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CONTRACT NO@ Lazze
MASTER SERVICES AGREEMENT
TRANSPARENT PRICING AND QUALITY METRICS FOR HEALTHCARE
This MASTER SERVICES AGREEMENT -- TRANSPARENT PRICING AND
QUALITY METRICS FOR HEALTHCARE ("Agreement”) is made and entered into by
and between the CITY OF FORT WORTH (the "City"), a home-rule municipal corporation
of the State of Texas, acting by and through its duly authorized Assistant City Manager, on
behalf of itself and its self-funded medical and pharmaceutical benefit plan (the "Plan" and,
together collectively With the City, the "Client") and LIFE ACCOUNT, L.L.C., DlB1A
COMPASS PROFESSIONAL HEALTH SERVICES ("Compass"), acting by and through
its duly authorized Chief Medical officer. In this Agreement, Compass and Client may be
referred to collectively as the "Parties" and each individually as a"Party."
RECITALS
The City and Compass agree that the following statements are true and correct and constitute the
basis on which they have entered into this Agreement.
WHEREAS, in 2013 following a competitive sealed proposal process, the City of Frisco,
Texas ("Frisco") entered into an agreement With Compass to serve as healthcare consultant for
transparent pricing and quality metrics and to provide certain specified benefits to the Plan and
its participants, that agreement being City of Frisco Contract No. 13 03-03 5 (the "Frisco
Contract"); and
WHEREAS, under the terms of the Frisco Contract, Compass agreed to extend its prices
and services to entities that have a joint purchasing interlocal cooperation agreement with Frisco;
and
WHEREAS, since 2010, City and Frisco have been parties to a joint purchasing
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interlocal cooperation agreement; and
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its. WHEREAS, City and Compass wish to enter into an agreement for Compass to provide
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City with-healthcare consulting services far transparent pricing and quality metrics and other
specified services to the Plan and its participants, subject to and in accordance with the Frisco
Contract, as modified herein b y the Parties to tailor the arrangement to the Client's specific needs
and goals.
Now, THEREFORE, for and in consideration of the premises outlined above and the mutual
covenants contained herein, Client and Compass do hereby agree as follows:
AGREEMENT
I. CONTRACT DOCUMENTS; PRIORITY.
The relationshi p between the Client -and Compass shall be governed by the following
documents(each a "Contract Document," collectively the "Contract Documents"), all of which
together constitute a single contract:
1. This Master Services Agreement, including Exhibit E-1 ("Agreement")
2. Exhibit One — Program Services- Agreement between the City of Frisco and Compass,
including all exhibits and attachments thereto (collectively the "Frisco Contract")
3. Exhibit Two—Conflict of Interest Documentation
4. Exhibit Three Business Associate Addendum--City of Fort worth
The Contract Documents listed as exhibits are attached hereto and incorporated herein for all
purposes though the were set forth at length. In the event and to the extent of any
�oses as g y
inconsistency between two-or more Contract Documents, the documents will be interpreted in
the order of the priority listed above, beginning with this Agreement and continuing with the
exhibits.
An y documents subsequently incorporated by amendment will be prioritized consistently
with the foregoing.
II. SCOPE OF SERVICES.
Compass hereby agrees, with,good faith and due diligence, to provide Client with the
services defined and described herein and in the Frisco Contract, its attachments, and exhibits,
Master.Agreement CFw and Life Account,L.L.C. Page 2 of 81
sub j ect to such modifications as are made and agreed to in this Master Services Agreement.
III. MODIFICATIONS To FRISCO CONTRACT.
1. To the extent terms defined in this Master Services Agreement are assigned a
different meaning than in the Frisco Contract, the definitions assigned herein shall
govern, notwithstanding any'language in the Frisco Contract to the contrary. In
construing and applying the Frisco Contact to the transaction between Compass
and the Cit y of Fort Worth, all such terms, including, but not limited to, "City,"
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"Client," and "Plan," shall" be read and interpreted in accordance with the
definitions assigned in this Master Services Agreement.
2. Notwithstanding any language in the Frisco Contract to the contrary, Compass
shall not provide any Compass Care Engineering services to Client. Any and all
provisions of the Frisco Contract addressing or defining such services, including,
but not limited to, the "Clinical and Network Consulting Services" paragraph of
Section 1 and the services description attached to the Frisco Contract as Exhibit
D, shall not apply as between Compass and the City of Fort Worth.
3. In addition to the services'described in the Frisco Contract, Compass shall, at no
additional cost to the Client, administer an incentive program in accordance with
the terms of this p g ara rap
h to encourage the Client's plan participants to take
advantage of Compass's services. For the Initial Term of the Agreement, Client
shall transfer or otherwise make available to Compass One Hundred and Fifty
Thousand Dollars ($150,000.00) per Contract Year for distribution of incentives
to an participants ("Incentive Funding"). For purposes of this paragraph, the
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term "Contract Year" shall refer to a twelve-month period beginning on April 9
and concluding on April S of the subsequent calendar year. Each plan participant
shall be eligible for the following incentives: (1) a one-time award of a $10 gift
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certificate the first time the. plan participant contacts Compass; and (2) a per-
occurrence award of a $50 gift certificate each time the plan participant's contact
with Compass results in a savings to the Plan of $500.00 or more. Incentives
Master Agreement CFW and Life Account,L.L.C. Page 3 of 81
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shall be made available on a first-come, first-served basis until all Incentive
Funding for the Contract Year has been expended. Compass shall provide Client
with monthly reports showing the total number of incentives given in each
category during the preceding month, the cumulative number of incentives given
in each category during the Contract Year to-date, and the total dollar amount of
Incentive Funding remaining for the Contract Year.
4. The Parties wish to provide for a contract term that is different than the one in
effect for the Frisco Contract. Therefore, Section 3.1 of the Frisco Contract,
"Term/Termination," shall'not apply as between the. Parties, and the following
provision shall apply instead:
3.1 Term/Termination. This Agreement shall govern the Parties' rights and
obligations with respect to all services provided for a three--year period, beginning
on Ap ril 9, 2014, .and ex p g irin Ap ril S, 2017 (the "Initial Term"), unless
terminated earlier in accordance with Section 195 "Appropriation of Funds."
After the Initial Term, this Agreement may be renewed for up to three (3)
additional one (1) year periods (each a "Renewal Term") by mutual written
-agreement of the Parties. After the Initial Term, either Party may terminate this
Agreement at any time on sixty (60) days' advance written notice to the other
Party. The terms and conditions of this Agreement shall apply to the Initial Term
and any Renewal Term unless modified in writing by the Parties.
5. Notwithstandin g an language to ,the contrary in Section 5.1, "Definition of
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Confidential Information," of the Frisco Contract, as between Compass and the
Cit y of Fort worth the term "Confidential Information" shall mean only that
information that is specifically designated by a Party as being confidential.
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Neither Party shall be obligated to treat undesignated information as confidential
solely on the basis of the circumstances surrounding its disclosure.
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6. In the event that an acquisition, merger, or sale of substantially all of the assets of
Master Agreement CFw and Life Account,L.L.C. Page 4 of 81
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a Party shall result in the assignment or transfer of any rights or obligations under
-this Agreement as described in Section 8 of the Frisco Contract, the.Party that is
the subject of such acquisition, merger, or sale shall provide the other Party with
written notice of the assignment or transfer as soon as reasonably possible.
7. Notwithstandin g an lan ua g e to the contrary in Section 10, "Governing Law and
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_Venue," of the Frisco Contract, Compass and the City of Fort Worth hereby
consent to the exclusive jurisdiction of the state and federal courts located within
Tarrant County, Texas with respect to disputes arising hereunder.
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8. The Parties wish to define-the concept of appropriation of funds in a manner
different than the Frisco Contract. Therefore, Section 19, "Appropriation of
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Funds," of the Frisco Contract shall not apply as between Compass and the City
of Fort Worth, and the following provision shall apply instead:
19. Appropriation of Funds. As to the Client's performance of the obligations
in this Agreement, Compass acknowledges and agrees that the City of Fort Worth
is a governmental entity, and because of statutory, constitutional, and City Charter
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rovisions, it cannot commit to the funding of its obligations described herein
beyond each fiscal year. Therefore, the funding obligations of the Client
described herein are subject to and conditioned upon the City Council of the City
of Fort Worth appropriating for each fiscal year sufficient funds to satisfy such
obligations. In the event.no funds or insufficient funds are appropriated in any
fiscal period for any payments or obligations hereunder, Client will notify
Compass of such occurrence, and this Agreement ement shall terminate on the last day
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of the fiscal p eriod for which-appropriations were received without penalty or
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expense to Client of any'kind whatsoever, provided, however, that Client shall
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still be obligated to make those portions of the payments agreed upon herein for
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which funds shall have been appropriated.
9. Notwithstandin g Yt an hing. to the contrary in the Frisco Contract, notice to
Master Agreement CFW and Life Account,L.L.C. Page S of 81
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Compass*and the City of Fort Worth shall be made to the addresses listed below
-or to such other address as either Party may specify in writing.
To: THE CITY: To: COMPASS:
City of Fort worth Life Account, L.L.C., dlbla Compass
Attn: Asst. City Manager,for HR Professional Health Services J
1000 Throckm.orton Attn:
Fort worth Tx 76102-6311 3102 Oak Lawn Ave, Ste 215
Dallas, Texas 75219
with copy to:
F City Attorney's Office
at the same address
10. Exhibit E of the Frisco Contract, "Service Fees," shall not apply as between
Compass and the City of Fort Worth. The attached Exhibit E-1, "Service Fees"
shall apply instead.
11. _The "Affidavit of No Prohibited Interests" included in Exhibit B of the Frisco
Contract shall not-apply as between Compass and the City of Fort worth. The
attached Conflict of Interest Documentation attached to this Agreement as Exhibit
Two shall apply instead.
12.- The "Business Associate Addendum" attached to the Frisco Contract shall not
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apply as between Compass and the City of Fort worth. The Business Associate
Addendum attached to this Agreement as Exhibit Three shall apply instead.
IV. SIGNATURE AUTHORITY.
The person signing this Agreement hereby warrants that he or she has the legal authority
to execute this Agreement on behalf of his or her respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of the
entity. The other party is fully entitled to rely on this warranty and representation in. entering
into-this Agreement.
-Master Agreement CFW and Life Account,.L.L.C. Page 6 of 81
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V. ENTIRETY OF AGREEMENT• AMENDMENT.
This written instrument together with all attachments, -exhibits, schedules,. and
app endic e s) constitutes the entire understanding between the parties concerning the work and
services to be performed hereunder, and any prior or contemporaneous, oral or written
agreement that purports to vary from the terms hereof shall be void.
Notwithstanding anything in any Contract Document to the contrary, this Agreement
and the other Contract Documents may only be amended via written instrument signed by both
parties and dated after the execution date of this Agreement, provided, however that the parties
agree that any applicable changes in local,_ state, or federal laws, rules, or regulations that may
occur during the term of this Agreement shall be automatically incorporated into this
Agreement Without written amendment hereto and shall become a part hereof as of the effective
date of the law, rule, or regulation.
IN WITNESS WHEREOF s the parties hereto have executed this Agreement in multiples this
day of , 20 .
-CITY OF FO WORTH: LIFE ACCOUNT,LLC DIBIA COMPASS
PROFESSIONAL T ARE SERVICES
By: By:
Sus n Al is Eric Bricker
Ass* t City Manager Chief Medical Officer
• � - Date: �
Date. f
ATTEST:
ATTEST:
• pp� Ap
City Secretar �o y:
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APPROVED AS TO �o�FORM A EGA TY: % o
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By: 000"0
Assistant City torney
CONTRACT AUTHORIZATION:
M&C: l ` OFFICIAL RECORD
Date Approved; April S,2014 CITY SECRETARY
FT.WORTHy TX
Master Agreement CFW and Life Account,L.L.C. Page 7 of 81
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EXHIBIT E-1
SERVICE FEES-AND INCENTIVE PROGRAM
Fee Schedule
Client will pay Compass $4.50 per employee per month for Compass services as outlined in
Exhibit C of the Frisco Contract.
The number of employees is defined as any active employee on the City health plan as of the
last calendar day of the prior month.- Any post-65 retired employees on the City's self-
funded benefit plan as of the same time will also be considered in the employee count.
Former or terminated employees receiving benefits under fully insured Medicare products or
participating in Cobra or other forms of extended coverage are not included in the count.
Employees who contact Compass for service who are not on the health plan will be added to
the total number of employees.
Fees are payable on the first day of each month (each a "Billing Date") beginning in the
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month in which support services commence. Fees are due to Compass Professional Health
Services within thirty days of each B illing Date.
Additional Charges
The following are not included in-the- monthly charge. Compass shall obtain the City's
advance written approval prior to performing the listed services or incurring these charges.
If incurred, these charges will be separately invoiced, with such invoices being due within
thirty days of receipt.
1. Fees assessed by TPA (at Compass's actual cost) for data extraction, production, and
transmission of requested data files-.for Client.
2. Products and services available through ACAP, including but not limited to,Naturally
Slim, Revitalize You, Health Prompt, Musculoskeletal Programs, and Compass
Professional Health Services.
3. Custom employee or participant communications.
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4. Actual cost of postage for mailing communication materials to homes.
5. Compliance or legal services.
Master Agreement CF`]V and Life Account,L.L.C. Page 8 of 81
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EXHIBIT ONE - FRI5CO CONTRACT
PROGRAM SURNICE8 A►G Ei MENT
This Progrmn Services Agreement C'Agrqqment") is mado and entered into
e#f'eetive a$ of May 71h , 2013 (die `Effeetive Da by and between. City of 11r1soo
acting on behalf of itsolf and its employee benefit plan known as tho City of
Frim plan(tile `Ppt.11 and,together Nvida tho City, shall be oolleativoly referred to as tho
Cl ), and Life Account, LLC dlbfa Compass professional Health Services
'Cod as "). Compass and Client will hexoinafter colleodvOy be referred to as "t�e
Railleg'}and referred to Individually each as a
WHUREAS, City is a participating employor In the plan, and provides health
instuance and certain other benefits to City's employees("heUpfl,.QiarjeS")by and through
Pl€t i; and
WHEREAS, tho City issued Cornpotitive Scaled proposal No, 1303-035 seeking
competitive seated proposals for n healthoare consultant for transparent prJoing and
quality metrlos, which Is attached hereto as Exhibit "A'� and incorporated herein for all
purposos (the Tas "N and
WHERBAS, Compass timoly submitted a sued proposal to provido a healthcoxc
consultant for transparent pricing and quality metxlos regarding tho CSP, which is
attached hereto as xWbi "B" and incorporated hereln for all p
Urp
oses (tho "Provo
and
,EIA,S, the City has investigated and determined that based upon the
Proposal, the City wishes to enter into Us Agreement for Compass to provide the
sevloo dosvri bed beroln,
NOW, THEREFORE, for and in consideration of dio promises and mutual
covenants contained herein,the p [es hereto agree as Follows;
I: Tradiflonal Sor lgo, Compass shall make available to Cllont traditional
pro#'esslonat and consulting services as dofmcd In this Agreement, The services ifflOr ly
F intended to he provided by Compass inolude,'but are not limited to; general Bene ciuy
Information, coordination of care, Instruotion regarding benefits available, consulting
regarding healthcare boneflts and available providers, cmisulting regarding oust
c icionoies, medioal record oolleotlon and obarting, mid provider bill review, Speoffic
servlcos to be provided by Compass shalt be listed on " xI i C" attaohod hereto and
Incorporated berein for all purposes,
Q11nical @gd-,Network.ConsuIII n Seirylgog, Compass shall make available to
Client clinical acid network consulting servleei as defined In this Agroornont, Tho clinical
and network consulting services initially Intonded to be provided by Compass Include,
but are not limited to; profiling of providers based on claims and process measiues,
selection and monitoring of Centexs of Value physiclans and hospitals, development of
t
62 359 v,I (Compass Program Servlaos Aescomeiii)
Master Agreement-City of Fort Worth and Compass, N.A Page 9 of 81
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Community Near Site Clinlos, idonfification of olinleal acid network interventlons,
interface with Client's Third Party Administrator(TPA),and consulting on employee and
dependent engagement, Specific olinteal and network oonsulting sorvicos to be provided
by Compass shall be listed on" "xbiblt attaohed hereto and incorporated lxcroin for all
pu�•poses
20 Client,Obligationsl Client shall mako available to Compass, access to Client's
Plan and benefit doetunents (including the Plan Summary Doscription), mon lity
medloal/RX claims filos, access to Beneficiaries to allow Compass to make prosentations
intonded to Invite Bonoflola.rles to take past in the service program (Tho servico program
is the scope of services provided by flee Compass HealthPro), support a comprehensive
communications campaign, encourage Beneiicimics to tae pact in the see*vico program
by oreati gag employee aocountability and ongagernent, and ronsonably assist Compass in
the operation of tho seivico program, During the toma of this Agreement, Client shall not
acquire any services from any other provider identical to the services provided by
Compass without the prior wrlmkn consent of Compass,
3, 'Berm 1 'erminatione
3,1 The term of this A gme ment sb a i l extend for the length of
the service program, wbich shall commence on the Effective Date and terminate
after a period of tlilrty-six (36) months. Thereafter, this Agrcoment sball
automatically renew for three (3) conseeutivo one (l) year terms unless either
pa provides written n.otioe to the other, wlthln at least sixty (60) days of the
date of torminatton, of its intention not to renew this Agwoment, After the initial
term of this Agreement, oither ply may terminate tills Agreement at any time on
sixty (60) days written notice to the other party' The terms and conditions of Ws
Agreement shall apply to tho Wial `berm and any renewal terms unless modified
In writing by the Portiosi
3,2 Default. in the event that either Party shall default in the performance of
any of its material covenants, or under dngs under this Agreoment, and suoh
default shall oontinue and not be correoted within thirty (30) clays after the receipt
of written notice thereof from the non-broaeWng Party specifyins-the default and
requesting oorreotlon of such default, the,non,breaehing Marty may terminate,this �. .
