To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #27-892-11 with Golden State Orthopedics & Spine
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute, on behalf of the County Contract #27-892-11 with Golden State Orthopedics & Spine, a general partnership, in an amount not to exceed $20,000,000, to provide orthopedic surgery, physical therapy, diagnostic imaging and urgent care services to Contra Costa Health Plan (CCHP) members and County recipients, for the period November 1, 2026 through October 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $20,000,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized medical specialty health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This Contractor is part of the CCHP Provider Network and has been providing orthopedic surgery, physical therapy, diagnostic imaging and urgent care services since November 2012.
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 will cooperate with and participate 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 600.4, CCHP Physician services are exempt from solicitation requirements.
On September 24, 2024, the Board of Supervisors approved Contract #27-892-9 with Golden State Orthopedics & Spine, in an amount not to exceed $18,000,000, for the provision of orthopedic surgery, physical therapy, diagnostic imaging and urgent care services for CCHP members and County recipients, for the period November 1, 2024 through October 31, 2026.
On October 7, 2025, the Board of Supervisors approved Contract Amendment #27-892-10 with Golden State Orthopedics & Spine, effective January 1, 2026, to include the Dual Eligible Special Needs Plan (D-SNP) authorizing the Contractor to provide specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-around services, with no change in the original payment limit or term.
Approval of Contract #27-892-11 will allow the Contractor to continue providing orthopedic surgery, physical therapy, diagnostic imaging and urgent care services through October 31, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized medical specialty health care 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.