REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
June 22, 2021
FROM
VICTOR TORDESILLAS, Interim Director, Department of Risk Management
SUBJECT
Title
Amendment to Contract with Matrix Healthcare Services, Inc. for Workers' Compensation Pharmacy Benefit Management
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Contract No. 17-899 with Matrix Healthcare Services, Inc. dba myMatrixx, to extend the contract term for one additional year, for a new term of December 17, 2017 through December 16, 2022, for the continued provision of workers' compensation pharmacy benefit management services, with no changes to the estimated aggregate cost of $4.0 million, with all other terms and conditions remaining the same.
(Presenter: Victor Tordesillas, Interim 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 Pharmacy Benefit Management (PBM) services for 2021-22 is approximately $800,000, and will be funded through the Department of Risk Management's (Department) workers' compensation self-insurance funds (4082 and 4104) in accordance with the terms and conditions of the contract. Sufficient appropriation is included in the DRM's 2021-22 budget.
BACKGROUND INFORMATION
The San Bernardino County's workers' compensation program has been self-insured and self-administered since 1972. Since then, the Department has utilized various cost containment programs, including PBM services. PBM services are used in managing workers' compensation claims to provide measurable savings on pharmacy costs, no-risk first fills, and clinical intervention programs to ensure the right drugs are dispensed for the right reasons to prevent fraud and...
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