REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 28, 2023
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Inland Empire Health Plan for Reimbursement Rates
End
RECOMMENDATION(S)
Recommendation
1. Approve Amendment No. 9 to Hospital Per Diem Agreement No. 20-887 with Inland Empire Health Plan to increase Arrowhead Regional Medical Center’s reimbursement rate for hospital stays, retroactively effective January 1, 2023, and extending the term of the agreement, for a total term of October 1, 2020 through December 31, 2024.
2. Direct the Clerk of the Board of Supervisors to maintain confidentiality of Amendment No. 9, pursuant to Health and Safety Code Section 1457(c)(1).
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). Expenditures for medical services provided to Inland Empire Health Plan (IEHP) members are funded through reimbursements from IEHP. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2022-23 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
This Amendment will provide an increase in the reimbursement rates to the County for medical services provided at ARMC to IEHP members and will extend the term of Agreement No. 20-887 through December 31, 2024. ARMC has been a designated hospital provider within IEHP’s network since 2008, providing in-patient services, emergency services, and other outpatient care services. Approval of this Amendment will be retroactively effective to January 1, 2023. As discussions regarding new reimbursement rates began in December 2022, this item is being retroactively presented at this time as this is the first available date following the required operational, fiscal, and legal reviews.
On September 15, 2020 (Item No. 15), the Board of Supervisors (Board) approved Agreement No. 20-887 with IEHP and IEHP Health Access to provide reimbursement for medical services rendered by ARMC to IEHP members, effective October 1, 2020 through September 20, 2023. Since approval of Agreement No. 20-887, the Board has approved eight Amendments, including supplemental payments, changes to rates and coverage, and deleting IEHP Health Access, with no change to the agreement term.
This Amendment supports fiscally-responsible and business-like operations by providing ARMC with reimbursements by IEHP at updated rates.
Pursuant to Health and Safety Code section 1457(c)(1), specific terms related to the rates of payment for health care services are not immediately subject to laws related to public records; therefore, the Clerk of the Board is directed to maintain confidentiality of this Amendment.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Deputy County Counsel, 387-5455) on February 24, 2023; ARMC Finance (Chen Wu, Finance, 580-3165) on March 6, 2023; Finance (Jenny Yang, Administrative Analyst, 387-4884) on March 7, 2023; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on March 8, 2023.