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County discusses switching jail medical services to CoreMed to cut costs; staff to review contract

Jefferson County Board of Commissioners · August 19, 2024
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Summary

Commissioners reviewed a proposal to move jail medical services to CoreMed (Idaho Falls) to reduce costs and avoid paying for 24/7 on-site staffing; staff were instructed to have Mark review the contract and the item was put back on next week’s agenda.

Jefferson County commissioners discussed a proposed change in jail medical services that could reduce the county’s costs by replacing a 24/7 flat‑fee coverage model with an on-call, hourly arrangement. S10 presented a proposal from CoreMed, which would provide daily nursing coverage, med passes twice daily, and an on-call schedule billed by the hour for after‑hours response.

S10 described the existing model as costly and rarely necessary for full-time on-site staffing: "we don't need 24/7, especially after lockdown has been working," S10 said, arguing that an hourly on-call arrangement would be more economical. The transcript records a contract figure of $339,096 for the proposed service; S10 said last year’s cost was approximately $310,000. S1 and other commissioners asked staff to have Mark review the proposed contract and return the item to next week’s agenda for final action.

No final decision was made at the meeting. Commissioners agreed to proceed with staff review and to include the item on the next meeting agenda so the contract language, termination notice requirements and service-level expectations can be clarified before formal approval.

Attribution: Direct quotes and figures in this report are drawn from the meeting transcript (S10, S1).