Agreement by delivering written notioe to suoh effect to the other Party, which
n.otloo shall be ixrnnediatety effeo#iv$,
4, Feos
4,1 )Fee AWoiN, Client uhall pay Compass according to the sohedulc in the Fee
Model defined in 9xii1bi attgohed hereto for the Servloos deserlbed hereln as
`t o
lip e Fee"),
4 12 Payment edulea Such Service Fee shall be paid in advance to Compass
on a monthly basis, ("thee Billi C y 00% due dil'ity (30) oalondar days after the
625359 Yf I (Compass t'rcgrinn Sorrices Agreomoitt)
Master Agreement—City of Fort Worh and Compass, KA Page 10 of 81
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fast day of tho new month or tarty (3o) calendar days a ftor tho receipt of fee
itwolce,whichever is later, Tho B111ing Cycle will begin on the Effective Date of
the Agreement and ropeat until the Agrocinont is torrninated}
4►3 i clu e m l ee , The Servloe Fee is based on (lie number of active
employees, See exhibit"E"for the determination of active employees,
4.4 Fee_Ynclusloa�r The 8crvice Fee includes Compass' standard ma kodng
materials including oinployee service explanations and telephone munber contact
instructions, other marketing inatorials will be provided to Client as eloctronle
files in camera-ready format. Additional charges may apply for special requests
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ncluding, but not llinited to the costs associated with travel for member meetings
and/oar health fairs; custoamizod or additional educational, promotlonal, or
marketing materlalsi and/or postage and shipping casts for such additional
materials if Client agrees in writing to pay for such items in advanxee of purebase
or provision, Additional charges to the employee may apply for medical record
collooti on fees charged by providers (e.g. do atoru, hospitals, eto.) if tlxe active
employee agrees in writing to pay for suoh Rennes in advance of purchaso or
provision.
4,5 Additional Sqrvioe 8. Any requested services not dcscribed in Us Agreement
will requlro a separato Agreement with its own fee structure.
4,6 Termination!. Upon termination of Ws Agreement, payments render this
Agreement shall cease; howovear, Compass shall be,entitled to any payments due
for porlods or partial periods that acorued prior to the date of tetmination for
wlgoh Compass has not yet beon paid
51 Conftden i li n-D isolos re and on- olicita i oar,
5.1 Definition of nftdent'al informs i . "Confidential informatlon„ means
any rzon-publlo information Compass or Client (as appropriate, 'Uscl sin
dcslgnates as being oonfidentlat or which, undor the o1rownstances
sWaunding disclosure ought to be treated as confidential, Coanfidendal
Informatton ixicludos, without limitation, any and all of Disclosing party's
teohnlcal and anon-technical int`ormatioan Inoluding bvs1ness plants and businoss
inodols, patent, copyright, trade seerot, and proprietary information,
teoluilques, skotches, drawings, models, Inventions, know-how, processes,
apparatus} equipment, algorlO ns, software programs, softwaro source
documontsf source code and formulae related to the ouxront, future and
proposed products and sorviocs of Disclosing party, and inoludes, Without
limitation, Disolosing party's respective information concerning resenob,
experimental work, dovelopmont, design details and speolfications,
eangineoaring, ianmicial infomartion, procurement requiremen% PIWO acing,
manufacturing, customer lists, business forecasts, sales and rnerohandlsing,
and marketing plans and i 'ormation,
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625359 v.I (Compass Progran So vices Agreenmit)
Master A Agreement—City of Fort Worth and Compass, N.A Page 11 of 81
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5:2 Non Is l u e_ and I onto$ QLbligat" n, Compass or Client} as reel' lent of
Confldential Information from Disolosing Party (as appropriate, `Reoeivin
P ) agrees that it will not Faso, diNsominate, or in wiy way dls3loso any
Confidential Information to any person, firm or business, except to the extent
accessary for internal evaluations In cotmoodon witli negotiations,
disousslon% coansultations with personnel or authorized represontatives of
Disclosing Party relating to apossiblo oollaboration with the o ther,as required
by law, and for any other purpose Disclosing Party may hereMer authorize In
writing, Furthermore,except as required by law,the existence of any business
nogotiations, discussions,consultations or agreements In�rogross between the
parties shall not be released to any form of public media without written
approval of both putlesl Receiving Patty agrees to trout all Confidontlal
Mformation wi0i the same degree of care as Receiving PuV accords its own
confidontial information,but in no ease loss than ronsonable oaro. Reoelving
Party shall disclose Confldontial Information only to Recelving party's
employees or other persons who need to know suoh infomation, and only if
suoh reolpient omployees or other persons have pmvlausly agreed, In order to
obtain the Confidential Information, to be bound by terms and conditions
substantially similm', to those torms and conditions applicablo to Recclving
l?a-rty u.ndor this Agreement} Receiving Party shall Immediatoly give nofice to
DIsal osins Party of any tmauthorized use or disclosure of Confldonti al
Information,
53&dvsi— ly, Compass Is providing a unique capability in assessing the
quality, service and Vio Cost of flolenoy of the physloia.ns, hospitals, and othor
network providers, As Compass shares Confidential Information with Client,
Client agrees not to utilize this information dig:ootly or Oirough a turd party to
ciroumvent the dircct oommunloation or relaflonship that is being created
and/or managed without tho involvernont and/or representation of Compass,
5,4 9xvluslLn nondlsclo ure d � oar a ab1l atlo s, The obligations of
Recolving Pauly under Seotion 5,2 shall not apply to such Confidential
Motmation that Deceiving Party van document: (A)was in the public domain
at the time suoh Confidential Information was cQir -unicated to Recelving
Party by Disolosing Twty through no fault of Reociving Party, (B) was
rightftally in Receiving Party's possession free of any obligation of confidence
as shown by Receiving Party's files and records at the Brno such Con#ldcntial
information was communicated to RocolvIng Party by Disolosing Party, (C)
was developed by employees or agents of Recelving Party Independently of
axed wifout roferenco to any Confidontial Information coimnunicated to
Receiving Party by Disclosing Party, as shown by doouments and other
oompetent ovidenoe hi Receiving Pm y's possession, or(D) at or prior to the
time suoh Confidential Information was disclosed to Reoalving Party, had
been communicated by DIsclosing Party to an undiluted third piety flee of
any obligation of confidence} A disclosure by Receiving Party of Confidential
Information (A) In response to a valid order by a court or other governmental
x25359 V}1 (Cempm Program Sorviees Agreoiii t)
Master A Agreement—City of Fort Worth and Compass, N.A Page 12 of 81
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body, (B) as otherwise required by lave, or (C) as nocossaxy to establish tbo
rights of Recolving Pw1y iwdor this Agreement shall not be considered to be,a
broaoh of this Agroomeant by Receiving,party or a waiver of coi dentiality for
any other purposes} provide, however, Receiving Party shall provide prompt
prior written notice thereof to Disolosing party to enable Disclosing party to
seek a protective order or otherwise prevent such disolosuzo. 119s exoluslon
provision, however, shall not be interpreted as boing In derogation of the
parties} obligations set forth in the last sentence of Section 5}2 above,
55 own rshl .e of of tdontial Info 'o oth r Materlals, All
Confidential Information shall remain the property of Disclosing party,and no
llconso or other rights to such Confidential Info ation is granted or implied
hereby, All inatorlals (Including, without limitation, doownents, drawings,
models, apparatus, sketches, designs, lists and all other tangible media of
expression) furnished by Disclosing patty to Recolving party and wNch arc
designated In wrlting to be tbo property of Disclosing Peaty shall remain the
property of Disolosing Marty, At Disolosing Party requost and no later tlian
five (5) days after suoh request, Receiving party shall promptly destroy or
deliver to Disclosing party, at Discicshig Party's option, (A) all amatorials
furnished to Receiving party by Disclosing Warty, (B) all tangible media of
oxpwssion in Receiving paM"s possession or control to the extent that sucb
tangiblo media inaorporatc any of Disolosing party's Confidential
Information, and (C) written certlflcation of Receiving party's obligations
under this sontenoe.
5,6 information. Noither party shall commWcate any
I nfoxmation to the other ire vlolatlon of the proprietary rights of any third
paqi
53! J.`i on" of lei tation. Nub of the parties agree+s that, during the. term of this
Agrooment and for a p erlod of one (1) year after tlie latter of its termination,
expiration, or tiro completion of all services hereunder, It will not, direotly or
indirectly, alone or as a consultant, partner, officer, director, employoc,,point
venturer, lendor, qr stookholder of any entity; solicit or otherwise seek to
Induce any employee, agent or representative of the oOier.pa' to terminate,
suoh porson's position as an oamployee, agent, or xoprosentative, or (2) hire,
attempt to hire or knowingly permit any company or business organization In
which It is omployed, engaged or which it Is directly or indirootly controlled
by, or under common control with, to employ, any person who currently is or
within the Immediately-preceding six (6) months was an omployee, agent,
ropxesentative, or consultant of the other paw, or in any inatmear seek to
solicit or induco any such person to leavo his or hor employment with the
subject party, or assist in the reerultment or hIrlang of any suoh person, A
pffl-ty's gQneral solicitation of employees (through, for example
advertisements In nowspapers, magazines or trade jotitnals) will not be a
violation of this provision nor will a party's ,tiring an employee of the other
s
625359 v.l(Conipass Ncgram sarvloes Agroo moat)
Master Agreement—City of Fort forth and Compass, N.A Page 13 of 81
e
r
puty who responds to such a general solicitation bo a violation of this
Provision,
5.8 Conffdonfial Information of Client, The partles reco ize that t110 Plan is a
Hcovorod onfity" and Compass a "business!' associate" undor the Health
insurance Portability and Accountability Aot of 1996 and tiro roguladons
promulgated thereunder, and agree to bo bound by the provisions of the
hUsineg ssgto Addc um attached hereto.
6, Re ortin r Compass will pxovide Client,with its standard utilization reports, on a
quwlerly basis,
79 INDEMNIFI ATE N,
7.l COMPASS SHALL INDIMNIFY)DEPEND AND HOLD UMMLESS THE CLIENT,ITS
OFFXC�ASI EMPLOYEES;DJRECXORS!AFFILIATED COMPANIES AND AGENTS)FROM
AND AGAINST ANY AND ALL THIRD PARTY CLMMS, ACTIONS7 DBMANDS AND
LAWSUITS (TOGETHER c 8") AND ALL RESULTING COSTS) LIABILITIES)
DAI [ACAS AND EXPENSES INCLUDING REASONABLE ATTORNEW FEES
(ToGj&THE,it"DaiLITIE ")AWSIIYGr OUT OPt
X. COMPASS'S DREACH or, ANY MATERIAL TERM DH PROVISION OF
THIS AGnEMENT3 Olt VIOLATION OF ANY IMPIMSENTATION7
WARWTY Olt COVENANT IN THIS AGIEEMENT;DR
11, COMPASS'S GROSS NEGLIGENCE OR WILLI?UL MISCONDUCTI
792 COMPASS SHALL PURTHERINDEMNIFVI 30PEND AND HOLD HARMLESS CLIENT)
ITS OFFICERS, EWPLOYIS"f DIRECTOASr AIMILIATED COMPANIES AND ITS
AGENTS FROM AND AGAINST CLADS BROUGHT AGAINST CLIRNT BASED ON TI L,
SEBVXCES PROVIDED DY COMPASSO
7,3 CLIENT SHALL GIVE COMPASS PROMPT w 'I`R`AN NOTICE OR ANY CLAD
COVERED BY THIS SECTION AND PROVIDE REASONABLE ASSISTANCE AND
COOPERATION (AT THL INDEMNIFIED PARTY'$:EXPENSE), COMPASS SHALL
HAVE THE MCIIT,-AND OR DUTY TO ASSUME THE CONTROL OF THE AEMM'O
TH101RE,OF WITH COUNSEL IWASONABLY ACCEPTABLE To THE INDMNIFIED
PAItTY, CLIENT MAY TAJE PART IN ITS )MJDi NSE AT ITS OWN EXPENSE A KER
THE INDEMNIFYING PARTY ASSUMES THE CONTROL THEn,OFF
81 No Assiizmgnt, Except its the ease of are aQgWsition, morger3 or sale of
substantially all of the assets of a Pat%noitlier Party will assign or trmsfer any rights or
obligations under, this Agreement w1thoiA tho prior written consent of the other Paxtyr
Au'oh consent shall not bo measonably withheld.
91 No Any notlees required or Immitted by dais Agreement shall be in wrat1119
and shall be delivered as follows, with notico dumed glvcn as indioated, (A)by personal
6
625359 v.,I(Composs Progrmn Servicos Agrownwit)
Master Agreement—City of Fort Wor h and Compass, N.A Page 14 of 81
delivery, when delivered personally, (B) by overnight courier, Upon written verifzcatxon
of roccipt; (C) by tolecopy of faosimile transmission, upon aoknowledgement of reoelpt
of electronic transmission; or(D) by caili#led or registered rnA, retium receipt requested,
upon veri#leation of receipt, Notica shall be sent to the addresses set forth below or to
such other address os either party may specify In writing,
10. Governinja Law and Voanue, This Agreement shall be governed In all respeots by
Texas law. The parties Hereby consent to the exclusive jinisdiction of tho state and
f`odcral courts located within Collin County, Texas with respect to disputes arising
hoxou.nd or,
11.
&verabilM, If a provision of this Agreement is held b a court of law to be
any � �
illegal, invalid or unenforceable, (A) that provision shall be doorncd mended to aoWeve
as nearly ns possible OIQ same economic offect as the orlglnal provision, and (B) tlae
legality, validity and enfomeabllity of dro remaining provisions of the Agreement shall
not be affected of impaired thereby.
12. iverr Amendment, Modification, No term or provision hereof will be
considered waived by offlwy pwty, and no breach excused by either ply, unless such
waiver or excuse Is In writing signed by Oxc party against whom such waiver or exome,is
asserted. The waiver by either party of, or consort of dither ply to, a breaolr of any
provision of this Agreement by the other party shall not operate or be construed as a
waiver of, consent to, or o=cure of any outer or subsequent breaeh by the other party.
This Agreement may be amended or modified only by a writing si8nod by an authotized
representative of each of the parties.
136 n' efive belief& Sea he Performance, A breach by either p" of any of the,
promises or agreements contained herein will result in irmparable and continuing damage
to the other party for which there will be no adequate remedy at law, and in the event of
suoh breach, such other party shall be entitled to seek Ia'unotive relief and/or a decree for
speolfic Performance, as well as such other xel ief as may be proper (includhig rnonetaq
damages if appropriate).
14, No Implied Ligpm, Compass hereby wservos all rights in and to its Confidontial
Information, and nothing herein shall be construed as granting tho recl�ient of
r
Confidential Information disclosed hereunder any license, expross or Implied, under any
of Compass's patents, copyrights,trademarks or trade secrets,
Re i n Au of the Par i s This Agr{eemont duos trot, nor is R intonded to, create
a relationship of joint venturo, principal and agent or partaersWp between the padiesl
The relationship between the Pmlios is and shall be that of an Indopondent contraotor;
Nothing In this Agreement shall creato or be. construed to create the relationship of
employer and employee. Bach party aoknowled gcs that It shall have no authority to
obligate or bind the othor party In any way.
7
625359 v,I (CDMPHSS PfegrW11�orvleos Agrooment)
Master Agreement--City of Fort Worth and Compass, N.
A Page 15 of 81
16, F re eur$, Neither, patty hereto shall have any liability for delay or non,
fulfillment of any terms of this Agreement caused by any oause not within such NAY'S
treasonable control (but exoluding finanolal inability) saoh as an not of(hod, war, riots or
clvil disturbance, strikes, accident, fire, transportation condlftons, labor and/or matorlal
shortages, govermnental controls,regulations;and pormits and/or einbargoes,
17. Entire AQrcemerrl. This Agroemont constitutes the entire agreemoait with respect
to the subjcot matter hereof and supersedes all prior or contemporaneous oral or written
agreements cm on ng such matters.
181 Counter. ns+ta, This Agreement may be excoutc�l In two or more cowiterparts, each
of which will be deemed an original, but all of which together will constitute one and the
same instrument,
1 9, p (ion � ',. ,ds, Rinds are not presently budgeted for Client's
performance under this Agreoment beyond tlxe end of the Cliont's 2013-2014 fiscal yeart
Client will give Compass sixty clays (d0)notice if Ends for Client's performance are not
budgctcd to continue beyond that thrte. Client shall have no liabillty for payment of any
money for set-vkos porformed after the and of Client's 2013-2014 fiscal year iuAess and
until suoh fands are budgoted,
[REAMINDER Or THIS PAGE LR ETINTENTIOX,4LLY BLANK]
62S359 v,1(C4nippss Program 8ervicas Agropnwnt)
Master Agreement—City of Fort Worth and Compass, N.A Page 15 of 81
T
HEREO the aitles 11OYOtQ have caused this ,� re �r�en t� b�
'
IN WITNESS duly mit orIzed Te roselatatives, all as of tlio date first set forth above,
Compassi��eei�ted h�their � �
Life,�ceul»t, LLC-AM C�tr��ass � �
of Frisco
t �Health Services 6101 Frjso� Square Blvd,
pre#'oss v r��
01 Pros-ton Road,Suite 816 `xis ,�' 75034
Dallas)TX 75240
B y, By'
4k
a#e; ay .
it --
f Printed N e, George,P urefoy
Printed Name} David W, Toomey
Title., Aresident Compass CCR Tft1e; CRY mfulagor
625359 V,I(compass Progmm SoMaes Agnew ont)
Page 17 of 81
hAnefa �r
r Arnamanf_rifki of Pnrf Wnrfh and C..mmna(z- N A
r
1
)01 XHIMIT-A
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1�
625359 v,I (Compa$s-Fropm Servicos Agreumant)
Master Agreement—City of Fort Worth and Compass, N.A Page 18 of 81
Q_, ENERALMEORMATION
CITY OF FRISCO, TEXAS
COMPETITIVE SEALED PROPOSAL NO. 1303mO36
Health Care Consultant for Transparent Pricing and Quality
metrics
prNNry�y,►N/yfN�+�l►�I I�r�hl A/hrh/NI'+1 NIV�►rilnlNl�llV rrll+yll�!!`V►tiIJ'1►hII�►a'IRl f+�►r'YNN N'v�ll►/MPVrVNlV AlN/V I11CM ryr►Ie'VAlNI'�ll'h!
