File #: A 17-125    Name: Blue Shield Amendment No. 3 to Fee for Svcs Agreement
Type: BoS Agreement Status: Passed
File created: 4/25/2017 In control: Board of Supervisors
On agenda: 5/9/2017 Final action: 5/9/2017
Title: Authorize the Chief Executive Officer of Natividad Medical Center ("NMC") to execute the Third Amendment ("Amendment") to the Blue Shield of California ("Blue Shield") Fee for Service Hospital Agreement ("Agreement"), amending the reimbursement rates for NMC's provision of health care services, extending the term for three additional years, effective May 15, 2017 through May 14, 2020, and subject to an automatic renewal clause for additional terms of one (1) year, unless earlier terminated as set forth in the Agreement. (CORRECTED VIA SUPPLEMENTAL AGENDA ON FRIDAY, MAY 5, 2017 AT 3:00 p.m.)
Attachments: 1. Board Report, 2. Blue Shield Amendment 3 Fee for Svc redacted ver.pdf, 3. Blue Shield Amendment 2 Fee for Svc redacted ver.pdf, 4. Blue Shield Amendment 1 Fee for Svc redacted ver.pdf, 5. Blue Shield Agreement Fee for Svc 1204A redacted ver.pdf, 6. Completed Board Order
Title
Authorize the Chief Executive Officer of Natividad Medical Center ("NMC") to execute the Third Amendment ("Amendment") to the Blue Shield of California ("Blue Shield") Fee for Service Hospital Agreement ("Agreement"), amending the reimbursement rates for NMC's provision of health care services, extending the term for three additional years, effective May 15, 2017 through May 14, 2020, and subject to an automatic renewal clause for additional terms of one (1) year, unless earlier terminated as set forth in the Agreement. (CORRECTED VIA SUPPLEMENTAL AGENDA ON FRIDAY, MAY 5, 2017 AT 3:00 p.m.)
Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

Authorize the Chief Executive Officer of Natividad Medical Center ("NMC") to execute the Third Amendment ("Amendment") to the Blue Shield of California ("Blue Shield") Fee for Service Hospital Agreement ("Agreement"), amending the reimbursement rates for NMC's provision of health care services, extending the term for three additional years, effective May 15, 2017, and subject to an automatic renewal clause for additional terms of one (1) year, unless earlier terminated as set forth in the Agreement.

SUMMARY/DISCUSSION:

Natividad Medical Center has had a long standing relationship with Blue Shield. As reflected in the Third Amendment, both parties have agreed to new terms effective May 15, 2017.
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 Amendment as to legal form and risk provisions an...

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