To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-739-2 with James Saunders (dba Overcast PC)
☒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 #77-739-2 with James Saunders (dba Overcast PC), a sole proprietor, in an amount not to exceed $400,000, to provide medical consultation services to the Contra Costa Health Plan (CCHP) Medical Management Team with regard to CCHP’s policies and procedures for the period from February 1, 2026 through January 31, 2027.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $400,000 and will be funded as budgeted by the department, 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized medical health care consultation services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor has been providing medical consultation services to the CCHP Medical Management Team, with regard to CCHP’s policies and procedures while fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since February 1, 2025.
The professional services required for medical consulting is essential to ensure that CCHP is meeting and following the Medi-Cal Managed Care Plan from the State of California Department of Managed Health Care (DMHC) and Department of Health Care Services (DHCS). This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451; and 42 CFR 432.10(a) Standards of Personnel Administration. Health Services Personnel approved this contract to ensure no conflicts with labor relations. Contractor currently cooperates with and participates 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. This Contractor was approved by the Public Works Department’s Purchasing Division on March 23, 2026.
On February 25, 2025, the Board of Supervisors approved Contract #77-739 with James Saunders (dba Overcast PC), in the amount not to exceed $400,000, for the provision of medical consultation services for the CCHP medical management team, for the period February 1, 2025 through January 31, 2026.
Approval of Contract #77-739-2, will allow the Contractor to continue to provide medical consultation services for the CCHP Medical Management Team through January 31, 2027. This Contract delay was due to extended negotiations of contract terms between Contractor and Division.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the CCHP Medical Management Team will not receive the benefits of compliance consultation from the Contractor and state mandated requirements will not be met.