San Bernardino header
File #: 1983   
Type: Consent Status: Passed
File created: 3/31/2020 Department: Arrowhead Regional Medical Center
On agenda: 4/7/2020 Final action: 4/7/2020
Subject: Amendment No. 2 to Revenue Agreement with California Physicians' Service dba Blue Shield of California for Inpatient and Outpatient Services
Attachments: 1. CON - ARMC - 4-7-20 - Amendment No. 2 to Agreement with Blue Shield of California, 2. COV - ARMC - 4-7-20 - Amendment No. 2 to Agreement with Blue Shield of California, 3. Item #12 Executed BAI, 4. 17-144-A-2 Executed Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

April 7, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center

SUBJECT
Title
Amendment No. 2 to Revenue Agreement with California Physicians' Service dba Blue Shield of California for Inpatient and Outpatient Services
End

RECOMMENDATION(S)
Recommendation
Ratify the Chief Executive Officer's approval of Amendment No. 2 to the Fee for Service Hospital Agreement (Agreement No. 17-144) with California Physicians' Service dba Blue Shield of California for inpatient and outpatient services, that extends the term of the agreement by three months, for a new total contract period of April 1, 2017 to June 30, 2020.
(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 recommendation will not result in the use of Discretionary General Funding (Net County Cost). Expenditures for medical services provided under this contract by Arrowhead Regional Medical Center (ARMC) are reimbursed by California Physicians' Service dba Blue Shield of California (Blue Shield) based on the agreed upon rates. Sufficient appropriation and revenue is included in the ARMC 2019-20 budget.

BACKGROUND INFORMATION
Approval of the recommendation will provide for the safety, health and social service needs of County residents by ensuring the provision of patient care services to Blue Shield members at agreed upon reimbursement rates. ARMC has been a designated hospital provider within Blue Shield's network since 2012. ARMC submits claims to Blue Shield for payment and the hospital is reimbursed on a per diem basis for inpatient and outpatient charges.

Since 2012, the County and Blue Shield have executed various agreements and...

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