Item Coversheet

Board Action Request
22-0287

Item Description:
Amd 5 to Agmt PR00001249 with Cirdan Health Systems, Inc., for actuarial and consulting services to Hennepin Health, 09/01/22-08/31/23, incr NTE by $700,000
Resolution:

BE IT RESOLVED, that Amendment 5 to Agreement PR00001249 with Cirdan Health Systems, Inc. to provide Hennepin Health with actuarial and consulting services for the period of 09/01/22 through 08/31/23, increasing the not to exceed amount by $700,000 for a new total not to exceed amount of $2,700,000 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:

Cirdan Health Systems Inc. has provided actuarial and consulting services to Hennepin Health (formerly known as MHP) since 2001. An Actuarial Services RFQ was conducted in 2017 and Cirdan Health Systems Inc. was selected. This contract provides actuarial, consulting and financial analysis support in the following capacities:

Professional and Actuarial Support Services:

  • Prepare and assist in the development of quarterly reserves for the months ending September 2022, December 2022, March 2023 and June 2023
  • Prepare annual Actuarial Opinion of actuarial assets and liabilities and related actuarial memorandum and actuarial report
  • Support MN DHS data submissions, help reconcile transactional data to audited financials where appropriate, provide miscellaneous/other adjustment data and review final report
  • Provide assistance as necessary to support DHS contract rate negotiations including attending meetings, analyzing benefit changes initiated by the legislature or DHS, assisting in the development of the negotiation strategy, reviewing and rebutting DHS actuarial rate memorandums and performing ad hoc analyses in support of HH negotiation positions
  • Provide miscellaneous assistance to Hennepin Health as requested including reviewing projections and budgets developed by HH Finance staff, producing quarterly reports summarizing inpatient and ambulatory services for NAIC exhibits, supporting the HH ACO Finance Committee work group, attending monthly meetings as scheduled, attending meetings of the finance/ operations work group expected to occur weekly, maintaining a detailed claim database to support the preparation of the DHS rate data submissions and any ad hoc analyses requested by HH.
  • Develop and maintain a process to create, reconcile, and submit HH’s encounter data including actionable error reporting of MDH OnPoint and DHS encounter data submissions; participating in DHS encounter data work groups; assessing the impact of submissions on revenues, performance measures, RHC submissions and related support of any submission of FQHC claims as requested by HENNEPIN HEALTH; loading carve-out claim data from DHS for immediate use for crucial analyses (e.g., PCA, FQHC, IHS, Dental, etc.) and providing access to the Cirdan encounter analytics and oversight (EAO) tool.

 

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