File #: A 17-478    Name: Network Providers, LLC (Health Net) Contract/First Amendment
Type: BoS Agreement Status: Passed
File created: 11/27/2017 In control: Board of Supervisors
On agenda: 12/12/2017 Final action: 12/12/2017
Title: a. Ratify execution by Natividad Medical Center ("NMC") Chief Executive Officer ("CEO") of original agreement with Network Providers, LLC ("NPLLC"), an affiliate of Health Net Federal Services, with original term of August 1, 2011 through July 31, 2013, authorizing NMC's participation in NPLLC's provider network, automatically renewing for successive one year periods unless terminated with 180 days prior written notice. b. Authorize execution of Amendment No. One which provides reimbursement for additional services provided by NMC, effective January 1, 2018.
Attachments: 1. Board Report, 2. NPLLC Amendment 1 (redacted rates).pdf, 3. NPLLC Agreement 080111 (redacted rates).pdf, 4. Completed Board Order
Title
a. Ratify execution by Natividad Medical Center ("NMC") Chief Executive Officer ("CEO") of original agreement with Network Providers, LLC ("NPLLC"), an affiliate of Health Net Federal Services, with original term of August 1, 2011 through July 31, 2013, authorizing NMC's participation in NPLLC's provider network, automatically renewing for successive one year periods unless terminated with 180 days prior written notice.
b. Authorize execution of Amendment No. One which provides reimbursement for additional services provided by NMC, effective January 1, 2018.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Ratify execution by Natividad Medical Center ("NMC") Chief Executive Officer ("CEO") of original agreement with Network Providers, LLC ("NPLLC"), an affiliate of Health Net Federal Services, with original term of August 1, 2011 through July 31, 2013, authorizing NMC's participation in NPLLC's provider network, automatically renewing for successive one year periods unless terminated with 180 days prior written notice.
b. Authorize execution of Amendment No. One which provides reimbursement for additional services provided by NMC, effective January 1, 2018.

SUMMARY/DISCUSSION:

Natividad Medical Center has had a long standing relationship with NPLLC which is an affiliate of Health Net Federal Services. NMC provides inpatient and outpatient health care services to the patient-inmate population who are under the jurisdiction of the California Prison Health Care Services.
The current agreement was entered into by a former NMC CEO. NMC seeks to ratify this agreement.
NMC and NPLLC have agreed to additional reimbursement in Amendment No. One.
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...

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