Item C51
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Revised 3/99
BOARD OF COUNTY COMMISSIONERS
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AGENDA ITEM SUMMARY
Meeting Date: 09/20/2000
Bulk Item: Yes [8J No D
Division: MANAGEMENT SERVICES
Department: HUMAN RESOURCES /
GROUP INSURANCE
AGENDA ITEM WORDING: Approval to renew contract with the KEYS PHYSICIAN-
HOSPITAL ALLIANCE (KPHA) for the employer-provider network and utilization review
and case manaQement services for the county's employee benefit plan effective
10/012000 throuQh 09/30/2001.
ITEM BACKGROUND: This is the second year renewal of the contract. The KPHA has
aQreed to renew at the same premium rates and adiust the discount rate when possible.
PREVIOUS RELEVANT BOCC ACTION: Approved throuQh RFP IN 1999. First
contract year (1999-2000) was approved at meetinQ of 09/08/1999.
STAFF RECOMMENDATION: Approval.
TOTAL COST: $23,500.00
BUDGETED: Yes [8J No D
REVENUE PRODUCING: Yes D No [8J AMOUNT PER MONTH
YEAR
APPROVED BY: COUNTY ATTY D OMS/PURCHASING D RISK MANAGEMENT ~ vJ.R.. ,
DIVISION DIRECTOR APPROVAL: ~ ~ -::-/ ~A..-.J -
DIVISION DIRECTOR NAME: ~ JAMES L. ROBERTS
DOCUMENTATION: INCLUDED: [8J
TO FOLLOW: D NOT REQUIRED: D
AGENDA ITEM #: J ~ t; I
DISPOSITION:
.I".::C
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with: Keys Physician-Hospital Effective Date: 10/0112000
Alliance
Expiration Date: 09/30/2001
Contract Purpose/Description: Second year renewal for the employer-provider network and
utilization review and case management services for the county's employee benefit plan.
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Contract Manager: Sheila A. Barker
(Name)
4462
(Ext. )
Human Resources
(Department)
for BOCC meeting on 09/20/2000
Agenda Deadline: 09/06/2000
CONTRACT COSTS
Total Dollar Value of Contract: $23,500.00 Current Year Portion: $
Budgeted? Yes[8J No D Account Codes: 502-08002-530310-_
Grant: $ _-_-_-_
County Match: $ _-_-_-_
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ADDITIONAL COSTS
Estimated Ongoing Costs: $_/yr For:
(Not included in dollar value above) (eg. maintenance, utilities, ianitorial, salaries, etc.)
CONTRACT REVIEW
Changes
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Date Out
Date In
Comments:
OMB Form Revised 9/11/95 Mep #2
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RENEWAL AGREEMENT
This renewal agreement is entered into by and between Board of County Commissioners of
MonroeJ:ounty, Florida; 5100 College Road, Room 215; Key West, Florida 33040 (hereafterEnwloyer)
and the Keys Physician-Hospital Alliance; P.O. Box 9107; Key West, Florida 33040 (hereafter KPHA).
WHEREAS, on October 1, 1999, the Employer and KPHA entered into an agreement (hereafter
the original agreement) whereby the KPHA performs Utilization Review and Case Management Services
and provides an Employer-Provider Network for the Employer's employee welfare benefit plan; and
WHEREAS, the current contract will expire on September 30, 2000 and the Employer desires to
extend the original agreement for another year, therefore, the parties agree as follows:
(1) The KPHA fee will remain the same for the year: Utilization Review fees will continue at
$1.35 per employee, per month; and Case Management fees will continue at $55.00 per
hour on an as needed basis.
(2) The Participating Provider Compensation clause will be amended so that all claims for
covered services, whether payable by the Employer or a Covered Person will receive a
discount between 5% and 25%. The discount rate and applicable period will be
determined through joint agreement of the KPHA and the County Administrator or his
designee and communicated jointly to Acordia National for implementation.
(3) In all other respects the terms and conditions of the original agreement remain in full force
and effect.
(4) This first one-year renewal term will commence immediately upon the expiration of the
current contract. Therefore this renewal will become effective October 1, 2000, and will
expire September 30,2001.
IN WITNESS WHEREOF, the parties hereto have executed this Renewal Agreement this
, 2000.
day of
ATTEST: DANNY L. KOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
By
Deputy Clerk
Mayor/Chairman
WITNESS:
KEYS PHYSICIAN-HOSPITAL ALLIANCE
STEPHEN KRA THEN, 1;)0
By
By
Witness
President