To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment Agreement #27-169-23 with Lifelong Medical Care
☒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 #27-169-23 with Lifelong Medical Care, a non-profit corporation, effective July 1, 2024, to amend Contract #27-169-22, to provide additional Primary Care Physician (PCP) services with no change in the payment limit of $4,200,000 or term of July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Amendment will not impact the original payment limit of $4,200,000 which is funded 100% by Contra Costa Health Plan (CCHP) Enterprise Fund II. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain PCP services including, urgent care, acupuncture, 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 is a Federally Qualified Health Center (FQHC) facility and 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 February 1997. 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.
On June 25, 2024, the Board of Supervisors approved Contract #27-169-22 with Lifelong Medical Care, in an amount not to exceed $4,200,000, for the provision of PCP and specialty medical care services, including urgent care and acupuncture services for CCHP members and County recipients for the period July 1, 2024 through June 30, 2025.
Approval of Contract Amendment Agreement #27-169-23 will allow the Contractor to provide additional PCP and specialty medical care services through June 30, 2025. 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. This Amendment is late due to delays with the division submitting value-based payment language.
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.