R2020-179 Resolution Authorizing the City Manager to Negotiate Terms and Execute an Agreement for Creation of a Healthcare Clinic to Service Participants in the City's Healthcare Benefit Plan with Paladina Health, LLC, DBA Activate Healthcare

Home Browse Search

i. Eligibility Files must include Social Security Numbers in addition to other data. ii. Not providing timely and complete data, including Social Security Numbers, may result in reduced Patient engagement and impaired billing procedures. b) Data Access: Client is responsible for providing the following data access: i. Access to at least 2 years of prior (historic) medical and pharmacy claims experience data and corresponding eligibility data. ii. Access to monthly data feeds of medical and pharmacy claims experience data and corresponding eligibility data throughout the term of the Agreement. c) Communications: i. Client shall provide the home mailing address, email address, and phone numbers for all of Client's adult Eligible Members. To avoid additional direct mailing costs, the Client is to provide email addresses for at least 90% of Eligible Members ages 18 and older. ii. Client shall implement Paladina's marketing campaign process, which delivers a time-based series of digital, print and other communications shown to maximize engagement of Eligible Members. The marketing campaign process allows for customization within a prescribed set of parameters. If the Client requires additional customization outside of those parameters, the Client is responsible for the additional marketing costs. iii. Client shall provide Eligible Members with information about the primary care center benefit through the annual benefits enrollment process. iv. To reduce disruption to communication, Client is to follow Paladina's Technology Compatibility Requirements of(attached at Exhibit H). V. Patients can manage their communication preferences, including opting out of various communications, directly with Paladina. 5. Financial Arrangement. 5.1 Financial Overview. In consideration of Paladina's responsibilities under this Agreement, Client shall pay to Paladina the amount described in Section 5.2 of this Agreement during the Initial Term and any Renewal Terms. Client shall also be responsible for the following expenses associated with the Paladina Clinic(collectively,"Other Expenses"): (a) Start-up and set-up costs; (b) Operation and maintenance expenses as described in Exhibit G; (c) Laboratory and pharmaceutical costs as described in Exhibit E; and (d) Other Expenses due under this Agreement shall be billed through separate invoices,which may be issued from Paladina or directly from a third-parry vendor. Such expenses shall become due and be paid as stated in the invoice. 5.2 The Fees. (a) Monthly Services Fee. Subject to the terms of this Section 5.2,Client shall pay to Paladina, effective on the Clinic Opening Date, a fee of$38.30 a month per each Member (the"Monthly Fee"). 9