To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #27-689-11 with Epic 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 #27-689-11 with Epic Care, a corporation, in an amount not to exceed $30,000,000, to provide medical specialty services including but not limited to hematology, oncology, otolaryngology, gastric bypass surgery services, primary care physician (PCP) services, and other medical services including but not limited to diagnostic imaging, mobile Magnetic Resonance Imaging (MRI) and laboratory services for Contra Costa Health Plan (CCHP) members and County recipients for the period December 1, 2025 through November 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in expenditures of up to $30,000,000 over a two-year period and will be funded as budgeted 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain PCP and other medical specialty services including but not limited to hematology, oncology, otolaryngology, bypass surgery services, and other medical services including diagnostic imaging, mobile MRI, and laboratory services for CCHP 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 services and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since April 1, 2007.
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 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. Per Administrative Bulletin 600.3, CCHP Physician services are exempt from solicitation requirements.
On December 12, 2023, the Board of Supervisors approved Contract #27-689-10 with Epic Care, in an amount not to exceed $30,000,000, for the provision of medical specialty services including but not limited to hematology, oncology, otolaryngology, gastric bypass surgery services, PCP services, and other medical services including but not limited to diagnostic imaging and laboratory services for CCHP members and County recipients, for the period December 1, 2023 through November 30, 2025.
Approval of Contract #27-689-11 will allow the Contractor to continue providing medical specialty, PCP and other medical services for CCHP members and County recipients, through November 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized medical health care and PCP services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and such services may be delayed.