Mendocino Logo
File #: 19-1093    Version: 1 Name:
Type: Agreement Status: Approved
File created: 11/18/2019 In control: Human Resources
On agenda: 1/21/2020 Final action:
Title: Approval of Retroactive Second Amendment to BOS Agreement Number 17-060-A1 with Keenan & Associates in the Amount of $34,300, for a New Agreement Amount of $220,000, for Continued Membership in the Keenan Pharmacy Purchasing Coalition to Negotiate Reduced Fees with Express Scripts, Inc., Effective January 1, 2020, through December 31, 2020
Sponsors: Human Resources
Attachments: 1. Amendment to Agreement 17-060 A2

 

To:  Board of Supervisors

FromHuman Resources

Meeting DateJanuary 21, 2020

 

Department Contact:  

Cherie Johnson

Phone: 

234-6600

 

Item Type:   Consent Agenda

 

Time Allocated for Item: N/A

 

 

Agenda Title:

title

Approval of Retroactive Second Amendment to BOS Agreement Number 17-060-A1 with Keenan & Associates in the Amount of $34,300, for a New Agreement Amount of $220,000, for Continued Membership in the Keenan Pharmacy Purchasing Coalition to Negotiate Reduced Fees with Express Scripts, Inc., Effective January 1, 2020, through December 31, 2020

End

 

Recommended Action/Motion:

recommendation

Approve retroactive second amendment to BOS Agreement Number 17-060-A1 with Keenan and Associates in the amount of $34,300, for a new Agreement Amount of $220,000, for continued membership in the Keenan Pharmacy Purchasing Coalition to negotiate reduced fees with Express Scripts, Inc., effective January 1, 2020, through December 31, 2020; authorize the Human Resources Director to approve future amendments that do not exceed a 15% increase over the existing per member per month rate for a period not to exceed 3 years; and authorize Chair to sign same.

End

 

Previous Board/Board Committee Actions:

On July 17, 2017 the Board approved Agreement Number 17-060. On April 24, 2018 the Board approved Agreement No. 17-060 A1.                     

 

Summary of Request

The County’s health plan consultant, Keenan & Associates, through the Keenan Pharmacy Purchasing Coalition (KPPC), negotiates directly with the County’s pharmacy provider, Express Scripts, Inc. (ESI).  The direct negotiation results in maximum savings to ESI customers.  To receive the benefit of these negotiated fees the County must be a member of the KPPC.

 

The monthly membership fee is calculated on a per member per month (PMPM) basis.  In 2018, Keenan’s independent auditor, Solid Benefit Guidance, conducted a Request for Information and determined that for the County, remaining in the KPPC will continue to bring larger discounts, larger rebates and lower dispensing fees for the health plan.

 

This item is presented today as retroactive because the contractor inadvertently let their business license lapse.  Human Resources advised the contractor of the lapse and requested they renew it.  Due to this delay, Human Resources was unable to obtain the contractor’s signature in time to bring the item forward to the Board prior to the last meeting of calendar year 2019.

 

Alternative Action/Motion:

Return to Human Resources with further direction.                      

 

Supervisorial District:  All

                                          

vote requirement:  Majority

                                          

 

 

Supplemental Information Available Online At: N/A

 

Fiscal Details:

source of funding: 0715

budgeted in current f/y: Yes

current f/y cost: $34,284

if no, please describe:

annual recurring cost: $34,284

revenue agreement: No

 

budget clarification: 19/20 Fiscal Year budget is $34,068. Actual member counts project the total to be $34,284.

 Agreement/Resolution/Ordinance Approved by County Counsel: Yes

 

CEO Liaison: Janelle Rau, Deputy CEO

 

 

CEO Review: Yes 

 

 

CEO Comments:

 

 

FOR COB USE ONLY

Executed By: Karla Van Hagen, Senior Deputy Clerk

Final Status:Approved

Date: January 23, 2020

Executed Item Number: Agreement  17-060-A2

Note to Department Number of Original Agreements Returned to Dept: 3  Original Agreement Delivered to Auditor? Yes