REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 20, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with R1 RCM Holdco Inc. for Physician Advisory Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 20-360 with R1 RCM Holdco Inc. for physician advisory services, to update the parties' respective legal names, increase the not-to-exceed amount by $100,000, from $750,000 to an amount not-to-exceed $850,000, and extend the term for one additional year, for a total term of June 9, 2020 through June 8, 2026.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
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). The cost of $100,000 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2024-25 budget and will be included in the 2025-26 recommended budget.
BACKGROUND INFORMATION
Amendment No. 1 (Amendment) to Agreement No. 20-360 (Agreement) will allow ARMC to continue to use R1 RCM Holdco Inc. (R1) as a secondary physician reviewer for all patients that require inpatient hospitalization, but do not meet the criteria using the state approved Interqual or MCG software, which align clinical decisions with payer criteria to lower denial of payments and improve patient care. The Amendment will also update the County's name from the County of San Bernardino to San Bernardino Count...
Click here for full text