To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #27-950-7 with Brighter Beginnings
☒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 #27-950-7 with Brighter Beginnings, a non-profit corporation, effective January 1, 2025, to amend Contract #27-950-5 (as amended by #27-950-6), to provide additional Primary Care Physicians (PCP) services with no change in the payment limit of $1,300,000 or the original term of October 1, 2023 through September 30, 2026.
FISCAL IMPACT:
Approval of this amendment will not result in additional expenditures. Contract is funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II revenues. (No additional rates)
BACKGROUND:
CCHP has an obligation to provide certain Primary Care Physician (PCP) services including but not limited to; family medicine 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 PCP services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 1, 2014.
On September 19, 2023, the Board of Supervisors approved Contract #27-950-5 with Brighter Beginnings, in an amount not to exceed $1,200,000, for the provision of PCP services for CCHP members and County recipients, for the period October 1, 2023 through September 30, 2026.
On December 5, 2023, the Board of Supervisors approved Contract Amendment Agreement #27-950-6 with Brighter Beginnings, effective December 1, 2023, to increase the payment limit by $100,000 to a new total payment limit of $1,300,000, for additional CalAIM outreach services and with no change in the original Contract term.
Approval of Contract Amendment Agreement #27-950-7 will allow the Contractor to provide additional PCP services for CCHP members and County recipients through September 30, 2026. 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.