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Committee backs $13.3 million Healthy San Francisco provider-payment contract
Summary
The committee recommended approval of a retroactive sole-source contract with the San Francisco Health Plan for Healthy San Francisco provider payments, increasing the contract to about $13.3 million for FY 2009'10; DPH described network expansion and ongoing evaluation work, while a public commenter raised accountability concerns.
The Budget and Finance Committee voted to forward a resolution authorizing retroactive contracting with the San Francisco Health Plan to manage provider payments for the Healthy San Francisco program for the 2009'2010 fiscal year. The proposed contract amount was $13,306,000, a roughly 93 percent increase over the prior year.
"This contract would allow for the payment of dollars to those providers delivering services to the Healthy San Francisco participants," said Ms. Brigham of the Department of Public Health, describing the program's growing network of non-Department of Public Health providers and an expectation that more than 25,000 participants will select non-DPH medical homes in the coming fiscal year.
Budget analyst Harvey Rose said the contract did not previously exceed board thresholds but now crosses the $10 million threshold and is presented for committee review. He characterized it as consistent with prior years and recommended approval. Rose and DPH staff also described an independent evaluation planned with Mathematica Policy Research, a participant satisfaction survey conducted by the Kaiser Family Foundation that found over 90 percent satisfaction, and ongoing provider work groups.
During public comment Jason Grant Garza raised allegations about DPH accountability and referenced a personal settlement he said involved San Francisco General; those claims were aired during public comment but not litigated or substantiated in committee testimony.
The committee approved the resolution and moved it to the full board with recommendation.
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