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 Lakshmi Myneni, MD for Rheumatology Services, for the term of October 1, 2026 through January 31, 2029, in an amount not to exceed $266,159
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Lakshmi Myneni, MD for rheumatology services, for the term of October 1, 2026 through January 31, 2029, in an amount not to exceed $266,159.
body
BACKGROUND:
San Mateo Medical Center (SMMC) provides safety net specialty medical services to County patients. Among those specialty services is rheumatology, and Dr. Myneni is one of three providers who meet community needs for that service. Dr. Myneni began providing independently contracted rheumatology services in 2024 on a year-to-year basis. Dr. Myneni is willing to enter into a multi-year agreement from October 1, 2026 through January 31, 2029, to provide ongoing rheumatology services at SMMC.
DISCUSSION:
Dr. Myneni’s previous agreement for the term of October 1, 2025 through September 30, 2026 provided that she would cover 52 four-hour outpatient clinics, 104 ten-hour on-call shifts, and 60 hours of supplemental clinical services as needed to meet patient needs at SMMC. SMMC compensated Dr. Myneni at a rate of $199 per hour for her clinical services and $31 per hour for on-call services. The proposed agreement would increase Dr. Myneni’s outpatient clinic coverage by 52 clinics to 104 four-hour clinics annually and maintain her existing on-call and supplemental clinical availability. The proposed agreement would also continue Dr. Myneni’s compensation at her previously agreed rates through January 31, 2029.
The rates in the new contract are within fair market value according to VMG Health, a nationally recognized medical services valuation...
Click here for full text