DOCVMENTS ARE DUE TO THE OFFICE OF THE DIRECTOR OF
ADMINISTRATIVE SERVICES PRIO R TO:
311512013@ 2CST
NO LATE PROPOSALS WILL BE ACCEPTED
CD OR FLASHDRIVE AND THREE BARD COPIES REQUIRED
�I hlrr,/Iy�/ta7Nlhf�rp+,llyty�►�1 r►►►vr'NI'wNNN�+I►VA►A►Ai III'YI V+VNNr 111�M�'Y�VI MM/�I1V/ti IMNA+l'*r MArwr►+h►►wlTtilNl+fl'1�r'VA►I�f►��l
DOCUMMTS
MAY LIVEMh-D OR
F
CITY OF FRISCO
TOM JOHNSTON, DIRECTOR
OF ADMINISTRATIVE
SERVICES
6101 Frisco Square Blvd,
FRISCO, Tx 76034
Deadline for SUbMittal
gas tions
_
316/2013 5Irri CST
Send to
Pu rchas I ncj@,fr1scotexas.g nv
FOR ADDITIONAL INFORMATION CONCERNING THIS PROPOSAL PLEASE
CONTACT:
Director of Adinfin'strative Services Buyer
'stetlatei In tiscofexas,
972 292 5540 972 292 5541
Page i of 26
Master Agreement—City of Fort Worth and Compass, N.A Page 19 of 81
g Y p
P R O O RASS � MOTION CITY FRISCO
COMPETITIVE SEALED PROPOSAL NUMBER
1303mO35
RFP for Health Care Consultant for Transparent Pricing and
Quality Metrics
BIDDER MUST SUBMIT ORIGINAL PROPOSAL ON A CD OR FLASHERIVE KUS THREE
HARD]$COPIES"TO FACILITATE EVALUATION. IF THE HARD "COPIES"ARE NOT
SUEMITT5D WITO THE ORIGINAi CD OR PLAVIDRiVE}YOUR PROPOSAL MAY EE
CONSIDERED AS "NON„RESPONSIVE TO SPECIFICATION$”AND MAY NOT BE
CONSIDERED FOR FURTHER EVALUATION,
The City of Frisco (the "City") Is accepting Competitive Sealed PROPOSALS for Health Care
Consultant for Transparent Pricing and Quality Metrics
It Is the pollcy of the City to involve small businesses and qualifled m1noritylwornan owned
bu8inesses to the greatest extent possible In the proourement of goods, equipment, services,
and oonstruction projeots,
Proposal m test he received by 011 6/2013 at 2:00 ISM CST BY THE DIRECTOR of
ADMINISTRATIVE SERVICES'S OFFICE. NO PROPOSAL E ACCEPTED AF�'ER
THAT GATE AND TIDE. ALL PROPOSALS RECEIVED FTER THIS DATE AND TIME WILL
EE CONSIDERED UNRESPONSi1LEr
Pre osals will be Lublicly o enod and road of flie..F r is co Olt Mali located at 6101 Frisco
S care Elvd. Frlsoo Texas 76004 on 3/16/2013 at 2;06 PKCST,
W, the competitive seared proposal number 1303-036, nam of proposals, RFP for Hoalth
-tire Consultant for Transparent Prioing and Quallty Metrios al e ld the name of yo��r organization
on the outer envelope.
Proposals are to be submitted In aocordance with the attached City speolficatlons and the
"General Conditions of Bidding" attached hereto. Each bidder Is required to fill in every blank;
failure to do so may be used as a basis for rejection of a proposals, The City reserves the right
to rejeot any or all proposals, to waive formalltles, or to proceed otherwise when in the best
Interest of the city.
The Initial term of this contract will be for three(8)years, The City will have the right and option
to extend the term of the contract for three (3) additional ono (1) year periods upon the same
rl'aga 2 of 25
Master Agreement—City of Fort Worth and Compass, N.A Page 20 of 81
terms and oondltlons. The City will also have the right and option to terminate the contract
upon thirty(30) days written notice,
SEE ATTAOHED SPECIPICATIONSIPROPOSAL FORM
-'he sucoessful bidder may be required to exeoute a written contract.
GENERAL CONDITIONS of BIDDING
11 INSTRUCTIONS: These Instructions apply to all bids/proposals and beoorne a part of
the terms and oondltlons of any bldlproposal submitted and any agreement entered Into
subsequent thereto, unless exception Is taken In writing by bldder when submitting bid.,
BIDDING
2, FORM: Bidders must submit an origin on a CD or riashdrive and hree 3 hard
co Ies of the sealed b dlwritten uote/ ra osaj to the Director of Administrat ve Services
Prior-to res onse due dateltlme. Callure to submit the additional harm co les may resin
it the bid beln declared unresponsive to s eclfloatlon and rnav not be further
evaluated,
3. PRICING r Price{s} quoted must be held firm for a mini,'nurn of ninety(g0) days from the
date of bid olosing. In the case of estimated requirement contract bid, the prices must
remain firm for the period as specified In the bid. Discount from list" blds are not
acceptable unless specifically requested In the We
4. QUANTITIES: In the ease of estimated requirements contract bid, quantitles appearing
are estimated as realistically as possible, However, the City reserves the right to
Increase, decrease or delete any Item or Items of material to be furnished while
continuing to pay the price quoted on this bid regardless of quantity. The successful
bidder shall have no claim against the City for anticipated profits for the quantitles called
for, dlintnished, or deleted.
54 ERROR-QUANTITY'. Blds must be submitted on units of quantity specified, extended,
and show total, In the event of disorepanoles In extension, the unit prices shali govern.
_ i r
51 KO,R IDAMAGE; Quotatlons shall be bid F.03,._,;delivered to the designated Municipal
Facility, Frisco, Texas and shall Include all delivery and packaging costs. The City
assumes no Ilabllity for goods delivered In damaged or unacoeptable conditiond The
sirocessful bidder shall handle all oialme; with carriers, and In ease of damaged goods,
shall ship replacement goods Immediately upon notifloatlon by the 01ty,
7, DELIVERY PROMISE-PNNALTIES: Bids MUST show the number of calendar days
required to place the rnaterlal In the possession of the City. Do not quote shipping dates,
When delivery delay can be foreseen, the 'bidder shall give prior written notice to the
City, who shall have the right, In Its sole discrotfon, to extond the delivery date If reasons
for delay appear acceptable. DefaLrit In promised delivery, without acceptable reasons,
Page 3 of 26
Master Agreement—City of Fort Worth and Compass, N.A Page 21 of 81
or faliure to meet specifications, authorizes the City to purchase the goods elsewhere,
and oharge any increase In oast and handling to the defaulting bidder,
BIDDER SHALL PROVIDE: With this bid response, the bidder shall provide all
documentation rewired, Failure to provide this Information may result in rejection of bid.
9. AL.TERINOlwITHDRAWAL OF BIDS: Bids cannot be altered or amended after
submission deadline. The signer of the bid, guaranteeing authentlolty, must initial any
Interlineations alteration, or erasure made before opening time, No bid may be
withdrawn after opening time without first submitting a written reason to the Director of
Administrative$ervlces and obtaining the Director of Administrative Services's approval,
10, PRESENTATION OF BIOS: No oral, teiegraphlo, telephonic, e-mailed, or facsimile bids
will be considered at this time,All bids must be submitted in a sealed envelope,
III CORRESPONDENCE: This bid number must appear on ALL correspondence,
Inquirles, bid Submittal documents, etc, pertaining to this Invitation for Bid.
12. ADDENDA: Any interpretations, correoticns or changes to this Invitation for Bid and
specifications wlll bo made by addenda, Sole Issuing authority of addenda small be
vested In the City of Frisco Purchasing Division, An attempt will be made to nail, fax, or
e-mall any addenda to all who are known to have received a copy of this Invitation for
Bid. Bidders shall acknowledge receipt of all addenda In the designated area on the bid
dootrrrient, It Is the responsibility of the bidder to ensure receipt of all addenda and to
Inolude the changes in this bid dooument.
13, LATE BIDS: Bids reoelved by the City after submission deadline shall be returned
unopened and will be considered void and unacceptable. The Clty is not responsible for
lateness of rail, carrier, etc,
14, BID OPENINGS: All bids submitted will be read at the City's regularly scheduled bid
opening for the designated project, However the reading of a bid at bld opening should
not be construed as a comment on the responsiveness of such bid or as any Indlcatlon
that the City accopts such bid as responsive.
The City will make a determination as to the re�ponslveness of bids submitted based
upon compliance with all applicable laws, City of Frisco Purchasing Guidelines, and
projeot documents, Includfng but not limited to the projeot specifications and contract
documents, The City will notify the successful bidder upon award of the contract and
acoording to state law; all olds received will be available for inspection at that time,
unless otherwise provided by law,
16, DID TABULATION: bidders desiring a copy of the bid tabulation may request It by
enclosing a self-addressed stamped envelope with bid. E31D RESULTS WILL NOT BE
GIVEN BY TELEPHONE, You oan also download a copy on our website,
A�MJrIgqpJexas.gov/blds, If you have any questlons, please contact the City of Frisco,
Purchasing Division, at urohasin frlsoote as. av .
Page of 26
M,ister Agreement—City of Fort Worth and Compass. N.A Page 22 of 81
�. PROTESTS; All protests regarding the bid solicitation process gust be submitted In
writing to the City within five (6) working days following the opening of bids. This
Includes all protests relating to advertising of bid notices, deadlines, bid opening, and all
other related procedures under the Local Government Code, as well as any protests
relating to alleged Improprieties or ambiguities In the speolfloatlons,
This limitation does not Include protests relating to staff recommendations as to award
of this bid, Protests relating to staff recommendations may be directed to the City
Manager within in five (6) days of the staff recommendatlon merno. Unless otherwise
provided by law, all staff recommendations will be made available for public review prior
to consideration by the City Council.
q 7, Bit) AWARD: The City reserves the right to award a separate contract to separate
bidders for each item/group or to award one oontraot for the entire bid, Unless stipulated
in the attaohed bid speolficatlons, the contraot will be awarded to the lowest responsibio
bidder or to the bidder who provides the goods or servioes specified herein at the best
value for the 0Ity in complinnoe with Texas Local Government Code, Seotion 252,043.
18, CHANGE ORDERS: No oral statement of any person shall modify or otherwise change,
or affeot the terms, oonditions or speolfica#lons stated In the resulting contract. All
ohange orders to the contract will be made In writing by the City,
PNIRFORMANCE
19, MINIMUM STANDARDS FOR RESPONSIBLE PROSPECTIVE BIDDERS: A
prospective bidder must affirmatively demonstrate bidder's responsibility, A prospective
bidder must meat the following requirements:
A, Have adequate flnanclai resources or the ability to obtain such resources as required;
B. Be able to comply with the required or proposed delivery schedule;
C. Have a satisfaotory reoord of performance;
D, Have a satisfactory record of Integrity and ethics; and
E. Be otherwise qualified and eligible, as deternilned by the City, to recelva are award,
The Clty may request representation and other Informatlon sufficient to determino
bidder's ability to meet those mInImum standards listed above.
20. ASSIGNMENT: The successful bidder'-shall not soli, assign, transfer or convey this
contraot In whole or in part, without the prior written consent of the City,
21. SPECIFICATION-SAMPLES: Any oatalog, brand name, or manufacturer's referenco
used is considered to be descriptive, not restrictive, and is lndioative of the type and
quality the City desires to purohase, Bids on brands of like nature and quality may be
considered unless specifically excluded. If bidding on other than reference, bld must
certify article offered Is equivalent to speolf;cations and it Is subjeot to approval by the
using department and the Purchasing Division, Samples, if required, shall be furnished
free of expense to the City, SAMPLES SHOULD NOT BE ENCLOSED WITH F31D
UNLESS REQUESTED.
P8ge 6 0f26
W and KA Page 23 of 81
Master Agreement Worth Compass City of Fort p ,
f
fl
220 TESTING: An agent so designated, by the City, without expense to the City, may
perform testing at the request of the City or any participating entity,
23. PACKAGING; Unless otherwise Indicated, items will be new, unused, and In first class
oondltlon In containers suitable for damage-free shipment and storage.
24. DELIVERY: Deliveries will be acceptable only during normal working hours at the
designated City Munlolpal Facility. The place of delivery shall be set forth In the
purchase order.The terms of this agreement are"no arrival, no sale",
26, TITLE AND RISK OF LOSS: The title and risk of loss of goods shall not pass to the City
until the City actually receives and tapes possession of the goods at the polnt(s) of
dellvery.
20, PATENT RIGHTS: The Bidder agrees to Indemnify and hold the City harmless from any
claim Involving patent right Infringement or oopyrlghts on goods supplied,
PURCHASE ORDERS AND PAYMENT
27, PURCHASE ORDERS: A purchase order{s} shall be generated by the City Director of
Administrative Services to the successful bidder, The purohase order number must
appear on all Itemized invoices and packing slips. The City will not be hold responsible
for any work orders placed and/or performed without a valid current purchase order
number: Payment will be made for all services rendered and accepted by the contract
administrator for which a valid Invoice has been reoelvedz
23. BID SECURITYI130ND REQUIREMENTS: If required, bid security shall be submitted
with bids, Any bld submitted wlthOLA bid bond, or oashlerslcertifled check, shall be
considered non-responsive and will not be considered for award. Performance and/or
payment bonds, when required, shall be submitted to the City, prior to commenoement
of any work pursuant to the agreement provisions,
29. FUNDING: The City Is a home-rule municipal corporation operated and funded on an
October I to September 30 basis, accordingly, the City reserves the right to terminate,
without liability to the City, any contract for which funding. Is not available,
30. TAXES: The City is exempt from Federal Manufacturer's Excise, and State sales taxes:
-- TAX MUST NOT BE INGLUDED IN ,BID PRICING. Tax exemption certifioates will be •:
executed by the city and furnished upon re(luest by the Finance DivIslon,
31, PAYMENT TERMS. Payment terms are Net 30 unless otherwise specified by the City In
this document. Prompt payment dlsoounts may be used by the Clty In determining the
lowest responsible bidden
32. INVOICES: Invoices must be submitted by the successful bidder to the City of FrEsco,
Finance {division, ace untsLaableCcOrIscotexas,gov
CONTRACT
Page 6 of 28
Master Agreement—City of Fort Worth and Compass, N.A Page 24 of 81
g Y
CONTRACT PERIODIRENEWAL OPTIONS: In the case of an annual contract bids the
contract shall be for a predetermined period as specified In the Invitation for Bids, If a
olause for option to renew for additional perlod(s) Is (are) Inoluded, renewal(s) will be
based solely upon the option and written agreement between both the City and the
Contractor. Either party dissenting will terminate the contract In accordance with its Initlat
specified term.
34. INTERLOCAL AGREEMENT: Sucoessful bidder agrees to extend prices to all entities
that have entered into or will eater into joint purchasing Interiocal Cooperation
Agreements with the City. The City Is a participating member of the 00111n County
Governmental Purohasing Foruin (the ,rorum"), As suoh, the City has exeouted
Interlooal Agreements, as permitted under Seotlon 791,026 of the Texas Government
Code with certain other governmental entities In Gallln County authorizing participation
In a cooperative purchasing program. The suocessful bidder may be asked to provide
products/services, based upon bid price, to any other participant In the Forum.
36, AUDIT: The City reserves the right to audit the records and performance of suocessful
bidder during the term of the contract and for three (3)years thereafter,
36, SUGCESSFU(. BIDDF-R SHALL: Defend, Indemnify and save harmless the City and all
Its officers, agents and employes and all entities, their officers, agents and employees
who are partlolpating in this contract from all suits, actions or other claims of any
charaoter, name and desorlption brought for or on account of any Injuries, including
death, or damages received or sustained by any person, persons, or property on
account of any negligent act or fault of the successful bidder, or of any agent, officer,
director, representative, employee, suboontraotor or supplier In the execution of, or
performance under, any contract which may result from bid award. Successful bidder
shall pay any judgment with cost which rrlay be obtained against the City and
participating entitles growing out of such Injury or damages.
37, TERMINATION FOR DEFAULT: The 01ty reserves the right to enforce the performance
of this contract In any manner presoribed by law or deemed to be In the best Interest of
the City In the event of breach or default of this contract. The City reserves the right to
terminate the contract Immediately In the event the sucoess€ul bidder falls to: (1) meet
delivery sohedulesr or (2) otherwise performs In accordance with these specifications.
Breaoh of contract or default authorizes the City to, among,other things, award to
another bidder, purchase elsewhQre and charge the full Increase In oast and handling to
the defaulting successful bidden
38, ACCEPTABILITY: All articles enumerated in the bid shall be subject to Inspection by a
City officer or ornployee designated for the purpose. If found Inferior to the quality called
for, or not equal in valt1e to the specifloationst deficient in workmanship or otherwise,
this fact shall be oertifled to the Director of Administrative Services who shall have the
right to rejeot the whole or any part of the same, Work determined to be contrary to
speo"floations must be replaced by the bidder and at Its expense, All disputes
concerning quality of supplies u(1117-ed In the performance of this bid will be determined
solely by the Oily Diroctor of AdmInlstrative Servlces or dostcgnated representotivel,
Pag o 7 of 2.6
Compass N.A Page 25 of 81
Master Agreement—pity of Fort forth and Com p ,
3$, REM DIES: The suocessful bidder and the City agree that each party has all rights,
duties, and remedies available as stated in the Uniform Commercial Code and any other
available remedy,whether In law or equity.
40, VENUE: This oontraot will be governed and construed according to the laws of the
State of Texas. This oontraot is performable In Coilln County, Texas.
41, SILENCE OF SPECIFICATION: The apparent silence of these speolfloations as to any
detail or to the apparent omisslon from It of a detailed desorlption concerning any point
shall be regarded as meaning that only the best commerolal prao€ices are to prevail, All
Interpretations of these speclfications shall be made or, the basis of this statement.
