HomeMy WebLinkAboutContract 52069-A2 DocuSign Envelope ID:4BO84AEO-1 DCO-4B7C-8AOC-7A337F C DAB E2
CSC No.52069-A2
SECOND AMENDMENT TO
FORT WORTH CITY SECRETARY CONTRACT (CSC# 52069)
This Second Amendment to City Secretary Contract(CSC)52069 ("Second Amendment'
is made between the City of Fort Worth ("Fort Worth"), a municipal corporation and SmartLight
Analytics, LLC, ("Consultant").
WHEREAS, Fort Worth and Vendor entered into an Agreement identified as Fort Worth
City Secretary Contract No. 52069 beginning March 15, 2019 (the "Agreement"); and
WHEREAS, it is the collective desire of both Fort Worth and Vendor to amend the
Agreement to change the "Term" of the agreement to five (5) years; and
WHEREAS, it is the collective desire of both Fort Worth and Vendor to amend the
agreement to change the "Compensation" of the agreement to the following:
From March 1, 2022 through September 30, 2022, the City will pay Vendor$3.50
Per Member Per Month (PMPM)
From October 1, 2022 to December 31, 2022, the City will pay Vendor $3.75
(PMPM)
From January 1, 2023 ongoing, the City will pay Vendor $4.25 (PMPM) to a
maximum of$600,000 per year.
NOW THEREFORE,known by all these present,Fort Worth and Vendor, acting herein by
the through their duly authorized representatives, agree to the following terms, which amend the
Agreement as follows:
1. Section 2. Term of this agreement is deleted and replaced in its entirety with the
following:
Term: This Agreement shall begin on March 18, 2022 ("Effective Date") and shall
expire on March 17, 2027 ("Expiration Date"), unless terminated earlier in
accordance with this Agreement ("Initial Term"). City shall have at its discretion,
to renew this Agreement under the same terms and conditions for up to five(5)one-
year renewal options at the City's sole discretion.
2. Compensation: City shall pay Consultant an amount not to exceed six-hundred
thousand dollars ($600,000) in accordance with the provisions of this Agreement
and Exhibit"B", Price Schedule, which is attached hereto and incorporated herein
for all purposes. Consultant shall not perform any additional services for City not
specified by this Agreement unless City requests and approves in writing the
additional costs for such services. City shall not be liable for any additional
expenses of Consultant not specified by this Agreement unless City first approves
OFFICIAL RECORD
Amendment to (CSC# CITY SECRETARY
FT. WORTH, TX
DocuSign Envelope ID:4BO84AEO-1 DCO-4B7C-8AOC-7A337F C DAB E2
such expenses in writing. City agrees to pay all invoices of Consultant within thirty
(30)days of receipt of such invoice.
3. Exhibit B, Price Schedule, is hereby amended to add the following:
PRICING AND TERMS
Concurrent Review—Medical + Pharmacy
Period Number of Concurrent Monthly Fee Annual Fee
Members Review Fee
3/18/22 — 11,410 $3.50 $39,585 $474,020
9/30/22
10/1/22 — 11,410 $3.75 $42,788 $513,450
12/31/22
1/1/23 — On 1 11,410 1 $4.25 1 $48,493 1 $581,910
4. All other terms,provisions,conditions,covenants and recitals of the Agreement not
expressly amended herein shall remain in full force and effect.
[Signature Page Follows]
Amendment to (CSC# ) Page 2 of 4
DocuSign Envelope ID:4BO84AEO-1 DCO-4B7C-8AOC-7A337F C DAB E2
Executed effective as of the date signed by the Assistant City Manager below.
City: Vendor:
DocuSigned by:
By: Reginald Zeno(Apr 15,2022 12:27 CDT) By: ;DC8CCFD358C46B...
Name: FReginald ZenoName: B. Asha George
Title: Assistant City Manager Title: chief Executive officer
Date: Apr15,2022 Date: February 7, 2022
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended: Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
Aathae of this contract,including ensuring all performance
By: Nathan Gregory(Apr 4,262211 0CDT) and reporting requirements.
Name: Nathan Gregory
Title: Deputy Di—t—f n—n Reso—.
