San Bernardino header
File #: 3217   
Type: Consent Status: Passed
File created: 11/6/2020 Department: Arrowhead Regional Medical Center
On agenda: 11/17/2020 Final action: 11/17/2020
Subject: Agreements with All Care To You, LLC and Health Management Associates, Inc. to Provide Expertise in Developing a Management Service Organization
Attachments: 1. CON - ARMC - 11-17-20 - Agreement with Health Management Associates Inc., 2. CON - ARMC - 11-17-20 - Agreement with All Care to You LLC, 3. Item #17 Executed BAI, 4. 20-1112 Executed Contract, 5. 20-1113 Executed Contract
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

November 17, 2020

FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center

SUBJECT
Title
Agreements with All Care To You, LLC and Health Management Associates, Inc. to Provide Expertise in Developing a Management Service Organization
End

RECOMMENDATION(S)
Recommendation
Approve contracts with the following vendors on an as-needed, fee-for-service basis, for consultation services to establish a Management Service Organization and/or an Independent Practice Association for Arrowhead Regional Medical Center, in the total aggregate amount of $1,500,000, for the five year period of January 1, 2021 through December 31, 2025:
1. All Care To You, LLC
2. Health Management Associates, Inc.
(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 the recommendation will not result in the use of Discretionary General Funding (Net County Cost) as the total aggregate cost of $1,500,000 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. Sufficient appropriation and revenue are included in the Arrowhead Regional Medical Center (ARMC) 2020-21 budget and will be included in future recommended budgets.

BACKGROUND INFORMATION
Approval of this recommendation will allow ARMC to obtain expertise and guidance in determining the advantage of establishing a Managed Service Organization (MSO) and/or an Independent Practice Association (IPA). An MSO is an organization that examines total costs of providing care to the community and will allow ...

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