To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract 72-272 with Meraki Health LLC
☒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 #72-272 with Meraki Health LLC, a limited liability company, in an amount not to exceed $1,428,000, to provide consultation and technical assistance services to the Contra Costa Health (CCH) Office of the Director and Public Health Services Divisions with regard to the CCH Transformation Initiative, for the period December 1, 2025 through November 30, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $1,428,000 over a three-year period and will be funded 100% by Future of Public Health funds.
BACKGROUND:
CCH is seeking to establish an Office of Strategic Initiatives to assist the Office of the Director and other divisions within CCH with the prioritization and execution of key projects aimed at addressing community health needs within Contra Costa County while also improving CCH’s efficiency. Through funding for the Future of Public Health grant, the goal of this partnership is to assist the CCH Office of the Director with a coordinated process of identifying all existing and proposed improvement recommendations and opportunities, including recently developed transformation recommendations. The Contractor will help review and prioritize all recommendations to ensure alignment with CCH strategic goals, priorities and existing projects taking into consideration regulatory drivers, Medicaid/CalAIM and other factors within the federal fiscal landscape. This is a new Contractor who will provide these services and foster a deep understanding of the CCH’s mission, values, and long-term objectives starting December 1, 2025.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor will cooperate and participate in the County’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 Contract was awarded in early August of this year after being put out to bid in mid-June. Following a Request for Qualifications (RFQ), this Contract was awarded to Meraki Health LLC by Public Works on August 8, 2025.
Approval of Contract #72-272 will allow the Contractor to provide these services through November 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain consulting services for CCH will not be provided and may cause a delay in the implementation of the CCH Transformative Initiative.