Sponsor: Human Resources
Title
title
Agreement with CorVel Healthcare Corporation for Workers’ Compensation Managed Medical Care Services
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Recommendation
recommendation
1. Approve the selection of and the rate setting Agreement with CorVel Healthcare Corporation, 2010 Main Street, Suite 600 Irvine CA 92614, with a local address of 3001 NE Broadway Street, Suite 600, Minneapolis MN 55413 for workers' compensation medical and disability case management services for the period of October 21, 2020 to October 20, 2022 with the option to renew for three additional one-year periods.
2. Authorize the Chair and Chief Clerk to execute the agreement.
3. Authorize the County Manager to execute amendments to the agreement in accordance with the provisions of the agreement and the County’s procurement policies and procedures provided the amounts are within the limits of the funding.
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Background
background
Ramsey County relies on the services of a managed medical care program to help control the medical and disability costs associated with its workers’ compensation benefits program. The Ramsey County Human Resources Department issued a competitive solicitation for these services on March 13, 2020. The County received two proposals.
Below is a competitive solicitation summary:
Request for Proposals (RFP Title): Workers’ Compensation Managed Medical Care Services
RFP Release Date: March 13, 2020
RFP Response Date: April 2, 2020
Number of Contractors Notified: 251
Respondents: CorVel Healthcare Corporation, Inc,
Rising Medical Solutions, LLC
Proposal Evaluation Committee: Human Resources Manager, Benefits/Claims/Transactions Specialist, Clerk Typist 3
RFP Evaluation Criteria: Contractor Qualifications, Key Personnel Qualifications, Project Understanding and Approach, Cost, Familiarity with County’s claims administration and software applications
Contractor Recommended: CorVel Healthcare Corporation, Inc.
The evaluation team reviewed the proposals based on the criteria that were identified in the competitive solicitation and recommends CorVel Healthcare Corporation, Inc. to provide services for a period of up to five years (October 21, 2020 - October 20, 2025) to include medical/disability case management, medical bill review/repricing and pharmacy/durable medical equipment management services at the rates stated within the agreement.
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County Goals (Check those advanced by Action)
☐ Well-being ☐ Prosperity ☐ Opportunity ☒ Accountability
Racial Equity Impact
Services provided under this contract are intended to help employees of all cultures and ethnicities navigate the medical considerations and treatment alternatives available in the healthcare marketplace. Medical care that is appropriate for the medical condition while also being respectful of the cultural expectations of the employee are a focal point when providing case management services under this contract.
Community Participation Level and Impact
The community is informed about this action through County Board documentation available at <https://ramseynet.us/county-governance/board-commissioners>.
☒ Inform ☐ Consult ☐ Involve ☐ Collaborate ☐ Empower
Fiscal Impact
County Departments budget an annual workers’ compensation premium expense based on prior loss experience and payroll exposure. These budgeted amounts are allocated to a workers’ compensation risk pool account to cover program expenses. Sufficient funds are available in the County's workers' compensation risk pool account to cover the costs of this agreement.
County Manager Comments
County Board approval is required for agreements selected as a result of a Request for Proposals process.
Last Previous Action
None.
Attachments
1. Professional Services Agreement with CorVel Healthcare Corporation, Inc
2. Attachments A-C and Exhibits A-B