REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
February 9, 2021
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title v
Hospital Services Agreement for Medi-Cal Services with Blue Shield of CA Promise Health Plan
End
RECOMMENDATION(S)
Recommendation
Approve Hospital Services Agreement with Blue Shield of CA Promise Health Plan, retroactively effective January 1, 2021 through December 31, 2026, to reimburse Arrowhead Regional Medical Center for medical services provided to certain members of the plan, and direct the Clerk of the Board to maintain confidentiality of the agreement pursuant to California 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 the recommended Hospital Services Agreement with Blue Shield of CA Promise Health Plan will not result in the use of Discretionary General Funding (Net County Cost) as the Agreement will result in revenue for Arrowhead Regional Medical Center (ARMC). Sufficient appropriation and revenue have been included in the ARMC 2020-21 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal, Cal MediConnect, Medicare Advantage HMO, and Dual Eligible Special Needs Plans. It is led by healthcare professionals with a "members-first" philosophy and is committed to building a quality network of providers and partnering with community organizations for its members.
Approval of the Blue Shield of CA Promise Health Plan (BSC) Hospital Services Agreement will allow ARMC to be part of the Blue Shiel...
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