42, NO PROHIBITED INTEREST: The bidder acknowledges and represents they ar'e aware
of the laws and City Charter regarding conflicts of interest, The City Charter states In
part that "No officer, whether elected or appointed, or any employee,whether full or part
time, of the City small have a substantial financial Interest, direct or Indirect, in any
oontraot, other than employment contracts, with the City; or have a substantial financial
Interest, direct or indirect In the sale to the City of any land, materials, supplies or
services, "
42, FORCE MAJ URE. If, by reason of Force Majeure, either party hereto shall be
rendered unable wholly or In part to carry out Its obligations under this contract, then
such party shell g Ive notice and full particulars of such Force Majeu re in writing to the
other party within a reasonable time after ocourrenoe of the event or cause relied upon,
and the obligation of the party giving suoh notloe, so far as It is affeoted by such Force
Majeure, shall be suspended during the continuance of the Inability then claimed, exoept
as hereinafter provided, but for no longer period, and such party shall endeavor to
remove or overcome such inability with all reasonable dispatch. The term Force
Majeure as employed herein, shall mean acts of God, strikes, lockouts, or other
Industrial disturbances, act of public enemy, orders of any kind of government of the
United States or the State of Texas or any civil or military authority, Insurrections, riots,
epldemlos, landslides, lightning, earthquake, fires, hurricanes, storms, floods, washoLlts,
droughts, arrests, restraint of government and people, oivil disturbances, explosions,
breakage or accidents to ,machinery, pipelines, or oanals, or other causes not
reasonable within the control of the party claiming such Inability, It Is understood and
agreed that the settlement of strikes and lookouts shall be .entirely within the discretion
of the party having the dlffloulty, and that the above requirement that any Force Majoure .
shall be remedied with all roasonable dispatch snail not require the settlement of strikes
and lookouts by acceding to the demands of the opposing party or parties when suoh
settlement Is unfavorable In the judgment of the party having the difficulty,
43, DISCLOSURE OF CERTAIN RUATICNSHIPS
Effective January 1, 2000, Chapter 170 of the Texas Local Governmont Cade requires
that any vendor or person considering doing business with a local government entity
dlsolose In the Questionnaire Form 01Q, tho vendor or person's affillatlon or business
relationship that might cause a oonfllot of interest with a local government entity. By
law, this questionnaire must be filed with the reoords administrator of the City of Frlsoo
not later than the 7th business day after the date the person becomes aware of feats
that require the statei-nent to be filed, See Section 176.000, Looal Government Code,A
Page 8 of 26
Master A Page 26 of 81
ast r greement City of Fort Worth and Compass, N.A
a
arson oommlts an offense If the person violates Section 176,000, Local Government
p
Code. An offense ender this section a Class C misdemeanor, Cho p ter 176 and tho
uestionnalre may be found at www,fri$ootexas.gov. By submitting a response to this
request, vendor represents that It Is In oornpllanoe wi th the ra qulrerrients of Chapter 176
of the Texas Looal Government Code.
f
L. 1.
Page 9 of 26
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Master Agreement—City of Fort Worth and Compass, NA Page 27 of 81
'1
CITY of FRISCO CONTRACTOR INSURANCE REQUIREMENTS
Contractors providing good, materials and services for tho City of Frisco shall,
during the terra of the contract with the City or any renewal or extension thereof, provide
and maintain the types and amounts of Insurance set forth herein. All Insurance and
certificates) of Insurance shall contain the following provisions:
I, Name the City, Its officers, agents, representatives, and employees as
additional Insureds as to all applicable ooverage with the exception of
workers compensation insurance,
2, Provide for at least thirty (3o) days prior written notice to the City for
cancellation, non-renewal, or material change of the Insurance,
3. Provide for a walvet,of subrogation against the City for Injuries, including
death, property damage, or any other loss to the oxtent the same is covered
by the proceeds of InMlrance,
lnsul"a nce Com a n Ltalif loation: All insurance oompa n ies providing the required
Insurance shall be authorized to transact business In Texas and rated at least "A" by
AM Best oil other equivalent rating service
Certificate of insurance: A certificate of insurance evidencing the required insurance
shall be submitted with the contractor's bid or response to proposal, If the contraot Is
reneged or extended by the City a certificate of Insurance shall also be provided to the
City prior to the date the contract Is reneged or extended,
,Ty e of Contraot Tyr)e and,amount of Insurance
8peoial Events General Liability insurance for personal injury
(including death) and property damage with a
minir LIM of$1 Million Dollars per occurrence
and $2 Million Dollars aggregate, Including
coverage for advertising Injury and products
coverage
Statutory Workers compensation Insurance as
required by state law
(It the contractor serves alcoholic beverages)
Liquor Liability with a minimum of$1 Million
Dollars per ocourrence and $2 Million
Aggregate.
(if high risk or dangerous activities) Umbrella
Coverage or Liability Excess Coverage of$ 2
Million Dollars
Pap 10 of 2-5
Pa e28of81
Master Agreement--City of Fort Worth and Compass, N.A g �
i
(If automobile or llrnoLIsine service is Involved
even If volunteers)
Automobile Liability with a minimum of$1
Million Dollars combined single limit,
P«bllo Works and Construction General liability insurance for personal Injury
(including death) and property damage with a
minimum of$1 Milllon Dollars per occurrence
and $2 Million Dollars aggregate, inclUdIng
advertising injury, produets oovorage and
(XQU) Exploslon, collapse and underground (If
high risk or dangerous activities) Umbrella
Coverage or Excess Liability Coverage of$2
Million Dollars statutory Workers
compensation Insurance as MgUired by state
law
Professional Services Professional Llabliity insurance with a
MInIMLIM of$1 Million Dollars per occurrence
and $2 Million Dollars aggregate.
(if size or scope of project warrant)
Umbrella Coverage or Excess Liabliity
Coverage of$2 Million Dollars
Page I I of 25
Master Agreement City of Fort worth and Compass, N.A Page 29 of 81
upplome tal Information
Texas Government Code Seotion 2262,002 Nonwres ldent bidders, A g ovorm4nental entity may
not award a governmental contract to a nonresident bidder unless the nonresident underbids
the lowest bid submitted by a responsible resident bidder by an amount that Is not less than the
arnvunt by which a resident bidder would be required to underbid the nonresident bidder to
obtain a comparable oontract In the state In whloh the nonresident's principal place of business
Is located,
In order to make this determination, please answer the following questions;
I. Address and phone number of your principal place of business:
2. Name and address of principal place of business, and phone number of your oompany's
majority owner:
3, Name and address of prinolpal place of business, and phone number of your company's
ultimate.parent company,
MINORITY[WOMANt-OWNED DUSINE88 PARTICIPATION
it is the policy of the City of Frisco to involve small businesses and quail#led m1noritylwomenr
owned businesses to the greatest extent possible in the proourernent of goods, equlpment,
services and oonstruotion projects. To assist us In our reoord keeping, please list below the
names of the minority or woman-owned firms you.would bo utilizing In this bid, and note the
monetary involvement;
NAME OP FIRM TELEPHONE f# $ I NVOLVEMENT
Pugs 12.of 26
Master Agreement—City of Fort Worth and Compass, N.A Page 30 of 81
9 Y
AFFIDAVIT of No PROHIBITED INTEREST
(Supplemental Information)
(1) (WE), the undersigned declare and affirm that no person or officer in (my)
(our) firm, business, corporation, or board has or will have during the terra of this
contract a prohibited Interest as that is defined in city charter,
(1) (WE) fur ther understand and acknowledge that the existence of a prohibited
Interest at any time during the terra of this contract will render the contract voidable.
Name of contractor;
Title of officer;
Signature of Con tractor:
Gate;
ACKNOWLEDGMENT
STATI. OF TEXAS
COUNTY OF COLLIN
BEFORE ME, the undersigned authority, on this day personally appeared= a
corporation, known to nee to he the person whose name Is subsorihed to the foregoing
Instrument, and acknowledged to rye that he executed the same as the act and deed of
, for the purposes and consideration therein expressed and in the
capacity therein stated,
GIVEN under my hand and seal of office this the :- day of ,
2013
Signature of Notary Public In and for the Stato of Texas STAMP
page 13 of 26
Master Agreement—City of Fort Worth and Compass, N.A
Page 31 of 81
M
SUPPLEMENTAL INFORMATION
Please provide the following information for contract development,
Is your firm?
1. Sole Proprietorship YES NO
2. Partnorsh Ip YES No
3# Corporation YES �.. ._No
If company Is a sole proprietorship, list the owner's full legal name,
If company is a partnership, list the partner's full legal names):
If company Is a corporation, list the full legal name as listed on the corporate charter;
Is this firm a minority, or woman-owned business enterprise?
No �..YES If yes, specify �. ..� MBE ��� WBE
Has this firm been certified as a minority/wornanw owned business enterprise by any
governmental agency? No ,. ,YES
If yes, specify governmental agency;
Date of certiflcation:
Page 14 of 26
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Master Agreement--City of Fort worth and Compass, N.A Page 32 of 81
1
4
Fir e planation please see Terms and Conditions Ilea #43
CONFLICT OF INTEREST QUESTI ONN AIR FORM CIQ
For vender or other person doing business with local governmental ontity
This ClLIestlonnalre is being filed In acoordanoe with chapter 176 of the Looal OFF100 U$F-OKY
Government Code by a person doing business with the governmental entltyt
By law this questionnaire must be flied with the records adInIllistrator of the
looal government not later than the 7th bUslness day after the mate the
person becomes aware of facts that require the statement to be filed, See
Section 170,006, focal Government Code,
A person cor nmIts an offense if the person violates Sectlon 176,006, Local
Government Code, An Offense tinder this sectlon is a C{ass C misdemeanor,
I Name of porson doing hosiness with kcal uovornmonfal entity,
2
I�vek this i�o lI'Irv«are fl[if�g air ttpciato to a previously fllotl q��cetlet�t�ai�re.
(The law requires that you Pilo an updated completed questionnaire with the appropriato filing authority not loter than September
i of the year for which an activity described in Soollon 170,006(a),Local Government Code,Is pending and net later than the
7th WSIAOss day after the date the originally filed ques(lonnalre becornes Incompleto or Inacourate)
3 Natne wil employee or contraotor of the local goveromental ontity who ninkea r000mitiondations to a local
govorninotit offioor ofti►e a ove rn ni a nta I enMywltli roBpoot to expen(lIturoe of morioy A N 0 deeerlbo tho affllfatton or
l���si�ees relRtior�9h[p,
page 16 of 26
Master Agreement--City of Fort Worth and Compass, N.A Page 33 of 81
4 Nam each local goveriimelit offleer W11 appeinte Oro III ploys 1000!govern moat off lee rs of tine governm onto I entity for
which(file ques#lonnalre is filed AND cteserlbo the afflllatlon or t3mhiee$refationsliil)T
f1dOp'.4d�l1�21�00$
Pne 16 of 25
Master Agreement—City of Fort Werth and Compass, N.A Page 34 of 81
FORM CIQ
CONFLICT of INTEREST QUESTIONNAIRE gage a
For vendor or other person doing business with local governmental entity
6 Hama of local government offfaer with whom filer has afflllaflon or business relationship. (Complete this sectlota or11y
If the answer to A,8, or c is YES.
This seollon,(lens 5 Inciuding subparts A,13,C&b,must be completed for each officer with whom the filer has aiflllatlon or ocher
ralallonsliip.Alfach additional paces to this Form CIQ as necessary.
A, Is the local government ofOcvr named In this seclron receiving or likely to receive taxable Income from the flier of the
quasllonnaire9 O Yes Gl No
B.Is ihe filer of the quesllonnalre recelvinp or flkQly to r8ceive taxable income from or of the direct) n of fha looal government
officer named In this section AND the taxable Income Is pat from the local governmental entity? Yes C1 No
G.Is the filer of lids questionnaire affiliated with a corporation or ocher business enti hat the local government officer serves
as an officer or direolar,or holds an ownership of 10 percent or more? C)Yes Gi No
p, Describe each affiliation or business retaUonshlp,
~' Page 17 of 28
Master Agreement—City of Fort Worth and Compass, N:A Page 35 of 81
U
Signature of person&Ing business with the govemmontel OnIlly Date
Adopted 11/02/2005
Page 18 of 26
Master Agreement--City of Fort Worth and Compass, NA Page 36 of 81
BIDDr,R RWINDER LIST:
i
RFZQUEST�iD DOCUMENTATION INCLUDW?
ORIGINAL ON A OD OR FLASMDRIVE AND TMREE (S) HARD COPES
INCWDED?
ALL BLANKS COMPLETED ON THIS BID FORA?
COMPLETED COMPANY PROFI LEIRE FERENCES?
COMPLET0 SIGNATURE?
Pago 19 of 26
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of Fort Worth and Compass N.A Page 37 of 81
Master Agreement City p ,
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�vervlow of RPP Services
The City of Frisco is looking for a single vendor to perform comprehensive services to
help Impact our top medical conditions and to reduce our overall health care costs. An
overview of the services is outlined below,
As a first step, the vendor will analyze the City's olalms data and determine our highest
oust drivers and then recommend appropriate Interventions to impact those cost drivers.
We then want the vendor to profile the primary care physicians within the community,
Identify the top performers and designate them as elite physicians for our employees
and thelr famIlles to utilize for their primary pare medical needs. These elite physicians
will be accountable for the management of the CIty's employee population and out"most
costly rnedloal conditions, The vendor would be responsible for building the appropriate
processes with these physicians and monitor their overall performance so the City can
attain their health risk and post management objectives.
From the panel of elite physicians, the vendor will then engage those Interested
physicians' offices to support the City as full service accountable Primary Care CIfnio(s).
We watt the vendor to manage the "Clin fes" utilizing pre determined ciinioal and service
metrics,
For the most common musculoskeletalr cancer;and oardlac services, we want the
vendor*to identify high volume procedural specialists and to identify those facilities that
are willing to offer bundled pricing for those services.
We also want the vendor to provide concierge resources for both the City's members
and the elite physiolans with health advocacy services and actual cost transparency
support, Including directing care to the high value providers as determined using
meaSffable outcome and ourrent pricing. In addition, we want the vendor's concierge
resources to identify clinical care gaps acrd, as individuals call In with questions, the
concierge resources prompt the individuals to close the care gaps,
An integrated model is being requested by the City of Frisco due to the Ilrnited
resources available for this Initlative and due' to the need for a controlled management
process of the available data files
l�egu1m a abiltt1Os
1) Run our olaims data to determine the highest coati drivers and any outliers.
2} Conduct a Request for Quality Information (RFQ0 to primary care physlolans for
Primary health management services and to the procedural specialists for
Musculoskeletall oncology and cardiac surgical performance so that the Glty can
assess the targeted providers'process of c6re and outcomes.
Page 20 or 26
Master A Agreement—lit of Fort Worth and Compass, N,A Page 38 of 81
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3) Utilize cornmerclal claims data to profile the primary care physicians, orthopedic
specialists, oncology specialist and cardiac specialists based on quality, safety
and costs,
4) Combine the self-reported RFQ1 responses around process and outcomes with
the profile reports to identify high value providers for direct relationships.
53 Build a process with high value Primary Care Physlclan8 to operate as elite
physicians for the City's employees and covered family members to access
throughout the city,
6) From the panel of elite physicians, engage those interested physicians to
perform as "Clinics" using the physicians' offices for the City employees' v1sits.
7) Establish Clinical and Service Standards for assessing the primary care
Physicians' performance in these criteria and then work with the providers to
Improve results over time,
8) Identify high volume, high value procedural speolallsts for musculoskeletal,
cancer and cardiac conditions that are Interested In fixed, bundled pricing.
9) Provide a concierge resource to the elite Physicians and Clinic resources with
commercial specific cost data and provider specific quality metrics for objective
referrals to specialists, hospitals and other providers,
1 o) Connect, the Clinic of elite physicians with a clinical care pathway for high value
M8 , Cardiac, and oncology providers.
11) Provide ongoing monitoring and support of Value Centers and engaged
providers.
1 2} Provide concierge resources to employees and to their households to obtain
costlquallty transparency Informa��lon, health advocacy and navigational support,
The transparency information should be based on existing commercial speciflc
cost data and provider specific quality rnetrlos for referrals to specialists,
hospitals and other providers. The concierge resouroe will refer plan enrollees to
the elite providers and the Clinic; schedule appointments with providers; handle
the olalms and adrninistrative funetlons; and identify gains in care and advise
Individuals on preventive and treatment based care guidelines using the City's
aotual olaims data.
13)Analyze available data to assess the high value providers and near site ciinlos'
performance, and then work with the providers and Clinlos to improve overall
results, as well as to identify other savings opportunities,
Page 21 of 26
Master Agreement—City of Fort Worth and Compass, N.A Page 39 of 81
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s
14) provide reports to the City In comparing past and current expenditures to
support the resulting letter treatment adherence, outcome results and cost
savings.
F P Questions
yumnamn�o.mnr ►^�yrw.
The City of Frisco Is looking for Integrated Interventions to Impact our overall healthcare
costs and we are assessing organizations'capabil#ties to bring a coordinated solution
that addresses our key cost drivers.
1)what tool would you use to analyze the City's claims and blornetrio data, if available,
to Identify areas of foous and to measure the Impact of your interventions? With your
analytics tool, please provide are example of the type of identifiers found with other
clients and provide an example of the intervention Implemented to Impact the client's
costs,
2)As a public seotor employer with the usual prevalent medical conditions,what
specific Interventions would you recommend to lrnpact the City's health risk factors and
cost drivers? please provide are overview of your programs, an explanation of the
measurement process, and an overview of the expected results,
3)As part of the OIty's health Improvement and cost management Initiatives, the City
offers a Price Transparency and Health Advocacy program for individuals~ Cho you have
a program? If so, please provide an overview of the program, the average level of
engagernentlpartlolpation, and the average cost savings attained by your ollents. Also
clarify the data used to develop the Price Transparency component and whether you
need the City's data to deliver on the price transparency functionality. Also outline the
% of utilization by the different services offered by your program, How would you work
with the City to promote the program with their enrolled population? Please provide
communication samples used in the promotional campaign;
4}With your specific Intewentlons, what role do the looal physician and hospitals fulfill
In Improving the City's health risk factors and lowering costs?
a] If your health Improvement efforts,involve the provider community for specific }.
medical cpnditlons, please outline how yoo profile the physicians' performance. what
data Is used to perform this profile analysis, and what criterlon Is used in developing the
profiling resLIlts?
b) For the speolfic medical oondiflons targeted, how do you assess the physicians'
process of care and outcomes? Please provide a sample of the tool used to assess
process and outcomes,
0 What steps would you fellow to engage targeted providers In working with the City?
d) How do you support the targeted primary care physicians in their referral process to
high quality, cost effeotive providers? Do you have a resource to support the oversight
and management of the targeted providers' interactions? If so, please elaborate on this
Page 22 of 26
Master Agreement—City of Fort Worth and Compass, N,A Page 40 of 81
resource's roles
e) How would you facill(ate the Interaction between the targeted providers and the City?
