To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #27-939-8 with Axis Community Health, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #27-939-8 with Axis Community Health, Inc., a non-profit corporation, in an amount not to exceed $3,000,000, to provide Primary Care Physician (PCP) and specialty medical services for Contra Costa Health Plan (CCHP) members and County recipients, for the period July 1, 2025 through June 30, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $3,000,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain PCP and other specialty medical services including but not limited to: acupuncture, chiropractic, psychological and neuropsychological testing and behavioral health 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. This Contractor has been a part of the CCHP Provider Network providing PCP services as a Federally Qualified Health Center (FQHC) facility and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since July, 2014.
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. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements
On June 21, 2022, the Board of Supervisors approved Contract #27-939-6 with Axis Community Health, Inc., in an amount not to exceed $600,000, for the provision of PCP and specialty medical services for CCHP members and County recipients for the period July 1, 2022 through June 30, 2025.
On January 21, 2025, the Board of Supervisors approved Contract Amendment #27-939-7 with Axis Community Health, Inc., effective January 1, 2025, to include a value-based payment for Pay for Performance incentives as outlined in the service plan for additional PCP and specialty medical services, with no changes in the payment limit or in the term.
Approval of Contract #27-939-8, will allow the Contractor to continue providing PCP and specialty medical services for CCHP members and County recipients through June 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized PCP and specialty medical services for CCHP members under the terms of their Individual and Group Health Plan membership Contract with the County will not be provided and services may be delayed.