To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #27-530-12 with BASS Medical Group
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #27-530-12 with BASS Medical Group, a corporation, effective January 1, 2025, to amend Contract #27-530-11, to increase the payment limit by $600,000 from $21,000,000 to a new payment limit of $21,600,000, to provide additional primary care physician (PCP), medical specialist provider and non-physician provider services services with no change in the original term through June 30, 2027.
FISCAL IMPACT:
Approval of this Amendment will result in additional annual expenditures of up to $600,000 and will be funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain PCP, Medical Specialist Provider and Non-Physician Provider services including but not limited to; urgent care, pulmonary care, neurology, gastric bypass, gastroenterology, podiatry, diagnostic imaging, laboratory, and other surgical services for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. This Contractor has been a part of the CCHP Provider Network providing services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since May 2002.
On July 23, 2024, the Board of Supervisors approved Contract #27-530-11 with BASS Medical Group, in an amount not to exceed $21,000,000, for the provision of PCP, medical specialist provider and non-physician provider services including urgent care, surgery, specialty medical, pulmonary, neurology, gastroenterology, podiatry, therapy, laboratory and diagnostic imaging services for CCHP members and County recipients, for the period July 1, 2024 through June 30, 2027.
Approval of Contract Amendment Agreement #27-530-12 will allow the Contractor to provide additional services for CCHP members and County recipients through June 30, 2027. This value-based payment was added for Pay for Performance incentives based on the provider group's performance on a set of Healthcare Effectiveness Data and Information Set (HEDIS) and other quality measures outlined in the annual Pay for Performance Incentive Program Guide located on the CCHP website.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, CCHP members will not have access to contractor’s additional services under the terms of their Individual and Group Health Plan memberships.