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Home My WebLink AboutContract 46573-A3 1 12 A4--,, �' r0 CITY SECRETARY �o CoNTRACT No. AMENDMENT NO. 3 OF FORT WORTH N �� o��P�� v► CITY SECRETARY CONTRACT NO.46573 �Nd Zl 4V This AMENDMENT No. 3 ("AMENDMENT") OF FORT WORTH CITY SECRETARY CONTRACT NO. 46573 is made and entered into by and between the City of Fort Worth, a home-rule municipal corporation of the State of Texas ("City"), acting herein by and through Susan Alanis, its duly authorized Assistant City Manager, and SimplyWell, Inc. ("Contractor"), acting herein by and through Michael K. Lamb, its duly authorized Chief Executive Officer. City and Contractor are individually referred to as a "party" and collectively referred to as the "parties". WHEREAS, City and Contractor are currently parties to an agreement for Contractor to provide a full range of health and wellness services including health risk assessments, preventive screening data collection, and other data driven services, the same being Fort Worth City Secretary Contract No. 46573 as amended (the "Agreement"); and WHEREAS, the Agreement provides for a 2-year initial term with options for up to three, one-year renewal terms; and WHEREAS, the parties are currently in the Second Renewal of Agreement; and WHEREAS, the Agreement was amended twice, the first time on April 20, 2017 to change a definition of a term in the Agreement, as well as to make minor changes to the billing schedule, and the second time on April 11, 2018 to reflect an entity name change and include additional provisions to the Agreement; and WHEREAS, the parties now wish to amend the Agreement again to provide a new Scope of Services and to change a portion of the Billing and Payment Schedule in Exhibit B of the Agreement. F !FICIAL RFrrlr AMENDMENT No.3 OF CSC NO.46573 spade}ofh FT. WORTH,TX NOW THEREFORE, KNOWN ALL BY THESE PRESENT, City and Contractor, acting herein by and through their duly authorized representatives, enter into this Amendment, which amends the Agreement as follows: 1. The Agreement is hereby amended by deleting Exhibit A, "Scope of Services," of the Agreement in its entirety and replacing it with the attached Exhibit A to this Amendment. 2. Exhibit B, "Billing and Payment Schedule" of the Agreement is hereby amended by changing the rate per form for the "Physician Lab Form," from $10.95 per form to the following: PRODUCTS DErAILS RATE Physician Lab Form Rate perform $11.95 perform (Viverae) -The Annual Administrative Fee has been waived 3. Except as expressly modified in this Amendment, all other terms and conditions of the Agreement shall remain in full force and effect. [Signature Page Follows] AMENDMENT No.3 OF CSC NO.46573 Page 2 of 6 IN WITNESS WHEREOF, the said parties have hereto set their hands and seal of office to triplicate originals on this &]�day of 2018. CITY: CONTRACTOR: CITY OF FORT WORTH SIMPLYWELL,INC. APPROVED: By: By: Nam : san Alanis Name: Michael K. Lamb Title: Assistant City Manager Title: President&CEO APPROVED AS TO FORM AND LEGALITY: By: Name: Thomas Royce ansen Title: Assistant City Attorney n r Contract Authorization: M&C � ATTESTED: Al r� 2 By. ; Name: ary a s Title: City Secretary �On�Racf �p�amce mana9P,e . 4144ir/e coA/ OFFICIAL RECORD CIN 5ECIZrYARY AMENDMENT No.3 OF CSC NO.46573 FT. age 3 o f 6 EXHIBIT A Scope of Services Scope of Services to include the following: 1. Data analytics to include medical and pharmacy claims,and current wellness program outcomes; 2. Physician(physical)biometric data collection; 3. Tobacco Affidavit and Tobacco Cessation Program data collection; 4. Health Risk Assessment(HRA); 5. Preventive screening data collection; 6. Customized interventions Client has selected the following Services.The fees for selected Services are listed in the Billing and Payment Schedule.Any modifications or adjustments to the Standard reports,programs,materials,or other deliverables shall be subject to additional fees including but not limited to an hourly rate of$125 per hour for time estimated to accommodate the Client requested customization.Any additional fees subject to the prior written approval of Client. "Standard"shall be defined as provision of Services and other deliverables in the manner,frequency,and format that is customary for Viverae in the normal course and scope of its business.Products or Services not expressly listed in Attachments A and/or B are not included. MyViverae: • MyViverae gives clients flexibility to create a wellness program design that matches their goals.Clients may choose from program elements including Health Profile,Care,Education,Activities and Outcomes.Members can access program resources and track their progress with MyViverae.Includes Tobacco Cessation and the Tobacco Affidavit if selected. • Incentive Design:points-based design developed with guided flexibility. • Online Portal Access which includes Member Portal,Employer Portal,and Mobile Access. • Unlimited inbound access to Member Services. • Support from Client Services team: o Program checkup/status calls o Annual program planning o Census file:self-managed or Viverae-managed through census file feeds(fees may apply) • Online Member Health Assessment. • Program resources available to members may include questionnaires,online targeted programs,online courses and online health webinars. • Members have the ability to indicate a language preference for English or Spanish within MyViverae in select areas.Additional fees apply