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 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 and the County Auditor-Controller has reviewed and approved as to payment provisions. The Amendment has also been reviewed and approved by NMC’s Finance Committee on October 26, 2017 and by the NMC Board of Trustees on November 3, 2017.
FINANCING:
There is no impact to the General Fund. There are no costs associated with this Agreement.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
This amendment provides mutual beneficial terms and conditions related to the provision of health care services for the state prison population.
__ Economic Development
__ Administration
X Health and Human Services
__ Infrastructure
__ Public Safety
Prepared by: Nancy Majewski, Managed Care Operations Manager, 783-2385
Approved by: Gary R. Gray, DO, Chief Executive Officer, 783-2504
NPLLC Amendment 1 (redacted rates)
NPLLC Agreement 080111 (redacted rates)
All Attachments on file with the Clerk of the Board