Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment to the Agreement with Experian Health, Inc. to Provide Claims and Remittance Software
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Experian Health, Inc. to provide claims and remittance software, extending the term through December 31, 2020, and increasing the amount by $300,000 to an amount not to exceed $1,252,849.44.
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BACKGROUND:
In October 2011, San Mateo Medical Center (SMMC) completed a Request for Proposals (RFP) for an electronic claims processing information system. Data Systems Group of California, Inc. (DSG) was chosen because of its extensive Medi-Cal and Medi-Cal Managed Care experience, as well as its ability to modify its software to efficiently process claims filed with the Health Plan of San Mateo.
The agreement has been amended several times to expand the scope of work with an associated increase to the amount. In addition, after Experian Health Inc. (Experian) acquired DSG, SMMC executed an agreement to reassign the agreement to Experian.
DISCUSSION:
Experian's product is an essential tool necessary to continue integral business operations. The tool provides the indispensable functions of claims and remittance processing for Patient Financial Services. SMMC has recently been notified that Experian has chosen to no longer support the product, in favor of replacing it with an updated version. SMMC anticipates releasing a RFP during this calendar year. In the interim, SMMC is requesting your Board authorize an extension to the term of the agreement through December 31, 2020, with an associated increase of $300,000, to an amount not to exceed $1,252,849.44.
The amendment and resolution have been reviewed and approved by County Couns...
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