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: Agreement with Alan McBride to Provide Reimbursement Consulting Support Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Alan McBride to provide reimbursement consulting support services for the term of October 1, 2026 through September 30, 2031, for an amount not to exceed $1,000,000.
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BACKGROUND:
As a public hospital, San Mateo Medical Center (SMMC) serves a broad mix of patients, and the federal and State regulations governing reimbursement for medical services provided by SMMC are complex. Approximately 50% of SMMC's annual revenue comes from federal and State reimbursement programs, such as Medicaid's Disproportionate Share Hospital program, the California Department of Health Care Services' (DHCS) Medicaid 1115 Waiver, Medi-Cal, Medicare, and other programs. In addition, the recently enacted Medicaid Managed Care Rule resulted in new funding programs.
Administering hospital reimbursement functions for these programs requires a high level of knowledge and experience due to the programs' complexity and documentation requirements. SMMC requires support from a consultant who can analyze the hospital's participation in these various programs and ensure that SMMC submits accurate cost reports and other requested documentation to support the ongoing reimbursement.
In June 2026, SMMC completed a Request for Proposals (RFP) process for Reimbursement Consulting Support Services.
DISCUSSION:
Alan McBride was elevated through a competitive RFP process due to his extensive background in this subject area, including experience working as a reimbursement manager for the County of Alameda and previously serving as Chief Financial Officer for multiple hospitals.
The County Attorn...
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