To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #27-985-5 with John H. Karan, M.D. (dba Delta Medical Neurology)
☒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 #27-985-5 with John H. Karan, M.D. (dba Delta Medical Neurology), a sole proprietor, in an amount not to exceed $750,000, to provide neurology services for Contra Costa Health Plan (CCHP) members and County recipients, for the period September 1, 2025 through August 31, 2028.
FISCAL IMPACT:
Approval this Contract will result in contractual service expenditures of up to $750,000 for a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized medical specialty services, including neurology services, to CCHP 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 with CCHP providing neurology services and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since September 1, 2015.
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 August 16, 2022, the Board of Supervisors approved Contract #27-985-4 with John H. Karan, M.D. (dba Delta Medical Neurology), in the amount not to exceed $600,000, for the provision of neurology services for CCHP members and County recipients for the period September 1, 2022 through August 31, 2025.
Approval of Contract #27-985-5 will allow Contractor to continue providing neurology services for CCHP members and County recipients through August 31, 2028. This Contract delay was due to extended negotiation of Contract terms between Division and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized neurology 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.