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Commissioners kill IU master agreement renewal and seek alternative clinic; grant funding approved for a hospital-based violence intervention program
Summary
Delaware County commissioners voted Sept. 2 to withdraw a proposed renewal of the county's Indiana University Health master agreement and to pursue a utilization-based contract with Marathon Clinic that county staff estimate would cut current clinic costs.
Delaware County commissioners voted Sept. 2 to remove and then kill a pending request to renew the county's Indiana University Health master agreement and to pursue an alternative arrangement with Marathon Clinic that county staff say will likely save the county substantial annual costs.
Commissioners said they had sought a fee-for-service model from IU Health but found the IU proposal would still be comparatively expensive. County staff and consultants presented a sample Marathon Clinic contract and an engagement model based on utilization; county finance staff estimated that switching from the IU arrangement to a utilization-based Marathon model could reduce gross annual costs by roughly $360,000 to $460,000 on an apples-to-apples basis when current usage is taken into account. Commissioners approved a motion to move forward with Marathon subject to legal review and final contract terms.
Separately, the board approved a Health Department agreement with Indiana University Health to fund a hospital-based violence intervention program (VIP). Jamie Bain, health department administrator, said the county board of health had approved roughly $39,000 to support development of a violence-intervention program operating out of IU Health's emergency department under Health First Indiana funding. County counsel confirmed the agreement matches prior partnership language used by the department and said the contract would be posted to satisfy the state's 30-day public posting requirement and finalized after the posting period.
What the board did not do: commissioners did not approve an immediate long-term IU master renewal. Instead they directed staff to continue negotiations and to bring a finalized contract back for legal review and adoption. Commissioners said any final Marathon arrangement must be reviewed by counsel and reflected in a final contract before services change.
Votes and actions: The motion to remove and kill the IU Health master agreement renewal passed by roll call; a separate motion to proceed with Marathon Clinic moved forward with direction that legal sign-off and a final contract be completed before implementation.
