REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 19, 2023
FROM
VICTOR TORDESILLAS, Director, Department of Risk Management
SUBJECT
Title
Outcome Plan Contract with Paradigm Management Services, LLC for Complex Medical Management and Payment Services
End
RECOMMENDATION(S)
Recommendation
1. Approve the Outcome Plan Contract with Paradigm Management Services, LLC, including nonstandard terms, to provide complex medical management and payment services, in an amount not-to-exceed $3,367,714, retroactively effective July 25, 2023, through the later of the guaranteed 30-month minimum date of January 24, 2026, or the targeted outcome level achievement date.
2. Direct the Clerk of the Board of Supervisors to maintain the confidentiality of certain portions of the Outcome Plan Contract with Paradigm Management Services, LLC pursuant to Government Code ? 7922.000 to protect private health information.
(Presenter: Victor Tordesillas, Director, 386-8623)
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 item will not result in the use of additional Discretionary General Funding (Net County Cost). The total cost of $3,367,714 for complex medical management and payment services will be paid from the Department of Risk Management (DRM) Countywide and Special Districts Workers' Compensation fund. All medical costs related to the work injury deemed appropriate, necessary, and compensable in accordance with applicable statues, from the contract start date until the later of the guaranteed 30-month minimum contract length or the targeted outcome level are included in the not-to-exceed contract total of $3,367,714. All medical costs and care beyond the County's $2,000,000 self-insurance retention are reimbursable expen...
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