To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #23-622-2 with Quest Analytics, L.L.C.
☒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, Software and Services Agreement #23-622-2 with Quest Analytics, L.L.C., a limited liability company, including mutual indemnification, in an amount not to exceed $195,000, for mandated health plan mapping software for the Contra Costa Health Plan (CCHP), for the period from October 31, 2024 through October 30, 2027.
FISCAL IMPACT:
This contract will result in contractual service expenditures of up to $195,000 over a 3-year period and will be funded 100% by Contra Costa Health Plan Enterprise Fund II.
BACKGROUND:
This Contract meets the needs of the County regarding producing reports that analyze health plans and providers for access and can map any of the elements present in the database, including claim cost, volume, and quality. CCHP utilizes geocoding software for network adequacy reporting required by California's Department of Health Care Services (DHCS). The Centers for Medicare and Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments (such as DCHS) to administer (among other programs) Medicaid. CMS regularly updates regulations and guidance under the Affordable Care Act and other programs.
Quest Analytics is vital in helping CCHP stay current with these ever-evolving compliance requirements. In 2025, federal and state regulatory bodies will implement the Dual Eligible Special Needs Plans (D-SNPS) policy, introducing new compliance challenges for CCHP. This software as a service enables CCHP to assess its current Provider Network to ensure compliance with the upcoming regulatory requirements. CCHP selected Quest Analytics in 2017 for its network adequacy and geocoding software services, which are also utilized by DHCS and fully meet compliance standards.
This Contractor was approved as a sole source contractor by the Public Works Department’s Purchasing Division on August 28, 2024. CCHP will monitor measurable service contract deliverables with outcomes required of the Contractor. CCHP’s access to subscribed services (such) as national health provider data summaries, impact and network adequacy analysis, and geographic distance calculations to ensure provider network patient accessibility will be monitored by the department in compliance with Section III(B)(7) of the Purchasing Policy. This Contract was approved by Contra Costa Health Personnel to ensure there was no conflict with labor relations.
On January 9, 2018, the Board of Supervisors approved Contract #23-622 with Quest Analytics, L.L.C., in an amount not to exceed $30,000, including mutual indemnification, for the provision of software, support, and geocoding services for CCHP, for the period January 18, 2018 through January 8, 2021.
Under this Contract #23-622-2, the parties will execute a new software and services agreement (including mutual indemnification) to reinstate services for CCHP’s access to include Software as a Services based, Quest Enterprise Services in addition to Quest Analytics Suite™ Desktop Solution. Under the Agreement, the County is obligated to indemnify Quest Analytics against claims arising from County’s use of the products.
Approval of this Contract #23-622-2 allows the Contactor to provide services through October 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, CCHP will be out of compliance with federal and state regulations which could negatively impact future federal and state funding, as well as patient care.