COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

 

DATE:

March 20, 2008

BOARD MEETING DATE:

April 8, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Sang-ick Chang, MD, Chief Executive Officer,

San Mateo Medical Center

SUBJECT:

Agreement with Aetna Health of California, Inc.

 

RECOMMENDATION:

Adopt a resolution authorizing the execution of an Agreement with Aetna Health of California, Inc. (Aetna) for the provision of their health plan services for the term April 15, 2008 to April 14, 2011

 

VISION ALIGNMENT:

Commitment: Ensure Basic Health and Safety for All.

Goal 5: Provide residents access to healthcare and preventive care.

The Agreement contributes to this commitment and goal by providing a mechanism to pay for reimbursable hospital and medical services provided to San Mateo County recipients at San Mateo Medical Center (SMMC).

 

Performance Measure(s):

Measure

FY 2007-08

FY 2008-09

FY 2009-10

Number of Aetna recipients treated at SMMC

42


50


50

 

BACKGROUND:

SMMC has contracted with Aetna since April 2005. The Agreement provides for the care of inpatient, outpatient and emergency services patients who are eligible to receive Aetna benefits.

 

DISCUSSION:

Pursuant to its new Agreement with Aetna, the County will continue to provide medical services for Aetna covered recipients and all other services as designated in the Agreement.

Aetna will reimburse SMMC for services rendered at the rate on average of prevailing Medicare reimbursement rates.

County Counsel and Risk Management have reviewed and approved this Agreement.

The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.

FISCAL IMPACT:

The term of the Agreement is three years, April 15, 2008 through April 14, 2011. Funds received from Aetna during FY 2007-08 totaled $166,000. The anticipated revenue for FY 2008-09 is $200,000 and will be included in the recommended Budget.