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Commissioners direct contract renewal with current employee health‑clinic operator, request additional pricing details before final acceptance
Summary
After a competitive RFP process, staff recommended renewing the county’s employee clinic contract with ProactiveMD under an expanded staffing model. Commissioners approved moving a renewal to the consent agenda but asked staff to return pricing for a one‑year term, any early‑termination penalty, and cost to include an on‑site medical doctor.
County staff recommended renewing the contract with ProactiveMD to operate the county employee health clinic under an expanded staffing model intended to reduce wait lists and improve access. The board approved moving a renewal to the April 21 consent agenda but asked staff to obtain and return additional cost details before final approval.
Robin Coos and county procurement staff described a multi‑month RFP process that produced six initial proposals; the county interviewed four respondents and later evaluated two finalists. The expanded staffing model used for apples‑to‑apples pricing included two nurse practitioners, two LPNs and an administrative position. Under that model ProactiveMD—the incumbent—submitted a renewal price materially higher than the current annual cost; staff summarized the renewal as approximately $1.2 million annually versus current annual cost near $784,000, driven largely by the increased provider staffing.
Presenters said the expanded model was intended to reduce the clinic’s wait list and to allow more county employees and dependents to be served; county staff noted current enrollment/usage is about 37% of eligible employees (roughly 800 users of about 2,000 eligible employees). Commissioners expressed concern about continuity of care if the vendor changed, staffing timelines, and whether an on‑site medical doctor (MD) should be part of the clinic model. Several commissioners requested additional information before finalizing a multi‑year renewal: (1) one‑year pricing for ProactiveMD, (2) the contract’s early‑termination penalty, and (3) the incremental cost to include an on‑site MD rather than an MD in oversight/telehealth.
After discussion the board approved placing the renewal on the April 21 consent agenda and directed staff to get the one‑year pricing, the termination penalty amount, and an estimate for an MD on site; commissioners noted that hiring clinicians can take several months and that staff should plan implementation timelines accordingly.