0 Please outline the expected cost savings opportunity with this intervention, and
provide your analysis as to how YOU arrived at the expected savings,
6) Cancer Is a prevalent medical condition for the City, Do you have an Intervention
targeted for this condition? If so, please provide an overview of the Intervention,which
can Impact the individual's health risk factors and the City's costs, Please expand on
the type of savings that you would expect, and provide your analysis as to how you
arrived at the expected savings,
7) Musculoskeletal is the City's top medical cost category, The City is Interested In a
program to reduce unnecessary high tech scans, injections and MSK surgeries, Do you
have an intervention targeted for this condition? If so, please provide an overview of
the intervention, which can Impact the Individual's health rlsk factors and the 01ty;s
costs, Please expand on the type of savings that you would expect, and provide your
analysis as to how you arrived at the expected savings,
evaluation criteria
In determining the best value for the municipality, the municipallty may consider:
1. Proven ability to perform and provide the required and requested services;
2, Quallfrcations of the team,with respect to both firms and Individuals assigned to
work on this program, Including documented performance In similar projeots;
3, Total cost of proposed services and ongoing services over three years with
options for three 1-year renewals;
4, Prior experience or knowledge of respondent concerning the particular field. The
breadth and depth of the firm's experience in conducting similar market research
and evaluation programs,
List of Submittars
1. Summary cover letter describing your firm and its services ;
2, Answers addressing each of the 14 Items listed tinder Required Capabilities as
well as the 7 Items under RPP Questions;
3, Resume pertalnlrig to work or expertise in this field;
4o Provide annual feo to conduct an annual strategic data analysis; define quality
using the open health market; Implement processes with selected providers; and
on-going ,monitoring process;
6, Provide annual fee for services to close gaps In care; provide assistance to
employees regarding medical' price transparency and patient advocacy; provide
access to selected providers for employees and physicians; provide access to
improved fixed cost prioing for high volume procedures In and outside of DFW;
Pace 23 of 26
Master Agreement-City of Fart Worth and Compass, N.A Page 41 of 81
and evaluate data and develop targeted c!#nloal and network Interventions for
greater Impact;
6. Provide list of customer references,
- - Page 24 of 26
Master Agreement--City of Fort Worth and Compass, N.A Page 42 of 81
PROORKss IN MOTION CITY of FRISCO PDIVISION
SIGNATURE FORM
ff 1303-035
health Care Consultant for Transparent Pricing and Quality
Metrics
The undersigned certifies that the bid prices contained in this bid have been oarefully
reviewed anal are submitted as oorreet and final, Bidder further certitles and agrees to furnish
any and/or all prodUotlservice upon which prices are extended at the price offered, and upon
the oonditlons In the specifications of the invitation for Bid.
I hereby certify that the foregoing bid has not been prepared In collusion with any other,
bidder or other person or persons engaged In (lie same line of business prior to the offlolal
opening of this bid. Further, I oertify that the bidder Is not now, nor has been for the past six(6)
months, directly or Indireotly concerned In any pool or agreement or combination to control the
price of produotleervice bid on, or to Influence any person or persons to bid or not to bid
thereon*
Name of Bidder:.
Address of Bidder„ --
Telephone Numbert, Fax:
E-mail address#
By: (P nfnamey„flash Discount Terms:
Title; - Federal ID#I8N f#;
Signature,
Aoknowiedgernent of Addenda: #1 , #2 #3 #�, #5�
Page 25 of 25
Master Agreement City of Fort Worth and Compass, N,A Page 43 of 81
XHBIT B
6253,59 V,I(COMIASS hoamm 89rVIOUS Afflreemellt)
Master Agreement—City of Fort Worth and Compass, N.A Page 44 of 81
t
's
i'
PASS
r } J Q
Maroh 14,2013
-CITY OF FR1800
TOM JOHNSTON, IDIREOTOR of ADl INIS`l'RATIVI-SERVIO58
6101 Frisco Stuare Blvd.
FRIS0(), 'rX 76034
Re} Compass Oornplete Proposal Reoponse to Proposal No, 1303-036
Dear Mr, Johnston,
The Oompass orilanizatlon Is pleased to provide our response to the above referenced proposal, we
have provided throe 11ard ooplea and the speoltlo samples as requested In the RVP,and we have also
lnoloded those matorlals In our eleotronlo copy as well, The hard ooplos Inoludv the notarixod
slgnatt�re
W1111 close to 1,200 ollents nationwide, Compass hae algnifloant experience In working with employers `
and their covered employees to Irtipaot the Olty's 1)iedloal costs, Dnvld Toornoy and Dr, Scott Oonard
bring over 26 years of experience enoh in working to Impact Individuals'health and to lower costs,and
their team will be responalble for anevring that we deliver,on the oornniitmente as outlined In the
response, we have provided our response to the questlos as noted,and we are available to expand on
our responses or to address additional questions,
The fallowing is a summary of our oapabllitles:
1) Tho City of Frlsoo currently tftlllzea Compass Frloe Transparenoy and Consumer Advocaat'servioea
today, and we are making on Impaot with the 01ty's employees today by helping them b000me bottor
oonaumars of healthoare,
2) We bulld all the suooess of the Health Fro relationship provIding a sltiglo entry point for the
employees In navigating the healthoare Model being proposed for the Oily,
3} we identify Find engage hlg61 v0ue prlmary oare physiolans who are interested In working rnoro
olorwly with the ol(y, and we onn engage speolrlo high value physlolans to utliixe their exlslin�offloes
as a near site ollnlowith preferential B$rvicas to the City employees and dependents,
4) we oan provide 1ho employees the option for acoeesing speolflo nigh valuo speolallete and fsollitles
who have provided more competitive, fixed cost prioing for a number of 8urgloal procedures
g) And wo utlllzo our reporting oapabliltles to assese the providers'lmpaot to improve the Oily
employees'health and the overall coats of the medloal program.
We are excited about the opportunity to work with tho Olty of Friseo to hells you eohleuo our overall
ob)eotives,- 'Please let vs know If any gt1esllone,
�r�oer�ty
A !~C W, 1oomeyr
1
31,02 0A Lawn, Sulto 215 Dallas, Texas 75219
Master Agreement City of Fort worth and Compass, N.A Page 45 of 81
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Dity of Frisco, Texas
suppiorriontal information
Toxas Government Code Sootlon 2262,002 Non-resldent bidders, A governmental entity Inay
not award overninentol contraot to a nonresldent bidder unless tho nonresident underblds the
� t OW Is not Tess than the
lowest bld eubmItted by a responsible resident bidder by an annout�
amount b wh.Ich a resident bidder would be required to underbid the nonres[den t bldderW
Y ` rl��ol al place of business Is
obtain a comparable oontraot In the state In which the nonresident s � � p
Iooated
In order to j1jake this deterinlnatlon, please answer the foilewing gLrestlonC
1.Address and phone number of your prinolpal place of bvalness;
3102 Oak Lawn, Suite 216
ballast Texas 75210
Phone: 1400.0613k1 607
2, blame and address of prinolpal plaoe of business, and phone nunnber of your Company'e f
f n a j or!ty owner,
Life Aeoount LLG Dba Compass Professlonol Health Servlces
3102 Oak Lawn, Suite 216
Dsllas, 'texas 76219
Phone I vO00-613*1 6137
3, Name and address of jAnolpal,place of business, and phono nutrlber of your oornpany's
ultimate parent company;
Non-Applloable
1 INORITYAWMAN,,OWNEEl RUSIN SS PARTICIPATION
It Is the ollo f the City of Frisco to Involve small businesses and.quallfled minorltylwemen-
I e p �-�_ y e
ed us nessos to ft1$ reatest extent poselble In the prootirsrnent of gooap, equipment,
owrr b l �
servlces end construction p role ots,To assist us in our record keeping, please Ilot below the
names of the minority or
woman-owned firms you would be utilizing In tints bid, and note the monetary involvement;
Tole Johnstom)CPPO)Cord i
Dlilreotox,of Adminlgtrattve Soi'vtees
tjolII18toI1 @c h"i8�otuxas go
972 292 5540
Master Agreement—City of Fort worth and Compass, N.A Page 46 of 81
City of Frisco, Texas
AFFIDAVIT OF NO PROHIHIT�D INTEREST
(Supplemental Information)
(I) (WE), the undorsignec! declare Inc! 0irm that no person or oNicer In (my) (OUr) flrin,
bfisfnoss, corporation, or board ha.9 or will have dtiring the terfn of tlils aanfraaf a prohibffec#
intsrest as that is defined In City Charter.
(1) (WE)furlftar miderstand and acknowledge that the exfstoncs of a prohibited Interest at
any time during the term of this contraot will render the aantrflct voidable.
I
. Name of Contraator: 1 40�y?�
f
'1'ltle of Oftfaer:
Sfgna#tira of Gantractnr;
AC)CN4W�EDQMENT
k STATE OF I'EXAS
COUNTY OV COf.l.1N
BEFORE ME, the tindersfgned authority, on this day personally appeared, a
(jnrpnrailan, known to me to be tha per$ofi wiiose name Is sitbsoribatl to the foregoing
1
Instrument, and wknawledged tome ihaf he exdauled the aame as the act and deed of
for the piirpnses and nanslderatlan therein expressed and hi the capaolly(heroin stated.
OIVEM u-i�fier my hand and spa!of Utffce this the r day of 20`13
0 row
f
Slgr� e of ubllc In and for Ilia State of rextis STAMP
OWuRu 0nH01A
sTArra oF"tHxA0
a �4Y oom►��, 124 3114
Page 47 of 81
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City of Fr' Texas
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SUPPLEMENTAL INrORMATION
�leas� �covfdo the fnligwltt IrArMAon for aaiitriAat developments
fIs your ilr+rl?
1, Soli Praprletorshl� ._..., YES X NO
2, Par#nershlp YES X NO
3, Corporation X� YES NO
If Opmpany Is a solo prnptivtorship, Ilst ttia aw�t�r's tc411 I���[Warne;
Nnn,Applloable
If company Is a parti7ersh1p, Ilat the parinor's full legal name(s).
I Non-Appllaable
If company Is a carparation, fls(tile full legal name fls Ifsted on t corporate charter.,
LIfe Acoount L,LC DE)a COmpass Professional Health Sorvlaes
le t1116 firm a ITtltjarlty, ar wamtin-owned business enterprise?
NO ,-------, YES if yes, speaify( ) MBE WRY
His fhfs firm been GeMlad as a ininoritylwomail,Owned busl1less enterprise by any
governmental aoency7 NO YES
If yes, spealfy governmental agency, Ngn,Appllca4>Ie
Dafebf 0artffloalion: Non-App1lcable
I
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City of Frisco, Texas
Overview of RFP Services
The Glty of Frisco is looking for a singlo vendor to perform oomprehenslve servloes to help
Impaot our top modloal oondltlone and to reduce our overall health pare oosts. An overview
of the sorvloes Is o0tllned bekft
As a flrst stop, tho va odor will analyze the 01ty's olalms data and determine our hlgheat post
drivers and thou recommond appropriate lnterventlons to lmpaot those oast drivers,
We then want tho vendor to profile the primary pare physlolans wlthln the community,
Identify the top performers and designate thaxrr as ellto physlolans for our employoes and
their famllles to utilize for their prirrraty care rnedloal heeds. These elite physlotans will bo
aoaountable for the rnanogement of the 0Ityrs employee population and our most costly
medloal oonditlons, The vefidor would ba responslble for btrllding the appropriate processes
with these physlclans and monitor their overall performative so the city can attain their
health risk and oust management objeatives.
From the panel of elite physlolans, the vendor will then engage those interested physlolans`
offloes to support the City fAs full service aocounta#ale Primary Dare 011nlc{s}, We want the
vendor to manage the "Clinics" utillAtig pre-determined clinical and service matriosr
For the most common musouioekele al, oancer and oardlao servloes, we want the vendor to
Identify lilgh volume procedural spealallsts and to Identify those faolllfles that are willing to �
offer`bundled prioing for those servloes,
We also want the vendor to provide oonolerge resouroes for both the OIty's members and
the elite physlolans with health advooaoy services and actual cosf transparency SLlppOO,
Inohiding directing care to the high value providers as determined using measurable
outcome and ourrent prioingt In addition, we want the vender's conolerge resouroes to
Identify olinloal care gaps and, tie Individuals pall In with questions, the oonclarge resouroes
prompt tine Individuals to close the ogre gaps.
An Integrated model Is being requested by tho City of Frisco due to the Ilml(ed resources
avall'Ole for thjs Initiative and duo to the need for a oontrolled management process of the
avaliable data illest
Required Gapabliltlos RE PONBE., Qompasa oan meet the requiremonts as noted In the
14 bullets belowr
1) Run our olalms data to dotormine the highest oust driver's and any outllerej
2) Oonduot a Request for Quality Informa(lon (RFQI) to primary care physiolans for primary
health management eorvices and to tiro prooedUral speolallsts for musculoskeIota), oncology
and oardlao surgloal performance so that the Qlty can assess the targeted providers'
process of pare and outoomes.
3) Utilize oommerolal olalms data to profile the prim ry care physlolans, odhopedlo
speolallsts, oncology speolallsts and oardlao spootallets, teased on quality, sofety and costs,
Master Agreement City of Fort Worth and Compass, N.A Page 49 of 81
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4} Combine the self-reported RFQ1 responses around process and outoomos with file profile
reports to Identify 1119h value providers for dlroot relationships.
6} Build a prooess with high value Primary Care Physiolans to operate as elite physlolans foil
the 01ty's employees find covered family members to ocooss throughout the oltyk
6) From the panel of elite physiclans, engage thoso interested physlclans to perform as
Tllnlcs" L18111 the physlolans`offloes forthe 011y amployoesl vlsl(sr
7) Establlsh 011nloall and 8ervlce Standards for assessing the prirxlary oare physicians'
performanoo In these oriteria and then work with the providers to Improve results over tine,
0) Identify high volume, high valtio procedural speolallsts for musouloskeletal, onncor and
oardlao oondltions that are Interested In fixed, Undled prieing.
g) Provide a conolerge resource.to Ilia elite Physlolans and S#lnio resources with commorolal
speolflo cost data and provIder spoolfio quality metrios for ohjeotive referrals to speolallsts,
hospitals and other providers,
1 o) Oonneot the Clinlo of elite physlotans with a ollnloal care pathway for high value MSK,
Cardlaor and Onoo(ogy providers,
11) Provida ongoing monitoring and Support of Value Cefntem and engaged providers,
12) Provide oonalerge resources to employees and to their households to obtain costtquali(y
transparency Informatlon, health advooaoy and navigational support, The tronsparenoy
Informatlon should be basod on exisfing oommorclol speolflo cost data od provider speolflo
z quality metrlbs for referrals to speolalists, hospitals and other providers, The conolorge
resoucoe will refer plan enrollees to the elite providers and the OlInlo; sohedule appointments
with providers; handle the alalms and adminl8trative funotlons, and ldontlfy gaps In oare and
advise Individuals oil preventive and treatmont bas4d oaro gtildellnes using the City's actual
olalms data,
, N,-'l 3)Analyze available data to assess the high value providers and near site clinics'
Performance, and then work with the providers and 011nlos td Improve overall results, as well
as to Identify other savings oppor tinitles.
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14} Provide reports to the City In comparing nest witi aurrsnt expenditures to stipport the rosEiiting
ibetter veatment adherenco, atitaome results ond aost wvings.
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RFP Quostions: The Olty of Frisco Is looking for Integrated Interventions to Impaot our overall
healtheare coste and we are ass$ssing organ lzatlons' capabllltles to bring a 000rdinatod solution
that addrosses otir key oast drivers,
1) What tool would you use to analyze the 011y's clalms and blometrlo data, If avallable, to ldontlfy
areas of foous and to measure the iMpaot of your InteNen11087 With your analytios tool,
please provide an example of the type of Identifiers found whir ether ollents and provide an
example of the Intervention Implemonted to Impaot the ollent's costs!
RESPONSE; The Compass automated reporting tool will aggregate the City's medical claims
and blomotrio data, Identify the top medlcal condl#lons Impaoting the City'a costs, and Identify
the top providers being ufllized for those top conditions. Based on the Compass analysis of thls
data, we work In oonjunctlon with your healthoare advisorloonsultant to Implament the
-- approprlate ollnloal and notwork Intervontlon to Inipaot the employees' heatth and the Olty's
overall costs}
I`yplealiy€ musouloskeletal (MSS) condlflons are amongst the top NO oast drivers, For one
Compass OCIE 011etit, M$K represented 30% of their total spend, Compass OCE 111trodLjoed a
IVI K provider tindot,a vaitts-lbased plan design, and by dlroothig over(300 Individuals to this
high performing provIder,we avoided 26 scheduled surgeries and aohleved a total not savings
of KIM In the first seven months of their plan, The Compass Health Pro helped employees
find the MSK provider, so those employees experleneing M18 conditlon were able to find the
high value provider to address their risk.
2) As a public sooter employer with the Usual prevalent misdloal conditlons, what speoIflo
lnterventlona would you r000mmend to Impaot the City's health risk faoters and cost drivers?
Please provide ail ovetviow of your programs, an oxplanatlon of the rneo;Rurernent prooess, and
an overview of the expooted results,
REVD SE: Based on omr analysis of varlous publlo seotor employers, we have seen that
employers In the seotor experlenced a ohallenge with low primary ogre utlllzatlofl with specialist
costs three to four tines highor, We would also antlolpato oosts at 20-a3011/o of
the City's total spend Although other major conditions will vary based on demographlo and
lifestyle oholees of the populatlon, we would expeot to see higher prevalence of oardlao, oanoor
and potentlally matbrnity, and ws would expept.to sae higher provalanoe of diabetes and
hypertension.
