To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services Inovalon Provider, Inc.
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND Board action of June 10, 2025 (C.75), which pertained to a contract with Inovalon Provider, Inc.; and APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County (1) a Software and Service Agreement and (2) an Order Form with Inovalon Provider, Inc., a corporation, in an amount not to exceed $52,000, for Medicare eligibility data management software and services for Contra Costa Health (CCH) for the period from June 10, 2025 through March 31, 2027, and for successive 12-month terms thereafter until terminated.
FISCAL IMPACT:
This Contract will result in contractual service expenditures of up to $52,000 over a three-year period and will be funded 100% by Hospital Enterprise Fund I.
BACKGROUND:
This Contract meets the needs of CCH by providing a data management platform and (related) services regarding Medicare eligibility verification. Inovalon One(r) Platform, Inovalon's Direct Data Entry (DDE) Verification allows access via a secure online connection for Medicare Part A providers to manage Medicare Part A claims. Inovalon One(r) Platform, a data-driven, cloud-based Software as a Service (SaaS) solution that enables healthcare organizations to improve clinical outcomes and economics by bringing together national-scale connectivity, real-time primary source data access, and advanced analytics, is utilized by CCH for Medicare eligibility verification, including claim status lookup, and online claim correction and enables enterprise usage throughout CCH registration sites, Health Information Management, Utilization Review, Contra Costa Health Plan, Financial Counseling, and Patient Billing.
Since 2016, these services have been procur...
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