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Sheriff outlines rising medical contract costs; committee to explore in-house or contractor options
Summary
Sheriff's office reported steep proposed increases from Advanced Correctional Healthcare and presented in-house alternative using a nurse practitioner at an estimated $70,000 plus a part-time nurse; the committee asked staff to evaluate liability, payroll/contract structure (1099 vs. employee), and insurance implications and reconvene soon.
Sheriff Clay reported that contracted jail medical services from Advanced Correctional Healthcare (ACH) have increased dramatically in recent years and that ACH proposed a 38.8% fee increase at short notice before the new fiscal year.
Clay said the county's average daily jail population has fallen from roughly 55 to about the low 30s, which prompted him to ask ACH to reduce nursing hours from the contract's 32 hours to 20 hours. ACH provided a reduced-price offer but still sought a material rate increase.
Clay and committee…
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