We have found that marry employers like the 0Ity are Implementing robust wellness programs
and othor I11tervenflons, with some employers spending $400,0004600,000 to build on,slte
olinlos, These Interventions oan have an Impaot on the employers' oost Inoreases eaoh year,
At Compass, reoommended lnterventlens fe1111e City would be based on the data analysis and
oustomIzed to meet IN City's Health Imprevemwit objeollves based on the following three
pronged approaoh to Medical cost reduotion;
a) Helping Employees Navigate the System: We doploy the Compaso Health Pro to support
employees and their family Members by providing fho aotual cost of rnedloal services, As
employers have beon forced to oost shift to employees through plant design} omployees now
have to make oust deolslot18 In a oomplioated and confusing environment with Inadequate
rosouraes to help thent compass provides a resoltM0 to help employees understand the
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cost variability amongst physlolans, hospitals and other providers witlifn thoir lnsEnrance
oarrier network, our data shows there can be a 300%variatlun In price amongst network
provlders, Reoognlzing (lint understanding cost through Prloo Tranaparency is only half the
battle, the Oompass Health Pro stays with employees throughout the entire process of oare,
Thoy help sohedule physlolan appointments, eubmit medloai claims, audit medloal hills and
transfer medical records, The Health pro also sxipports the lndlvldUal's needs with dented,
pijarrnaoy and vision services, The employees recognize the value of the health Pilo, and
thoy become a trusted resource.
We provide quarterly reports showing the padlolpation levels of the erripleyees, and we also
snow the e0imated olalms and produotivlty savings aohleved. The estlinated savings Is
oaloulated by oomparing the cost of a solieduled procedure to the oost of Ilia actual
Provider, {le Mil eohedulod at a hospl(al wltli a oast of$2,100t and by oentaofing the }health
Pro, the MRl la performed at a free statiding faotilty for$600, rosulting in a net savings of
$1,60o). We typloally aohlove a 20-30°f4 engagement level amongst employees, and the
return on investment savings oan be 10,.Io
b) Prompting Employeas to Prevent Illness and Major Clalmsi Tile data also shows that
emp[cyees and their famliy members have ail oppoftnity io improve the oornpilanoo rate
with oilnloal standards of care, This means that lndlvlduals are not getting their age/gender =
appropriate prvon ve soreenin s and disease appropriate screenings as recommended b y �
NQQA, HEDIS, and other Industry aooepted standards for ollnloal oare, These proaotive
soreenings axe usually provided by primary oare physlolana) but since mosternployers have
low primary care tnsage, employees got dlagnased with stage 3 or 4 medloal condltlens,
whioh is quite expensive for the employer, Through the relationship of the health Pro,we
will prompt Individuals outreaohing to the Health Pro to enS Lire they are rocolving the
appropriate love Is of oare, and the health Pro also sohedule the appolntrmont for the
Indivldual, Through a more pnroaotive healthoare approaoh, at rlak individuals sari receive
the appropriate Interventions at a inuoh earner stage, whioh oats deliver slgnifloant savings
to the employer,
We provide quarterly reporte showing the 011nioal Oaro Oap Glosilre results, We will oreate
a baseline of oompliance rates before the Health Pr'o's lntervontlon, and we will then show
the increases in Improving those rates,,Those aMpioyers that mofivate their employees to
oomply with evidence based standards-of dare aohleve higher par(lolpation levels, From a
savinge parspeotive, we will oompare tiie oosts to assess the overall Impact of Inoroased
compliance, as well as the prevalence of catastrophlo claimants at cost levels of s tage 3/41
o) Workitig with Employees to Improvo oLitoomes, Oompass has aggregated large arnottnts of
oornmerolal olalms data to support our Noe Transparenoy program, We havo analyzed the
data to assess the overall performance of primary oare physlolans, odhopedlo speolallsts
I and heart speolallsts, For primary oare, we have identified twenty-one metrics to assess tho
overall physIolans' performancc, so we oan assess the Ireffeotiveness around quality, safety
and ooet% we assess ihelr abli[ty to deliver iilgher compliance rates with clinloal standards
of oars and to avoid unnecessary speclallst referrals, hospitalizations and amergenoy room
' visits. We then assess the primary oare physlclans around patient costs for hospital,
speolallsts, ernorgenoy room, and total oosts,
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Once wo aseess their flnenolal performance, we develop a welghted Flnanolal 800re baBod
on our proprietary methodology. As one would oxpeot, there Is a boll shaped ourve on
physiolan porformanco, and Colnpass'goal is to have the top performing pi)yslclans work
dirootlywlth employers, As suoh,we Invite the primary care physlolans Interestod In
working with omployers to provide Information regarding their prooess of oare and otrtoornes
through our exclusive partnership with Open HealthMarkeis.not, The profile score based on
their prooess and otrtoornes as reported through the OpenHealthMarketsinet Is then
oorrnbined with their flnanolal proflle score to determine top formers In both oost and quality
treasures, The top performers are then designated as Centers Value.
From the Centor of Value primary pare physlolan listing,we then identify physfclam;who are
Intereeted In providing higher levels of eervIae for designated employers becoming a Near
8. 1te Cllfllo for those employer's covered mernbors. For the City, there are high value
physiolans who will provide oustom services In raturn for the opportunity to Inorease tho
number of patients with the ol[yemployees These physicians are able to provide extended
and weekend hours to accommodate the 011y's needs,as well as offer some day
appolnlments. Compass bUllds the"ohlo"funotionallty with (lie Center of Value
physiolan(s), and the City is able to provide the Cllnlo servioes without incurring excessive
tip*front oasts and resource oommlirnents.
We them support these 0enter of Value primary care physlolans with a Provider Prot who
helps the physiolans wIth Information oil their referrals to high quality, cost effective
providers, This unlq ate service delivers another tatroh point to help the pa#lent be a better
oonsumer of healthcare,
To address the more complex and most common oomplex ogre sltuations, oornpass has
replloated the profile process for orthopedlo and heart speolallsts, Compass has Identified
Confer of Value surgeons and facllltles for musouloskeletal and oardlao procedures that are
willing to offer market compotltive, bundled rates as an option for the employees,
For example, wlthjn tiro ourrent oarrler networks today, the average cost of a spinal fuslon in
the North Texas markot Is $00,263, Compass has Identified Center of Value faollltles that
will offer a fixed cost for all expensos assoolated with that surgery ranging in costs from
$23,600 to$6$,,437, With a flied cost arrangement, theso facllitlos must dollver a surgloal
experlenoo without oomplioations slnoe they can not colleot additional monies nesoolated .
with ogre complloatlotw, These facllftles will deliver slgnlfloant savings to Individuals paying
a percentage of the bill and to the City for every procedure performed at the high value
faelllty,
Compass will provide(ILMrterly basellno reports from the oarrler's claims data, and we will
measure tho Impaot to primary ogre, olhopedlo and ourdlao costs, based on utilization of
the Center of Value provlderc. If we oars ongage 20% of the population with these
oonditlons,wo estltrato the savings at oiose to $1,000,000,
The key to these savings opportunity 1s the Health Pro, As tho trusted resource to
eriplcyees, the llealtli Pro oonneots all the parts, The Health Pro will be the Slagle poltit of
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oontaot for support to;
It IMP Individuals understand the cost varlabillty amongst the notwork providers;
11, help Individuals attain higher compllanco rates for soreenings;
1i1 conl)eot employoes with the Oenterof Value primary care pbyslolatis, and
Iv. provide (lie employees the option to have tholi,stirgerles sohedtiled at speolflo
facilltles with fixed. ratos,
3) As park of the City's health Improvoment and post management lnitiativea, the Clty offers a
Noe Transparenoy and Consumer Advocaoy prograrn for Individuals. oo you have a
program? If so, please provide an overview of the program, the average level of
engagement1partloipation, and the average oust savings.attained by your ollents. Also clarify
the data used to develop tho Noe Transparenoy component and whether you need the city's
data to dellver on the price transparency funotlonallty, Also outilne the % of utlllzation by the
different services offered by yotIr program, How would you work with the Clty to promote the
program with fbalt,enrolled population? Please provide commtInloatiort samples used Ill the
promotional campaign.
RESPONSt�; The City has reoently Implemented the Compass Price Transparenoy and
Consumer Advooaoy Program for your employees, Tile Compass Health pro supports City
employees and their family members by providing the actual cost of medloal services, We
deploy the Compass Health Pro to support employees and their family members by providing
the aotual cost of medloal servloes; As employers have been forced to cost shift to employees
fhrough plan design, employees now have to make asst deoislons in a complioated and
oonfttsing environment with Inadealuato rosouroes tc help thorn, Compass provides a resource
to help employees understand the cost varlablilty amongst physlolans, hospitals and other
providers within their Insoranoe oarrior network, Our data snows there can be a 300%
variation In price amongst network providers. Recognizing that understanding cost through
Price Transparenoy Is only half fhe hattio, the Compass Health Pro stays with employees
throughout the entire process of ogre, They help sohedule physiolan appointments, subrnit
I,►edloal olaims, audll medloal bills and transferrnedloat records, The Health Pro also supporte
the Individual's noods with dental, pharmaoy and vision services, The employees recognize
the value of the Health Prot and they beoome a trusted resource.
Cotbptiss aggregates massive alnounts of oommerolal ololrns daita, and we have developed-o
sophisiloated software program W-provide the actual oasts of setvloes for medical servioes,
We oon provide the pricing Information without the City's clalms data,
We typloally aohleve a 20.,30% oligagomerit level amongst employees, and the return on
Investment savings oars be l M, SInce the broad roll-,oat on January 1, 201$, the Clty already
has 6%engagement with their Initial launoh, and a oialtns savings of$121,6191 The key to
engagemont is aotive commUnloations wIM t11e eMployces on the varIOLIs eervioes that oan be
[ provided by Compass, And as employeos use the sefivloo, file word of niouth from the
employeos is also a very offootive tool to oreate greater awareness and overall usage, Please
refer,to the atfaohed samples whloh oan we oustornized with the City's logo, Some ollents
Inoent their employees with $1g gift oords for the first trine they oontaot Compass. home
ollents are now requiring an o�itreaoh to Compass for speoltio services to avoid being onrolled
In a more expensive plant or to avoid highor plan contributions, We can work with the City to
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deslgn the appropriate communloatione and engagement plan for high pattloipatlon levels,
4} with yourspeolflo tnterventlons, what role do the looal phystolan and hospitals fulfill In Improving
tiro City`s hoalth risk factors and lowering posts?
Rl~$P0N8rz: As notod above, the looal physlolans oan play a orltical role In Improving tho
overall health of the 01ty's at-risk population, Compass has(dentIfled Centel,of Value
physlclans who are prepared to work with the City on their employees' health risk and oost
Management 01e0tives, compass has also Identified multiple physiolaris' otYioes In the
ommunity who are willing to serve the 01ty's employees as a Near 81te Clinic offering extended
and weekend houra, as well as sage day appointments, These Center.of Valuo carp have a
matorlal Impaot on the employees' overall hoaith risk faotors by aohlevIng better oompliance
rates for primary and s000ndary proventive screenings.
In addition, Compass has Identlflod Center ofVolVe faollitles who have agreed to very
oompetitive, bundled rates forsurgloai procedures, whloh oar) help the lty's financial goals,
The Compass Health Pro provldos the employees with the option of using theso tilgh valuo
physlolans and hospitals,
a) If your health Improvement efforts Involve the provider commutilty for speolflo medloal
oondltlons, please outilne how you profile the physlolans' performance, What data Is
used to perform this profile analysis, and what oriterlon Is used In developing the profiling
res��its�
RESPONSE; As noted previously, Compass hae aggregated large amounts of commarolal
olalrnf; data to aupport our Prloe Transparenoy program, We have analyzed the data to
assess the overall perforrnanco of primary oars physicians, orthopedlo speolallats and haart
speolallsts, For primary care,we have Identified twenty-one metrics to assess the overall
physiolans' effoetiveness around quality, safety and aostp we also measure their ability to
deliverh1oher compllanos rates with ollnical standards of care and to avoid unnooessary
speolallst referrals, hospitalizations and ennorgency room vlslts, A seoond analysis is thou
oonduoted to measure the primary ogre physlolans' Impaot with patlent costs for hospital
procedures, speolallst oaro, emergenoy room expenses, and total oosts, Those phyalolans
that are proaotive In their jxocess of care with the patlents have much better overall ;
oornpllanoe rates and lowdr- overall costs.
This Is tho sage profile analysis employed in asseseing odhopedlo and heart speclallsts;
We evaluate the oommt)rolal olalms data to assess the epsolallsts' overall effectivoness In
treating the Overall patlerftsr needs and oasts
b) For(he spoolilo medloal conditlons targeted, haw do your assess the physltilans' process
of taro and outoomoo? Pleaso provide a sample of the tool usod to assess process and
outoomes,
Rrz$P0N8I�: Onco wo assese tho physlolwis and speolallstsl flnaliolal performance, we
then ask the physlolans Interestod In working with empioyars to provide Information
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regarding their process of oare and outcornes through the oxeluslve website,
Openl-lealthMarkets,nets we then develop a profile soore based on their process fend
outaerlos, and we oombine that soore with their financial profile score, The top
performers are then designated as Centers Value, As one would expect, there Is a bell
6haped ourve on physiolan performanco,and Compass'goal Is to have the top
performing physiolans and speclallsts work direotlywlth employers. Please refer to the
attached saMplo of the tool Used to assess prooess and outoomes,
o)Wilat stops would you follow to engage targeted providers in working with the City?
RESPONSE; Through Cornpaesl Center of Value physlclans, we have alroady
established relationships with targeted provIdere interested In working with the 01ty, we
have performed profile analynes around the physlolans'ftnanotal performance and their
process of cars od outoomes, we havo also Identltled Center of Valtro prlmaty We
physiolans Interested In worsting with the City as near alto ollnios and Center of Value
faoliltles providing more competitive, fixed cost prlcIng for orthopedlo and surgical
procedures, as an cptlon for employees, Compass Health Pre is currently available and
ready to connect the employees with these targeted providers,
d) How do you support the targeted primary oare physlalans in their referral process to
high quality, cost effective provider's? Do you have a resoUrce to support the oversight
and management of the targeted providers' IntemollonO If so, please elaborate on this
resource's role.
RESPONSE: At Compass, our goal is to help the employer Impaot their srr ployees'
health and the resulting costs for their organization, we aahlevo this objeotive by
helping employees understand the cost variability oftho network providors and by
helping ernnployses navigate a complex hoalth oare system, we Ilion recognize the
Impact of h Ig h value physlolans and hospitale working more olosely with an employer on
their health risk Improvement and post management objeoliuea, Based on the success
of the Health Pro relationship with employees, we have expanded that funotionality with
the Provider Pro r��ouroe, The Provider Pro suppo�s the Center of Value prri dry oare
pliysloians by provld hU therm will) an opporfur�lty report of their referral providers, so the
physiolans oan rrorlto patlents to high quality, cost effective providers, In addition,
Oomposs Is developing a quarterly PCP Scorecard to assess the Center of Value
physiolana' ofieOveness In rneetIng the standards for employers, The Compaes
Provider Pro works with the Center of Value physiolans to outline the steps needed to
better meet the employers' needs, This unique servioe dellvers another touch point to
holp the patient be a better;consumor of healthoare, e) How would yorr faoilltate the
r Interaction between the targeted providers and the City?
