Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
Srija Srinivasan, Director, Family Health Services & Health Coverage Unit
Subject: Amendment to the Agreement with Healthways, Inc. to Provide Health Insurance Outreach, Enrollment and Retention Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Healthways, Inc. to provide health insurance outreach, enrollment and retention services for children and adult health coverage programs, extending the term to January 1, 2014 through December 31, 2018 and increasing the amount by $66,545 to an amount not to exceed $432,835.
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BACKGROUND:
Since 2003, the Health System has contracted with community-based organizations (CBOs) to provide outreach and enrollment services for low-income uninsured residents in need of health insurance coverage. In spring 2013, the Health System issued a Request for Proposals (RFP) to select entities interested in providing such services, in alignment with changes related to the Affordable Care Act. Healthways, Inc. was selected as one of five entities contracted to provide these services to targeted hard-to-reach populations. The selection process included obtaining endorsement by the Children's Health Initiative (CHI) Oversight Committee, a Health System community advisory body that is part of the Health Plan of San Mateo's governance structure.
In 2015 and 2016, your Board approved amendments to the agreement to extend the term through December 31, 2017 and provide support for additional outreach, enrollment and retention services. In June 2017, the balance of the agreement was increased by 3% as a cost of living allowance. The funding amounts, target numbers of residents to be reached, and a rate of cost/enrollment were drawn from a formula used by Covered California.
DISCUSSION:
As we awaited clarity on the Affordable Care Act's core c...
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