not to exceed $500,000 with no change to the Agreement term of March 1, 2025 through February 28, 2027.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute amendment No. 1 to the agreement with Health Management Associates, Inc. for consulting services pertaining to patient alignment, county ambulatory clinics and health plan member access, adding $300,000 for a revised total agreement amount not to exceed $500,000 with no change to the Agreement term of March 1, 2025 through February 28, 2027.

SUMMARY/DISCUSSION:

Health Management Associates, Inc. (HMA) is a consulting firm experienced program development with a deep knowledge of county hospital and health system operations and network development. HMA will work with Natividad and Health Department leadership to assist in improving operational and clinical alignment of the Monterey County health portfolio.

HMA will continue to provide guidance regarding; unified planning, strategic partnership development and opportunities for achieving shared operational efficiencies via this amendment. Specific operational improvements will focus on improving appointment access, patient communication, and quality improvement.

OTHER AGENCY INVOLVEMENT:

The Office of County Counsel has reviewed and approved this amendment No. 1 as to form, and the Auditor-Controller has reviewed and approved as to payment provisions. The amendment No. 1 has also been reviewed and approved by NMC’s Finance Committee and by its Board of Trustees on August 8, 2025.

FINANCING:

The c...

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