Item Coversheet

Board Action Request
22-0259


Item Description:
Amd 1 to Agmt PR00001189 with PillarRX Consulting, LLC to conduct Pharmacy Benefit Manager auditing required by the Hennepin Health contract with the MN Dept of Human Services, ext end date to 08/31/25, incr NTE by $238,500
Resolution:

BE IT RESOLVED, that Amendment 1 to Agreement PR00001189 with PillarRX Consulting, LLC to conduct Pharmacy Benefit Manager auditing required by the Hennepin Health contract with the MN Department of Human Services, extending the end date to August 31, 2025; increasing the not to exceed amount by $238,500 for a new total not to exceed amount of  $475,100 be approved; that the Chair of the Board be authorized to sign the Agreement on behalf of the County; and that the Controller be authorized to dispense funds as directed.

Background:

Agreement PR00001189 with PillarRX Consulting, LLC is for the Pharmacy Benefit Manager auditing: pricing, Pharmacy Benefit Manager servicing and benefit, prescription drug event, fraud/waste/abuse, rebates, claims, network management, oversight validation, member call data and appeals and grievances. The Hennepin Health contract with the MN Department of Human Services requires Hennepin Health to audit all third party vendors to ensure they are meeting contractual requirements and standards. Hennepin Health does not have the capacity or the staff expertise to conduct a full claims audit and the other items included in the list of services.

 

Amendment 1 to Agreement PR00001189 with PillarRX Consulting, LLC seeks approval to extend the end date to August 31, 2025 and increase the NTE to $475,100.  

 

This board action request aligns with Hennepin County disparity reduction efforts by improving access to culturally specific/sensitive health services and increase community well-being.

Recommendation from County Administrator: Recommend Approval