To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #27-530-11 with BASS Medical Group
☒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 #27-530-11 with BASS Medical Group, a corporation, in an amount not to exceed $21,000,000, to provide primary care physician (PCP), Medical Specialist Provider, and Non-Physician Provider services including urgent care, surgery, specialty medical, pulmonary, neurology, gastroenterology, podiatry, therapy, laboratory and diagnostic imaging services for Contra Costa Health Plan (CCHP) members and County recipients for the period July 1, 2024 through June 30, 2027.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $21,000,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues. (Rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized health care medical services including PCP, urgent care, surgery, and specialty medical health care services, for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor has been a part of the CCHP Provider Network providing these PCP and specialty medical services while fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since July 2009. 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 contract renewal will maintain comprehensive area coverage for the entire CCHP membership and meet the Knox-Keene Act, time and distance mandate required by the State of California Department of Managed Health Care (DMHC) Services. This 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 8, 2021, the Board of Supervisors approved Contract #27-530-10 with BASS Medical Group, in an amount not to exceed $21,000,000, for the provision of PCP services, including urgent care, surgery and specialty medical services for CCHP members and County recipients for the period July 1, 2021 through June 30, 2024.
Approval of Contract #27-530-11 will allow the contractor to continue to provide PCP, Medical Specialist Provider and Non-Physician Provider services including urgent care, surgery, specialty medical, pulmonary, neurology, gastroenterology, podiatry, therapy, laboratory and diagnostic imaging services for CCHP members and County recipients through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, certain primary care physician and specialty medical health care services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay in services to CCHP members.