9durc`ce-tlihfv�
Joanne Hinton(Apr4,202214:43 CDT)
By:
Approved as to Form and Legality: Name: Joanne"irton
Title: Benefits Manager
By: City Secretary:
Name: JBstrong OR
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Title: Assistant City Attorney ,� 00
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B J nette S.Goodall(Apr15,202213' CDT) i1y0 O�A
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Contract Authorization: Name: Jannette s.Goodall ��� 000 *'C/
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M&C: 22-o21s Title: City Secretary aa��AEX04aA'
OFFICIAL RECORD
CITY SECRETARY
Amendment to (CSC# ) FT. WORTH, TX
DocuSign Envelope ID:4BO84AEO-1 DCO-4B7C-8AOC-7A337F C DAB E2
EXHIBIT A
Amendment to (CSC# ) Page 4 of 4
4/15/22,3:46 PM M&C Review
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FoRT °RTI_�
Create New From This M&C
DATE: 3/29/2022 REFERENCE **M&C 22- LOG NAME: 14SMARTLIGHTAMENDMENT
NO.: 0213
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: (ALL) Authorize an Amendment to a Professional Services Agreement with SmartLight
Analytics to Adjust the Compensation and Term for an Amount Up To $600,000 Per Year
for Five (5) Years.
RECOMMENDATION:
It is recommended that the City Council authorize an amendment to a Professional Services
Agreement with SmartLight Analytics to adjust the compensation and term for an amount up to
$600,000 per year for a period of five (5) years.
DISCUSSION:
The purpose of this Mayor and Council Communication (M&C) is to seek authorization from the City
Council to amend a Professional Services Agreement (City Secretary Contract No. 52069) with
SmartLight Analytics, LLC to adjust the compensation and term of the contract for an amount up to
$600,000.00 per year for a period of five (5) years.
In 2019, the City of Fort Worth (City) contracted with SmartLight Analytics to provide claim review for
the City's Medical and Pharmacy plans. In 2021, SmartLight Analytics saved the City $2.6 million in
fraud, waste and abuse claims and identified 17 pharmacies engaged in fradulent practices which had
the potential to cost the City $800,000.00.
Through their data analytics and clinical expertise, SmartLight is be able to identify fraudulent billing
such as:
pass-through billing schemes where unscrupulous physicians route billing to out-of-network labs
who in turn send the claims to in-network rural hospitals for claims submission in order to receive
reimbursement at 20-30X average payments or;
medically unnecessary abusive urine drug screening and genetic testing claims; and/or
identifying claims submitted that violate the anti-kickback laws.
SmartLight's monitoring of wasteful claims also includes, monthly interventions to reduce:
overuse of emergency rooms services;
billing of medically unnecessary services such as long-term, high frequency testosterone
replacement therapy; and/or
payments for misrepresented services (such as investigational treatment of sublingual hormone
drops billed as allergy treatment);
payments for non-rendered services (based on patterns that are medically unlikely), coding errors,
or duplicate payments that bypass the plan administrator's adjudication process.
Once a wasteful claim is identified, SmartLight passes that information on to our current medical and
prescription providers and works within the administrator's existing processes to deny and/or credit
payments back to the City. Additionally, our medical or prescription providers may report these findings
to authorities to help curb the abuse throughout the healthcare system. SmartLight provides a
quarterly report on progress of refunded payments to the City.
SmartLight Analytics is a WBE Certified Business.
Funding is budgeted in the Consultant & Other Professional Service account of the Human Resource
Health Benefits Admin Department's Group Health Insurance Fund
apps.cfwnet.org/council_packet/mc_review.asp?ID=29767&councildate=3/29/2022 1/2
4/15/22,3:46 PM M&C Review
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the recommendation, funds are available in the
current operating budget, as previously appropriated, in the Group Health Insurance Fund. Prior to
an expenditure being made, the Human Resources Department has the responsibility to validate the
availability of funds.
TO
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2) ��
FROM
Fund Department Account Project Program Activity Budget Reference # Amount
ID I I ID I I Year (Chartfield 2)
Submitted for City Manager's Office by_ Reginald Zeno (8517)
Originating Department Head: Dianna Giordanno (7783)
Additional Information Contact:
ATTACHMENTS
14SMARTLIGHTAMENDMENT funds availability pdf (CFW Internal)
14SMARTLIGHTAMENDMENT Updated FID table.xlsx (CFW Internal)
Form 1295 Certificate 100868286.pdf (CFW Internal)
SmartLight Analytics FID table.xlsx (CFW Internal)
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