RN8PONSK: For the Center of Value physlolans and hospitols seoing a higher volume
of City employees, Cornpaee oars engage these providers In a meeting with the City to
revlow data and to Idontify oppor#«riitles for greater Impaot on (lie health risk
Improvement and cost management objeotives. If the Cltywants to work more closely
Master Agreement--City of Fort Worth and Compass, N.A Page 57 of 81
s
City of Frisco, Texas
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with the Oenter of Value phyalolan(s) as a near site ollnlo, Oornpass w11I help fao111tate
the oversight and management of the 0I1nlot By working more *soiy with high value
provldors, the City will have additional IWOUY008 to Impaot the atMrlsit population and to
aveld unnooessary speolallst referrals, hoop Itailzations and emorgenoy room utilization
Please oulline the expected oost savinge opportunity wlth this Intervention, and
provide your analysts ae to liaw you arrived at tho expeoted savings,
RUPONSE,, As noted In the attaohed grid, we estimate tho following savings
opportunity ba$ed on the shiffing 20% of the at risk, M8K patients to a better
performing provider. For oardlao, that savings estimate Is based on getting those
at risk's oondition under better control through more targeted secondary prevention
soreenings. And the POD' savings estimate is rased on gotting 20% of the
-~ employees Into better performing phyalclatis who are proaoilve In delivering better
primary and seoondary proventlons beyond just oardlaooare, if we can Inorease
partiolpatlon beyond 20%, the savings would Increase, The prevention soreenIngs
and visits to better performing providers door lacer oialrn oosts, and those
expenees are noted In tho savings exhlblt as well,
Cade o avi rgs Pg!j1E1piA1on Asgu tion
M$K $507,000 Based on 2095 rm apt
a�diao $20,000 OaN d on 20%Impact
PCP VoLed on 20%Impact
Total L1 gag
� ial s � viii A i � 5 i coil
Ca p p
Airrosti Claims Cost $207,400 Bawd on 20%Impact
Need on Frl$ro's-aver698 RMILIal COStS
for re-oningsl elalm cost increase for
ern ill o� approx 20%Improvement in octual
5eree"1 nq pf4o Compliance
TO
t � 12101.402
Net Savings $702,598
g� Canaor Is a prevalent medloal oonditlon for the City, Do you have an Intervention
targeted for this oondition? If so,please provide are ovsrviow of the Intervention,
whloh oan Impaot the Individual's health risk faotors and the City's oosfs, Please
oxpand on (lie type of savings that you would expeot, and provido your analysis as to
how you arrived at the expeoted savings
R E$PON$E f Corn pass recogrllzes the wide variation Ili oan cer treatment being
provided to patients today, Due to the Inherent complexitles assooiated with
Page 58 of 81
Master Agreement--City of Fort Worth and Compass, N.A
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City of Frisco, Texas
assessing the olinioni effectiveness of onoologtsts base(l on connrnerolal alalms data,
Compass has developed relationshlp with the Harold 0,Simmons Oanoor carter at the
university of Texas southwostern(U'rSVV)Medloal Center In Gallas, which Is the only
canoortreatment conter In North Texas will) the rational Oancer Instltuta-designation
(idol). Noi�deslgnated oancor centers arc Institutlons dedlonted to research In the
devolopmont of more effoollve approaches to prevention, diagnosis, and treatrYrent of
oarnaer. Froni our deeper assessment of UTSW's onpabilllles, we have found that the
treatment for oancer patients Is entered Into the UT8w eleotronlo health reoord(EHR),
and the onoologlsts rriust follow the standards of care establlshed for the treatrlrent of a
dancer patient, These standards enable the potlents to receive a morn oonslotent
treatment regimen booed on the latest results for Improved success. compass Health Pro
will help employees dlagnosad with oancer by providing the option of using the UT8w
oncology system,
T,
7) Musouloskeletal Is the 01ty'a tap rnedloal oost oategory, The Olty is Interested In a program to
reduce unnecessary high tech soars, Injeotions and N18K surgeries, Go you have an Intervention
targeted for this condition? if so, please provlde an overview of the Intervention whlah oan Impact }
the Individual's health risk faotors and the Olty's oasts, Please expand on the type of savings that
you would expect, and provlde your analyals as to hove you arrived at the expeoted savings,
RESPONSE., Compaas Identifies high value pl`ovlders who have a greater llkellhcod to Impaot
at risk 1ndlvlduals: 81nce musouloskeletal Is one of the most prevalent medloal oondifions for
employers, Compass has focused on Identifying highly effective providers using evidenoe-
based treatment standards for patients withJolnt related Issues, Oompass works oloselYwith a
healthoare group(bat omploys and trains skilled providers who specialize In delivering high
quality, outcomembased rpusouloskeletal care. TheIrstrlot adherrenoe to quality oars standards
across their provider panel significantly redtroes costs and r000very times for patients and
prevento unneoessary MR]% pharmeoeutloals, and surgeries, Qompass has evaluated the
results of 200,000 patlonts In Texas to assess the overall effectiveneas of the providers'
performance,and Compass has found that this provider has resolved 86% of patients'needs
with 2.9 visits at an average cost of$007, compared to the average cost of$4,040 for patient
care through trodllional souroes Involving spec allets, PT/Chlro, Injeotlono, Imaging, and
unneoessary Surgery,
Compass advocates for value-based plan design to help channel employees Into this provide)`,
The Compass Ha�jlth Pro lies triggers within the system based on jolht reWeq.,treatments,
Including pain medications, and when an employee Is otrtreaohit)cg to the Health JPro on an
Issue, the Health Pro will be prompted to educate the individual on the value of this provldor
and to nssess the employees' Interest In schaduling an appolnimcnt,, Please refer to the
savings exhibit above,
Evaluation Criteria
In determIning the best volue for the murrlolpailty, the munfolpality rnny oonsider.,
I, Proven ability to perform and provide the required and realuestod sorvlcea;
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City of Frisco, Texas
program, Inoluding dootimented performanoo In similar projeots;
3, Total cost of proposed eervioes and ongoing services over three years with optlons for three 1-
year renewals;
4, Prior experlerico or knowledge of respondent concerning tho parlloular field, The breadth and
depth of the fIrm's experience In oonduoting 81mllar market resoaroh and evaA10011 pregraM%
List(>f 8tibmIttale
q, u mmpry oover letter desorlbing your firm and Its services; OOMPLETED
2, Answers addressing each of tho 14 lterna Hated tinder Requirod apabliltles as well as the 7
Items under RFP Questlons; COMPLETED
3, Resume perfalning to want or expettlse In thls field; COMPLHTED IN COVER LETTER
4. Provide annual fee to conduot an annual strategic data analyslsi define(tuality using the open
health market; implement: processes with selected providers, and on-going monitoring pronessr
6, Provide annual fee for services to oloso gaps In pare; provide assistance to employees
regarding medical prloe transparency and patient advocaoy; provide access to selooted providers
for employees and physlolans; provide access to improved fixed oast prioing for 111gh volume
pr000dures In and m tslde of DPW and evaluate data and develop targeted olinlcal and network
Interventions for greater Impaot,
RESPONSE: The prioing for our Core pride transparonoy/oonsumer advooacy servloes are noted
below In tine second line Iteni, and the prioing for bullets fM and 116 are outlined below,
compass complote 2013 2014 2018
Compass Care Engineering PEPM," W26--_701-EEs $60,000 $60Y000 $60,000
Compass PEPM $6�701 EEs $477600 $473600 $47:600
Total Fixed $917s600 $97,600 $97',600
6, Provide list of oustomer referenoes,
'I{he following are 11ree ollents that are orrently using somo or all of orseivicbs,
City of I~riseo
Energy FtrtUre HoldIngs
�r�oor
Master Agreement—City of Fort Worth and Compass, N.A Page 60 of 81
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City of Frisco, Texas
CITY OF FRISCO PURCHASING DIVISION
SIGNAI-Utn; FORM
0 1�03_06� Health Care Consultant for `r►�ansparenfi Pricing and Qualify Metrics
The undersfoned aomflss that the bid prices oantalnsd In Phis bid have been oarefully reviewed and
are stthmllfocl as corroot and final, Adder furlhar cerilflvs and agrees to furnieh any end/or all
� produnt/eervice upon which prices are extendoci at t17e price offered, and upon the aondltlnns In the
speol(faatlons of the Invftatinn for 15Id,
! I herby cerflfy that the foregoing bid has not been prepared In Qalluafon with any other bidder ot-other
� parson or persons ei7gaged In the same Ifna of business prior to tho offlalal opining of this bid,
FUrther, ( cefflfy Mal the bidder is not now, nor has been for the pest six raj months, directly or
lndireoily concerned In uY pool or agreement or aombfnatlon to control the prlco of praduotlserviGe bid
on, or to fnfivanne any person or parsons to bid or not to bid thereon,"
{ Name of 131cider; Life,4cao�fnt LLC dba Comp��s f'rofessfan�l Health SeMces
� Addrees of�idder, �3�02 oak Lawn, Suite 2�6, Dallas, TX 75218
Telephone Numbar� 000.513-1667 Fax, 469-730�6886^ ,
E-mail address; dAvfcl,toamey c�Dcanpasscoe,Oom: ---
i3y; David W.Tonr71ey (pant name) CttSII DISROUfII Terms;_NA �
Title: PresIdenf, Compass GC,�,..:.� ederal lb 11/85N V;
Slgnoturo: bavtd W. TvdmeY�� �v
AClkilOWIB(IgQiTtBIlt of Add6i1(fo 'It #2 #8 #4 �#5------
Master Agreement—City of Fort Worth and Compass, N.A Page 61 of 81
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AvQ[d b1fling pain aftor'-OW-OOFY, J�JJOW YOLIF 0ast8 up froi*
our members 1„oney on heallhoare, olle of ilia most oosliy pMoedures tt,at
w�era alway$�ryir, to aaV rt fire I�ilia it,at follow are vet oonfusing,
yoir Qan face is surgery, Not only are tho servieea expanslvei �z
That's where i oars i►ei , if you thlnR you need surgQryi or ever,(llagnestlo tests,let rye know. I'll help
p Y e 1!aeliltlss at,t�a poolatleto in youf area, Oonibino Mat
you een�l�are tt►e aQats of va�tatrn i,eatttlea,' 1 s
will)atrr(lootor r000nimendatlons anal you'll get the hest gUallly oare at the lowest possible p,lee.
Here are e01rie average costs and f,lnh end prioo ranges for oon1mon procedures:
j ro �`"rt- �►- -fit _
3r;. 00
Y�
-�.� �y i -+'f� �t�•+�'-+1'�i.�� �� t-�3_�•� rw s_;�s-��t-��5- }`j is�r��ia4�'.�•rr.� 1'�}a fr�Y'��•r f-�.ice�.+.�r
$20.f�4'�ti;°�.1��t. ^u�.1��71�'�►�'-x,.r,C►-i.�.=��'l��s.�.•.-: rT?�-*-�
00,E nosoQ $2,147 $4,60I y
Endosoa $2,117 $4,246 ,
Arthrosoo to Knee Surgery $4,675
tabor and Delivery $8,720 $1$,908
DIsa SUrgery $7,137 $281645
Avoldt laces that Mil overohorge your, Lot oompass professlonal Health Services help YOU 68VO as mu011
as$20,000 today,
i look forward to tn,proving your heall#tcare experior,00,
��'3r�lylii�•;ti-������'���� �t�l,.�����y���i ���j`��►7l�1����11��
Clot Answors Now >>
' 131alr Paterson
soo,ol3.1657 x707
Health Pro
blalrp oorn, asspl,a,00m
Jl�om SS
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This eor11illIMI00e11 Prof 4slonal Heath,SprOcep does apt grrard"NO 01-
�parr'txlll 1110 quality of die jseav1doil lrealmelrls,pfrlceme'r,prkhrg of se) et+pe llterrl are sel�vlcc$+ ���rr�.Irr�rrr•R1rce csr�r'ler
Ajjy Ir1or.11lrrllorr cowairrod horcht r)xrsl be vorflted b),yo u rand),Qrlr pwevlder before rrse it Irenllrrent 6elslolrs 81'Ohrer Ilea Ith
care,
1101rr lrrsllr(#jc#carrier 1s selely t sponoblefora deolslarrs mgardlrrg rrpprgIla/candp(Otment of elalllri. Compass.Professional
Wallb Servlms Is Irr 110 i1pq responsible,finonQlat or ollreniilse,/pr(110E elalon,bonefils,chames,refinds,or Other balcrnm that
ocerlr as a l,esrrlt of health services pil MOM to recelve,
Master Agreement—City of Fort Worth and Compass, N.A Page 88 of 81
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Air � �� lc 4 ( �` t` �� � far YOU1,
PK �rti
Matjy brand name prescriptions have lower ces(lng atternatives thot oan save you money,
o OOMMOn oorjciitlotw that are often troated Will expensive name brands. Many
Hare are�fr $ ire tl3olr dootor, Here are some
people don't know that tt3ey 011 l)ay inuoh loss,ju$t t)y a R �
exa�#�los;
it� +/'Z {j �;�f' 'J( '�'-j
� L1 `- Y � � ' �Q�11 �� Y � F
• - » fGy 4—.ie'-r i GJ 1Srr �'-J fS �1 i'?` + z r+ V �3
kk
• } . f�} �� 1• �yr i:] •. }�ma=y L yp�►r,` ?f#; ►} ��'�$`.e
wficxitr?z�oll. ��r �, o� • i V 1 .� ��-�-.*-,1 +r{ 3 � �,-.. �-cam
HI gh Oholesterol UpIter, Crer>tor Yee
Anxiety Effexor XR, P rlstiq Yea
Heart BurNindigestlon Protolllx, Zegerld Yea
High Blood PressLIre Bel)#ORr, D10van Yes
Hen..Ith Prow 0011 tei� you the 10 ror Oos�t Opt,10116,
Y���t
our resort flons and IT lat you hn4w hew muoh you ootild save, I can also work
�trst eent�rye y � �
w1th your dootor to mate sure whloh alternatives are right for yotr,
gait a 1001( at NO COMPa4is m0mber'4,i expoti10110 �
q watq el)(1i# 200 Ovoly 1nont f off(Irugs anN my Heall h Plo grid 1no how to out(hot down to
only$8, llauo 111af y1n f)otwastIng that motroyl
Bialr Paterson
800,613J667 x707
Health Pro
t�lalri� c�em�ass�i�s,00r�n
�ls¢lnlrflet;
Tills calfrrr111rrlcal1vr11s�roY�c������11r��y����rll�rtc�l��ir�s�s
Ivarraffl lire gr1(11iIy dftho i villdef,Iron 01101)Is,c1rlcoruol prtclfrg of setvtces,or paymerrl fcf nl vices b 1 rr tifsrrr' nee.carrlef
e r s rise 1r1 treallrrerrl dev�to ston.x ctr Oilier keallir
�rr�F tr�orlrlcrllarr corll�rtflecllreretli rrrrtst be 3 cried!����t1 af1ri�arrrpf ovlrler b,!�
care,
}`oI1r'l rlarrr',0rree c rrlef'is sod iy re$p4trslble for'sleadstorrs repot+rllrlg op
p oswl onditirrrent of olahns, compass,1'i l
Reollll,��evvkes is how Wail r�eslr�rlslble,flfr�rr�l�l or�0111er1�'1se,for any olr(�rfrsr bengfils,charges,rofilids,o1,ollrer,balance
s Il1�i!
ocotil-crr(r r eslrll of llcialth m-OeesPlr eTroosc 10)VC01 Va.
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Master Agreement--City of Fort Worth and Compass, N.A Page 57 of 81
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Master Agreement--City of Fort Worth and Compass, N.A Page 69 of 61
y
SPH CIF XC INCLUDED SERVICES—CONSUMER CONSULTING
Compass shall mako available the following services In accordance with the terms
estahlishod in the Agreement:
Care Gap X ontification--ncooss to ohu{propriowy healthcare claihns or blometrlo data
analytics to oonsultwithh plan members on how best to olose speoxtio care gaps'oars gaps
are ldentlf;ed when a xnember Fails to follow nationally accepted standards of taro agreed
upon by the Client
Health Benefit Explanation—guidance or advisory soh{vices related to plan seleetlon(if
more than one option); explanation of covered and non covered sexvi+ces;explanettion of
benefit costs and out-of�pooket llabilitlesv explanation of sorvloe access requirements;
assistance using health p1mi support tools to seleot provider,select a sel-Ace,review
service usage aotivity,or estimate oasts
Creation of Health Summaxyw collection of core rnedloal records and billing records to
create a swmaxy of omployce's hoaltli and medioal history;servico is based on actual
records and saws employeo the time It takes to collect the records and deoumuntkey
facts about his or lhor health
Efxplafu Care options service explanation that organizes tho likoly treatment seenurlas
In a manner that is easy to understand by the employco,identiftes possible treatment
options,improves sehvice expeotations, and Improves plauing and proparation
Scxvvice Cost Annlysis—providers and sorvices aro analyzed to hoip employees Identify
service,availability based on oxporienoe and post;plan reimbursement methodologies are
then rovlewed to help employees estimate actual out-ofopooket costs
Vi-ovi d oil Soloction—physiolans,hospitals, and other service providers are identified for
the employed based on unique personal preferences suah as location or experl011004
Compass will also consult on and interface with Centers of value providers as Idonfi fled
fo.r.the targeted medical conditions; network uonfirmation services are included for free
Sobedhhlin —healhh servlcos are,scheduled for employees based upon request;schedules 9.
axe coordinated to meet owployoo's time,location, or provider ph�ofereaces
Comm,"nloaflon Assistance—assistance with the coordhiation of ow=uniciation
betwcoxh sorvice,providers pr1or to ahhd following a xn or health event
Collection of medical Records—collection of rotes,discharge stnmarles, labs,tests,
and swdles following a mx or health event so the information oan be swdicd bytho
employee and iised to Improvo future health seiTices
12
625359,v,1 (Compnss Program Surviloos Agrooment)
Master Agreement--City of Fort Worth and Compass, N.A
Page 70 of 81
Bill Reviaw—audit of lwaldi provider bills to erasure aceurate adjudieadon,accurate
charging,an d protection a alxast overpa inert;the efotls necessary to resolve any related
billing issuos are inol uded for free
13
625369 Y,I (Compass pregrain Swim Agrownwit)
Master Agreement City of Fort Worth and Compass, N.A Page 71 of 81
11
VXY
URCIVIC Co PASS CAS UNGJNUURING(CCE)INCLUDED SERVICE
CLINICAL AND NETWORK DE V1 DILOPMENT
Compass shall make available the following consulting services in accordance with the
terns established in the Agreement;
Annual Stratogic Analysis$
(a) Perform an analysis of the available data including Ul medical and pharmacy
clafins files,member vllglbility,blometric and olinical data,and wellrnoss
program results(1,e,Naturally Slim). Assess the cost drivers, gaps In clinical
care, and the Inherent risks within Client's population, Provide consulting
reports outlining the physicians'o ectivoness In mewing the covered
population's health care needs based on the current network relatioansWp,
N Once the baselino analysis is cornplcted,'den ify,opportunitles for engaging
high duality,organized prlmary care pliyal0tuis to support Client's wellness
offorts, to improve the ovorall health risk ofthc population, mid to proactively
manage chronic diseases:
(c) From the baseline Assossnient of the facility.related expenses, Identify the top
performing hospitals and specialists for the most prevalent"procedural"
conditions,and outline Vic savings opportunity for channeling pationts to
Contors of Value by condition,
Assesshag Quality—the open Health Max'ket Rr1Q1
(a) Utilize the proprietary Open Health Ma kot(OHM)website to disseminate an
muival request for Quality In formatiolx(RFQI)directly to primary care
physicians, procedural speolallsts and hospitals,and to capture the providers'
responses to the quality standards for sorvice, across, outcomes, and
satisfactlon,as defined in the OHM site,
(b) Provide a quality rw*ing report of the top pltyslelans and hospitals that best c
meet tho needs.ofUWE
Centers of VAlue(COV)Providers
(a) present analysis of the quOlty and financial results to Client,and determine
the Center of Val ae providers,
(b) Engage tlxe selccted prirnmvy care physlotans that meet the defined duality
standards to support the Client's cast inanagement initiatives Including
wollness and hoalda improvement, For the procedural specialists and hospitals
meeting the quality standardso seek a fixed cost finmielal struoture or an
Improved f 1pancl a l stmcture
14
625359,v.1 (compass Pro&=services Agreement)
Master Agreement—City of Fort Worth and Compass, KA Page 72 of 81
(c) ldontify and engage COV primary care physicians to operate as a Community
Near Site,Clinio for ft Client,
CCU Implementatiou Nvi#h Selectod Provid ors
(a) Fztgage the COV primes care physiolans in working with Client to attain
defined health improvemont, wellness,and financial goalst
(b) Set performance standards for the COV primmy care physicians and establish
process flows with the prlmary care physlolms In their interaction with Cliont,
(c) Implement processes with die specialists and hospitals for targeted conditions
and unsure appropriate m vasm'oment of the fixed cost or enhanced contraotual
arrangements ate operationallzod,and assess their performance acrid results
annually.
