Title
Authorize the Chief Executive Officer of Natividad Medical Center (NMC) to execute the America’s Choice Provider Network Participating Hospital (“Agreement”), designating NMC an in network provider, for the term of September 1, 2016 through August 31, 2017, automatically renewable for continuous periods of one year and terminable without cause at any time with ninety (90) days prior written notice.
Report
RECOMMENDATION:
It is recommended the Board of Supervisors
Authorize the Chief Executive Officer of Natividad Medical Center (NMC) to execute the America’s Choice Provider Network Participating Hospital (“Agreement”), designating NMC an in network provider, for the term of September 1, 2016 through August 31, 2017, automatically renewable for continuous periods of one year and terminable without cause at any time with ninety (90) days prior written notice.
SUMMARY/DISCUSSION:
America’s Choice Provider Network (“ACPN”) is an independent network that offers an out-of network solution for over 1,400 payers, including insurance carriers, third party administrators, health and welfare funds, employer groups and self-insured health plans. More than 25 million members have access to ACPN’s national network. The Agreement renews annually with a 90 prior written notice of termination clause.
ACPN has requested that the County of Monterey approve and sign the agreement before ACPN signs the amendment.
Section 1457 of the Health and Safety Code provides that the records of a hospital or any other county medical facility that reveal the rates of payment for health care services rendered by, or purchased by, the hospital or other medical facility shall not be considered public records subject to disclosure pursuant to the California Public Records Act. Cal. Health & Safety Code § 1457(c)(1). Accordingly, the payment rates have been redacted from the attached copy of the Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Agreement as to legal form and risk provisions. The Agreement has also been reviewed and approved by NMC’s Finance Committee on July 28, 2016 and by the NMC Board of Trustees on August 5, 2016.
FINANCING:
There is no impact to the General Fund.
Prepared by: Nancy Majewski, Managed Care Operations Manager, 783-2385
Approved by: Gary R. Gray, DO, Chief Executive Officer, 783-2504
Attachments:
America’s Choice Provider Network Agreement rd