Title
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective upon adoption of the resolution, to adjust fees related to the Health Department’s Clinic Services Bureau (Clinic Services) pursuant to the attached Fee Schedule.
Report
RECOMMENDATIONS:
It is recommended that the County of Monterey Board of Supervisors:
Adopt a Resolution amending Article I.d. of the Monterey County Master Fee Resolution effective upon adoption of the resolution, to adjust fees related to the Health Department’s Clinic Services Bureau (Clinic Services) pursuant to the attached Fee Schedule.
SUMMARY/DISCUSSION:
The County of Monterey, on behalf of its Health Department Clinic Services Bureau (Clinic Services) operates twelve (12) clinics that are designated as Federally Qualified Health Centers (FQHC). As an FQHC, Clinic Services is required, by the Health Resources and Services Administration (HRSA), to periodically review its fee schedule to ensure that it accurately reflects costs of services rendered and that fees are consistent with local prevailing rates or charges. In compliance with the requirements, Clinic Services has been reviewing and adjusting its fee schedules annually.
Clinic Services engaged the services of Healthcare Management Strategies, LLC, to assist with the analysis and fee adjustment proposal for the FY 2025-26 Fee Schedule. The proposed adjustments were based on a review of Clinic Services’ average charge per visit versus that of comparable local clinics, along with calculated average cost per visit, to assess alignment with locally prevailing rates and the extent to which charges supported the cost of operation.
The proposed FY 2025-26 Fee Schedule reflects an average increase of 25% to fees compared to the FY 2024-25 Fee Schedule. The recommended increase is based on the need to close the gap between average cost per visit and charges per visit so that charges more adequately cover the reasonable costs of operati...
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