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File #: 25-239    Version: 1 Name:
Type: Resolution Status: Passed
File created: 2/24/2025 Departments: HEALTH
On agenda: 3/25/2025 Final action: 3/25/2025
Title: Adopt a resolution authorizing a fourth amendment to the agreement with Scott Oesterling MD, Inc., extending the term of the agreement by two months through May 31, 2025, and increasing the maximum payable amount of the agreement proportionately by $516,522.34 to an amount not to exceed $10,341,305.84.
Attachments: 1. 20250325_r_Scott Oesterling MD, Inc..pdf, 2. 20250325_a_Scott Oesterling MD, Inc..pdf
Special Notice / Hearing: None__
Vote Required: Majority

To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Fourth Amendment to Agreement with Scott Oesterling MD, Inc. for OB/GYN services

RECOMMENDATION:
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Adopt a resolution authorizing a fourth amendment to the agreement with Scott Oesterling MD, Inc., extending the term of the agreement by two months through May 31, 2025, and increasing the maximum payable amount of the agreement proportionately by $516,522.34 to an amount not to exceed $10,341,305.84.

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BACKGROUND:
On November 16, 2021, the County entered into an agreement with Scott Oesterling MD, Inc. (the Oesterling Group) to provide OB/GYN services to County patients for the term of January 1, 2022 through December 31, 2024. On December 6, 2021, the parties entered into a first amendment to the agreement to update the List of Approved Providers. On April 1, 2022, the parties entered into a second amendment to the agreement which again updated the List of Approved Providers. On December 10, 2024, the parties entered into a third amendment to the agreement which added an assignment of the providers' right to bill and collect for their professional medical services to the County, extended the term of the agreement by three months through March 31, 2025, increased the monthly fees paid to the group by 3% effective January 1, 2025 through the remainder of the term, from $250,739 per month to $258,261.17 per month, increased the "not to exceed" amount from $9,050,000 to $9,824,783.50 to account for the remaining payments, and finally, updated the List of Approved Providers in the agreement.

DISCUSSION:
This amendment to the agreement with the Oesterling Group will extend the current agreement by two months to a term of January 1, 2022 through May 31, 2025 and increase the agreement's "not to exceed" amou...

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