To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-430-3 with Jiva Health, Inc
☒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 #77-430-3 with Jiva Health, Inc, a corporation, in an amount not to exceed $9,000,000, to provide primary care physician (PCP), medical specialist services including endocrinology, diabetes, allergy, sleep, podiatry and non-physician services including durable medical equipment (DME) services for Contra Costa Health Plan (CCHP) members and County recipients, for the period January 1, 2025 through December 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $9,000,000 over a 3-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain PCP services, medical specialist services including endocrinology, diabetes, allergy, sleep, podiatry and non physician services including DME services for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. This Contractor has been a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since January 1, 2022. 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 with and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and 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. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements.
On November 29, 2022, the Board of Supervisors approved Contract #77-430-2 with Jiva Health, Inc, in an amount not to exceed $2,000,000, for the provision of medical specialist services including endocrine, diabetes, allergy and sleep medicine services for CCHP members and County recipients, for the period January 1, 2023 through December 31, 2024.
Approval of Contract #77-430-3 will allow the Contractor to continue providing medical specialist services with the addition of PCP and non-physician services for CCHP members and County recipients through December 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain PCP, medical specialist and non-physician services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay in services to CCHP members.