REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
July 14, 2020
FROM
LEANNA WILLIAMS, Director, Department of Risk Management
SUBJECT
Title
Amendment to Contract with Arissa Cost Strategies, LLC for Workers' Compensation Utilization Review Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Contract No. 16-886 with Arissa Cost Strategies, LLC, to extend the current contract by one year, for the new term of November 17, 2016 through November 16, 2021, for the continued provision of workers' compensation utilization review services per the existing contracted fee schedule, with no change to the estimated aggregated cost of $3.1 million, and all other terms and conditions remaining the same.
(Presenter: LeAnna Williams, Director, 386-8621)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
FINANCIAL IMPACT
Approval of this item will not result in the use of additional Discretionary General Funding (Net County Cost). The estimated cost for workers' compensation utilization review services for 2020-21 is approximately $600,000, and will be funded through the Department of Risk Management's (DRM) workers' compensation insurance funds (4082 and 4104) in accordance with the existing contracted fee schedule. Sufficient appropriation is included in the DRM 2020-21 budget.
BACKGROUND INFORMATION
The County of San Bernardino's workers' compensation program has been self-insured and self-administered since 1972. Since then, DRM has utilized various cost containment programs, including a medical utilization review (UR) process that determines medical necessity, appropriateness, and duration of treatments.
UR services include review of requests for authorization of medical treatments and procedures on a case-by-case basis, to determine their appropriateness, frequency, and duration, prior to the provision of ...
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