TO: Board of Supervisors
FROM: Executive Office
MEETING DATE: June 22, 2021
DEPARTMENT CONTACT:
Cherie Johnson
PHONE:
463-4441
DEPARTMENT CONTACT:
Emma Saucedo
PHONE:
463-4441
ITEM TYPE: Consent Agenda
TIME ALLOCATED FOR ITEM: N/A
AGENDA TITLE:
title
Approval of Retroactive Agreement with Keenan & Associates' Pharmacy Case Management (KPCM) Program in the Amount of $62,000 to Provide Pharmacy Case Management Services to the County's Self-Funded Health Plan, Effective November 1, 2020 through October 31, 2021
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RECOMMENDED ACTION/MOTION:
recommendation
Approval of retroactive Agreement with Keenan & Associates' Pharmacy Case Management (KPCM) program in the amount of $62,000 to provide pharmacy case management services to the County's Self-Funded Health Plan, effective November 1, 2020 through October 31, 2021; authorize Assistant CEO to approve future amendments that do not exceed a 10% increase over the current annual rate, for a period of three (3) years; and authorize Chair to sign same.
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PREVIOUS BOARD/BOARD COMMITTEE ACTIONS:
N/A
SUMMARY OF REQUEST:
The KPCM program assists employers in managing costs associated with their self-funded employee prescription drug plan. The County's plan has been experiencing an increase in high priced prescriptions, many of which have a lower priced alternative. The KPCM program engages directly with the member and their provider to ensure the best possible drug therapies are chosen based on clinical effectiveness and overall cost to the member and the plan.
Over time the average return on investment (ROI) can be as high as 3-5 times the cost of the program. The County is guaranteed to save the cost of the program in the first year with an expectation of a greater ROI in subsequent years.
County and KPCM representatives have been working on a mutually acceptable Agreement since October of 2020. In an effort to save the health plan monies as soon as possible, KPCM began...
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