to have challenges,events and program design translated into Spanish. • Reports included: o Member Log-In,Participation,Engagement Activity and Challenge Participation Summaries available through the Employer Portal of MyViverae. o Post Assessment Report('PAR"), o Cohort Population Summary-an annual report that compares a group of members,a cohort population,between consecutive years.This cohort population must have completed a Member Health Assessment,a biometric screening and also generated a Health Score in consecutive years.Year 2 and beyond. o Incentive Report-provided once at the end of the Program Year and identifies which participants have qualified for the incentive with a points or yes/no file. AMENDMENT No.3 OF CSC NO.46573—Exhibit A Page 4 of 6 o These reports may change to support additional functionality. • Communications: o Clients receive a Launch Toolkit ■ Standard • Talking Points,Senior Management Letter,Coming Soon/Re-launch Flyer, CEO Letter,Program Video,Program FAQ,Preventive Care,Alternative Screening,Easy as J-2-3,New Hire,Mid-year Reminder,Learning Library ■ Enhancer Communications included as applicable • Biometric Screening Overview,Biometric Screening FAQ,Biometric Screening Video,Employer Challenges,Peer Challenges,Coaching Overview,Coaching FAQ,Coaching Teaser,Coaching Video,Tobacco Cessation,Chronic Condition Management Overview,Chronic Condition Management FAQ,Chronic Condition Management Privacy,Chronic Condition Management Video o Clients receive one( 1)Custom URL for term of the Agreement o Clients receive one( 1)Custom Wellness Logo for term of the Agreement o Add-on communication pieces ■ Program specific communications not offered with a program design may be purchased o Custom communications ■ Custom communications will be scoped as requested by clients and billed at an hourly rate. ■ Three(3)rounds of revisions included for custom work. o Viverae reserves the right to update as new features are introduced. MyViverae ENHANCERS App&Device Integration • Members with select applications and devices('Third Party Applications")will be able to sync within MyViverae.Applications and devices that can be supported by MyViverae subject to change at any time. Notice will be provided to Client. • Client and Client members are subject to any warranties,terms,and terms of use specified by the manufacturer or supplier of the select devices and Viverae is not responsible for any product defects or resulting damage. • Viverae is not responsible for the discontinuance,malfunction,or other failure of a Third Party Application. Physician Lab Forms • Forms containing member biometlic data which is sent directly to Viverae from the member or third party authorized by the Member.Form will be provided by Viverae. • Client is responsible for ensuring that all values required for a Health Score will be provided to Viverae including height,weight,waist circumference,and blood pressure. • Forms must be signed by the health care provider and/or laboratory before Viverae can accept the Physician Lab Form. Screening Data Import • Current biometric screening data can be impbrted into MyViverae from third parties. • Client is responsible for ensuring that all values required for a Health Score will be provided to Viverae. • Import via file feed in Viverae standard format and billed on a per source per feed basis.Additional fees apply for custom format. AMENDMENT No.3 OF CSC NO.46573—Exhibit A Page 5 of 6 Historical Screening Data File • Biometric screening data can be imported from previous vendors into MyViverae. • 1 plan year=1 file feed(multiple years cannot be accommodated in I file feed). • Import via file feed in Viverae standard format and billed on a per source per feed basis.Additional fees apply for custom format. Claims Integration • Using medical and pharmaceutical claims data,Claims Integration demonstrates the correlations between lifestyle,biometrics,and medical services utilization,to show program impact on cost,health service utilization and health conditions management. • Only available to self-funded clients with a minimum 500 health plan enrolled employees.Claims Integration is not available to Clients with less than 500 health plan enrolled Eligible Members. • Any third-party costs associated with the acquisition of claims data will be the sole responsibility of the Client. • Includes set up for one(I)eamer group(defined as one medical and one pharmaceutical)with up to one feed per month.Additional fees for additional earner groups or change within existing earner group. • Includes set up for one(I)carrier group(I medical and I pharmaceutical). Additional fees for additional earner groups or change to new carrier group. Telephonic MHA • Viverae Member Health Assessment available telephonically for participant completion. Additional Products starting in Program Year 2 Coaching II • Unlimited inbound access to the Viverae Health Center and team of Health Professionals during normal business hours(7am-7:30pm M-Th CST and 7am-6pm Fridays CST).The Health Center is not open on holidays. • Electronic or telephonic outreach to members.Up to four outreach attempts for high risk Full Participants, two outreach attempts for moderate risk Full Participants,and one outreach attempt for low risk Full Participants.Low Risk is a Health Score greater than 80;Moderate Risk is a Health Score between70-79.9, and High Risk-is a Health Score of69.9 and below. AMENDMENT No.3 OF CSC NO.46573—Exhibit A Page 6 of 6