On.-going Movitotting Process
(a) provide Ghent access to the COV quarterly dflshboard to track results to goals
for overall population licaltli management targets and risk factor
improvement,
(b) Deploy Provider Pro oonsultant to support to tho COV primary care
physlelans in assessing results to established standards
(e) Provide oversight of the Com unIV Neu Situ Clin.lo(s)
d) meet with COV physiolan group administrators on quarterly to setni,mmu al
basis to assess opportunities for process flow improvement and to reylew
results to targets
Employee and Dependent Engagement
(a) work with Client to develop an employee accountability strategy by defining
employer culture and stops to drivo employee engagement with speoffle
providers and programs,such as inceativos and value-based plan dosigns,
�s
625359 v.I (Compass Program Services Agreement)
Master Agreement—City of Fort Worth and Compass, N.A Page 73 of 81
r
{
t
t
SERVICE VEE
Le e ed' e
Based on the Uent's ourrent employee count client will pay Compass professional
Health Services $5,25 per employee. per month for three (3) yows for Compass C E
serVioes as outlined Exl1hit D. Client will pay Compass professional Health Servioos
$4.50 per employee per month for Compass services as outl#ned In Exhibit C,
The number of umptoyees is defined as any active employee on the City 110alth plan as of
the last calendar day of the prior month, Any post-65 retired employees on the City
benefit plan as of the same time will not be considered In flie employee count,. Former or
terminated employees partlotpating In Cobra or other forms of extended covoxage,are not
i nolvdod. In the oount. Employees who contact Comp ass for service who are not on the
health plan will be added to the tom number of employees,
Fees are payable die first day of the xnontim in which support sc vices commence and arc
dtje to Compass professional Health Servioes by the 301 of the month,
ddd1t1onaL,.Vees
I, fees assessed by TPA for data extraction,production and transmission of
rgtwstcd data files for Client,
21 Fees assessed for the creation of custom dasbbouds for the Initial assessment and
custom ongoing monitoring of tho olWcal and health benefit programs at Client,
31 Assessment,development, and ongohig manogemwit of an onshe, aeiar-site,
and/or virtual medical cllWc,
4, TPA ohaxges for supporting contraot development and negotiations, custom
network development, customs ID coeds or ID oard reissue,
51 Products,and servloes available through A CAP, Including but not llmtJtod to,
Natur'ally' .P11m,Rovitalize You,11calflm Prompts Musouloskeletal Programs and
Compass professional Health Servicest
61 custom employee or participant coMMunlcatloxrsW
74 cost of postage,for commuluoation materials mailed to homes,
81 Complianee or logal services.
16
625359 v,I (compass Progmn Soryloos Agroeme )
Fort Worth and Compass, NA Page 74 of 81
Master Agreement pity of p
EXHIBIT Two
CONFLICT OF INTEREST DOCUMENTATION
0
DISCLOSURE RE AWNT
Pursuant to Chapter 176 of the Local Government Code,any person or agent of a person who
contracts or seeks to contract for the sale or purchase of property, goods, or services with a local
governmental entity(i.e.The City of Fort Worth)must disclose in the Questionnaire Form CIQ
_
("Questionnaire")the person's affiliation or business relationship that might cause a conflict of
interest with the local governmental entity. Bylaw,the Questionnaire must be filed with the Fort
Worth City Secretary no later than seven days after the date the person begins contract
discussions or negotiations with the City,or submits an application or response to a request for
proposals,or bids, or another writing related to a potential agreement with the
City.Updated Questionnaires must be Bled in conformance with Chapter 176.
A co py of the Questionnaire Form CIQ is enclosed with the submittal documents. The
form is also available at http://,vvAvw.ethics.state.tx.us/forins/CIO.pdf.
If y ou have any questions about compliance,please consult your own legal counsel.
Compliance is the individual responsibility of each person or agent of a person who,-is
subject to the filing requirement. An of
under Chapter 176 is a Class C
misdemeanor.
0
Master Agreement--CFW and Life Account,L.L.C. Page 75 of 81
0
CONFLICT of INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with local governmental entity
OFFICE USE ONLY
This guestionnaire is being filed in accordance with chapter 176 of,the Local Date Received
q
Government Code by a person doing business with the governmental entity.
By law this questionnaire must be filed with the records administrator of the
local government not later than the 7th business.day after the date the person
becomes aware of facts that require the statement to be filed. See Section
176.006,Local Government Code.
A p erson commits an offense if the person.violates Section 176.006,Local J
Government Code.
An offense under this section is a Class C misdemeanor.
}
1. Name of er doing business with local governmen en 'ty.
r47
P n g
2.
Check this box if you are fixing an update to a previously filed questionnaires
t you file an updated completed questionnaire with the appropriate filing authority
(The law requires tha y p p q
not later than September 1 of the year for which an activity described in Section 176.006(a),Local
Government Code, is pending and not later than the 7th business day after the date the originally filed
questionnaire becomes incomplete or inaccurate.)
3. Describe each affiliation or business relationship with an employee or contractor of the local
governmental entity who makes recommendations to a local government officer of the local
governmental entity with respect to expenditure of money.
4. Describe each affiliation or business relationship with a person who is a local government
officer and who appoints or employs a local government officer of the local governmental entity
that is the subject of this questionnaire.
Master Agreement CFw and Life-Account,L.L.C. Page 76 of 81
I
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor
or other erson doing-business with local overnmentaI entity Page 2
Name of local government officer with whom filer has affiliation or business relationship.
5. g
(Complete this section only if the answer to A,B,or C is YES.)
' including subparts A B C & D,must be completed for each officer with whom the
This section, S YnG g p � � .
filer has affiliation or business relationship. Attach additional pages to this Form CIQ as necessary.
A. Is the coca government overnment officer named in tliis section receiving or likely to receive taxable income
_
from the filer of the questionnaire?
❑ Yes ❑ No
B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction
of the la government overnment officer named in this section AND the taxable income is not from the local
governmental entity?
❑ Yes ❑ No
corporation with a oration or other business entity that the local
C. Is the filer of this Questionnaire affiliated p
government officer serves as an officer or director, or holds an ownership of 10 percent or more?
❑ Yes El No
D. Describe each affiliation or business relationship.
G. Describe an other affiliation or business relationship that might cause a conflict of interest.
Y
7. .
LC
'Signature o erson 6oing business with the governmental entity Date
Page 77 of 81
g
Master Agreement-CFw and Life Account,L.L.C.
T
Exhibit Three
Business Associate Addendum -City of Fort Worth
Bus Associate Addendum ("BA Addendum") to Master Services Agreement
This Bu
effective Ap ril 9, (the 2014 e "Effective Date"), is entered into by and between Life Account,
L.L.C., dl
b/a Com ass Professional Health Services ("Business Associate"), and the City of Fort
p
Worth("Covered Entity").
Recitals:
. A. Reference is made to that certain Master Services Agreement by and between Business J
Associate and Covered Entity, made and entered into as of the Effective Date (the
"Agreement");
r Pursuant to the Agreement, Business Associate performs or assists in performing a
B. g
function or activity on behalf of Covered Entity that involves the use and/or disclosure of Covered Entity's "protected health information" (such information, as defined in 45
the Y p .
C.F.R. 160-103 as such provision is currently drafted and if applicable subsequently
p ��
updated, amended or revised; referred to herein as "Protected Health Information").
_
C. The parties desire to enter into this BA Addendum to the Agreement regarding the use
and/or disclosure of Protected Health Information as required by the Health Insurance
Portability and Accountability Act of 1996 ("HIPAA"), the Health Information
Port y Y
Technology olo for Economic and Clinical Health Act ("HITECH"), the Standards for
ac of Individual) Identifiable Health Information (the "Privacy Rule"), and the
Privacy y .
Security _
rit Standards for the Protection of Electronic Protected Health Information (the
"Security Rule")promulgated thereunder.
tion of the Now, therefore, for and in considers representations, warranties and covenants p
rein and other good and valuable consideration,the receipt and sufficiency of which
contained he g
is hereby acknowledged,the parties hereto agree as follows:
Agreement: J
1 Terms Used. Terms used, but not otherwise defined, in this BA Addendum, shall have
.
the same meaning as those terms in 45 CFR 160.103 and 164.501.
2. Permitted Uses and Disclosures-of Protected Health Information. Except as otherwise
g
limited in the Agreement or this BA Addendum, Business Associate may use and/or
-disclo se Protected Health Information to perform the functions, activities, or services for
or on behalf of Covered Entity as specified in the Agreement provided that such use
and/or disclosure would not violate the Privacy Rule if done by Covered Entity. All other
uses and/or disclosures not authorized by the Agreement or this BA Addendum are
prohibited. The artier reco nine that de-identified information, (as described in 45
pro p .g
(
C.F.R 164.514(a) and (b)), p g and pricing and treatment information that is not individually
' health information (as defined in 45 C.F.R 160.103) shall not be considered
identified
Protected Health Information, and.Business Associate shall be free to hold, own, and use
such information in its business operations.
Responsibilities of Business Associate with Res ect to Protected Health Information.
3. Res o_
Associate acknowledges that it is subject to the security and data breach
Business g
i ions of HIPAA and agrees to abide by the privacy provisions prows g of HITECH,
n restrictions on marketing and requirements related to limited data sets and
including g
Master Agreement—CFW and Life Account,L.L.G. Page 78 of 81
y
minimum necessary disclosures. With regard to the use and/or disclosure of Protected
Health Information,Business Associate hereby agrees to do the following:
to not use and/or disclose,Protected Health Information other than as permitted or
a. y
required b the Agreement or this BA Addendum or as Required By Law;
q
to use appropriate safe uards to prevent the use and/or disclosure of Protected
- b. g
Health Information other than as provided for by the Agreement or this BA
Addendum;
to implement reasonable and appropriate administrative, physical, and technical
c. p
safeguards to protect the confidentiality, integrity, and availability of the
g
-Protected Health Information it creates, receives, maintains or transmits on behalf
of Covered Entity;
d. to report to Covered Entity any security incident, as defined in the Security Rule,
p y
or an y breach of unsecured Protected Health Information, as defined in HITECH,
of which it becomes aware;
to noti Covered Entity in writing immediately of any use and/or disclosure of
e. fY. Y -
Protected Health Information that is not provided for by the Agreement or this BA
Addendum g
and to mitigate, to the,extent practicable, any harmful effect that is
known to Business Associate of a use or disclosure of Protected Health
Information by Business Associate in violation of the requirements of the BA
Addendum;
g
to ensure that all agents, including-subcontractors, to whom it provides Protected
f.
Health Information received"from, or created or received by Business Associate
of Covered Entity or that create, receive, maintain or transmit Protected
_ on behalf y
Health Information on-behalf of Business Associate agree to the same restrictions
and
conditions on the use and/or disclosure of Protected Health Information that
apply 1 to Business°Associate:pursuant to the Agreement and this BA Addendum,
and that an y agent,ent, including subcontractors, to whom it provides Protected Health Information agree-to implement reasonable and appropriate safeguards to
-protect suchTrotected Health Information;
to provide access (at the request of, and in the time and manner reasonably
g• p -
designated by, Covered Entity) to Protected Health Information, to the extent
maintained by Business Associate in a Designated Record Set, to Covered Entity
or, as directed b y Covered Entity, 'to an Individual in order to meet the
requirements under 45 CFR 164.524;
amendments (at the re uest of, and in the time and manner
h. to make any � � q •
reasonably designated b Covered Entity) to Protected Health Information, to the
y g y ..
extent maintained b y Business Associate in a Designated Record Set, that
Covered Entity directs pursuant to 45 CFR 164.526;
i. to make internal p ractices, books, and records relating to the use and/or disclosure
of Protected Health Information received from, or created or received by Business
Associate on behalf of, Covered Entity available to Covered Entity, or at the
request of Covered Entit ; to the Secretary of the Department of Health and
q y •
Human Services or his/her designee, in a time and manner reasonably designated
b Covered Entity or the.Secretary, for purposes of determining Covered Entity's
y y
and/or Business Associate's compliance with the Privacy Rule and Security Rule,
as applicable;
Page 79 of 81
g
Master Agreement-CFW and Life Account,L.L.C.
f +'
to document such disclosures of Protected Health Information and information
related to such disclosures as would be required for Covered Entity to respond to
a request b an Individual for an accounting of disclosures of Protected Health
� y
-Information-in accordance with 45 CFR 164.528 and HITECH; and
k. to p rovide to Covered Entity, in a time and manner designed by Covered Entity,
information collected in accordance with Section 3.j. of this BA Addendum, to
ermit Covered Entity to respond to a request by an Individual for an accounting
p y
of disclosures of Protected Health Information In accordance with 45 CFR
164.528 and HITECH.
4. Responsibilities'' ' of Covered Entit with Res e ct to Protected Health Information.
Covered Entity shall:
a. p -
provide Business Associate with the notice of privacy practices that Covered
y_
Entit produces in accordance with 45 CFR 164.520 as well as any changes to
such notice;
b. p rovide Business Associate with any changes in, or revocation of, permission by
Individual to the use and/or disclosure of Protected Health Information, if such
changes affect Business Associate's permitted or required uses and/or disclosures;
and
C•
notify Associate Business of any restriction to the use and/or disclosure of
Protected Health Information that Covered Entity has agreed to in accordance
with 45 CFR 164.522 or that a patient has property requested pursuant to
HITECH.
Specific Use and Disclosure by Business Associate. Except as otherwise limited in the
5. p •
Agreement and this BA Addendum,Business Associate may:
a. use Protected Health Information for the proper management and administration
of Business Associate or to carry out the legal responsibilities of Business
Associate.
b. disclose • Protected Health- Information for the proper management and
• istration of Business Associate, provided that the disclosures are Required
admire p
B y Law, or Business Associate obtains reasonable assurances from the person to
whom Protected Health Information is disclosed that it will remain confidential
and used or further disclosed only as Required by Law or for the purpose for
a Y
which it was disclosed to the person, and the person notifies the Business
Associate of an y instances of which it is aware in which the confidentiality of
Protected Health Information has been breached.
Protected Health Information to provide data aggregation services to Covered
C. use Prot p
Entity s permitted by 42 CFR 164.504(e)(2)(i)(B).
y p
6. Term and Termination.
a. Term. The Term of this BA Addendum shall be effective as of the Effective Date
and shall terminate when all of the Protected Health Information provided by
Covered Entit y to Business Associate, or created or received by Business
Associate on behalf of Covered Entity, is destroyed or returned to Covered Entity,
or,, if it is infeasible to return or destroy Protected Health Information, protections
are extended to such Protected Health Information, in accordance with Section
6.c. below.
b. Termination for Cause. Covered Entity may immediately terminate the
Master Agreement:CFw and Life Account,L.L.C. Page 80 of 81
Agreement and/or this BA Addendum if Covered Entity determines that Business
Associate has breached a. material term of this BA Addendum. Business
Associate may immediately terminate the Agreement and/or this BA Addendum if
Business Associate determines that Covered Entity has violated its obligations
under HIPAA and has not, immediately cured said violation upon notice from
Business Associate.
C. Effect of Termination.
(1) Except as provided in paragraph (2) of this Section 6.c., upon termination of the
Agreement and/or this BA Addendum, for any reason, Business Associate shall J
return to Covered Entity or destroy all Protected Health Information received
from or created on behalf of Covered Entity. This Section 6.c.(1) shall apply to
Protected Health Information that is in the possession of subcontractors or agents
of Business Associate. Business Associate shall retain no copies of the Protected
Health Information.
(2) In the event that Business Associate determines that returning or destroying the
Protected Health Information is infeasible, Business Associate shall provide in
Writing to Covered Entity notification of the conditions that make return or
destruction infeasible. Upon mutual written agreement of the Parties that return
or destruction of Protected Health Information is infeasible, Business Associate
shall extend the protections of this BA Addendum to such Protected Health
Information and limit further uses and disclosures of such Protected Health
Information to those purposes that make the return or destruction infeasible, for so
long as Business Associate maintains such Protected Health Information.
7. Miscellaneous.
a. Amendment. The Parties agree to take such action as is necessary to ame
BA Addendum from time to time as is necessary for Covered Entity to lye •
With the re uarements of the Privacy Rule Security Rule, and HIPAA.
� Y 3 Y
b. Survival. The respective, rights and obligations of Business Associate ulgeiffi
Section 6.c. of this BA Addendum shall survive the termination of the Agr e n r
and/or this BA Addendum. PC m m
�
n An ambiguity in this BA Addendum shall be resolved in f v o
C. Interpretatio y a g y c0
a meanie that permits Covered Entity to comply with the Privacy R -e an
g p Y p Y Y C�►
Security Rule.
d. No Third Party Beneficiary. Nothing in the BA Addendum is intended, nor shall
be deemed,to confer any benefits on any third party.
8. Effect of BA Addendum. Except as amended by this BA Addendum, the terms and
provisions of the Agreement shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused this BA Amendment to be executed
by their duly authorized representatives, all as of the date first set forth above.
By: - By'
Date: F D to: - rb�1,1
0Oa0Da
Printed Name: Eric tricker/ o Prin e Name: Su an Alanis
�Qo
Title: Chief Medical Officer a Q itle: Asst. City Manager
D
4� Atp&e410 As eTb T,m- Lap
f° p�0
and Life Ac 000°S� Page 81 of 81
S COA01
Sep', ity SOOMM , A T C FN ATI
r4o Nit 16
r"!W
city of Fort Worth', Texas
I& Ar
Mayor and u 'I'll Co unlication
COUNCIL ACTION.- Approved mi 4/8/20,14
..........-----_1
DATE*- Tuesday, April 08, 2014 REFERENCE NO.: **P-1 1638
LOG NAME: 1 14-0112 COMPASS HEALTHCARE CC
E CT6
SLBJ ,
.0.
Authorize Agreement for Consumer Healthcare Tools- and Support for the Human Resources Department with
I.ife Account, L.L.C., d/b/a Compass,Professional Health Services, Using a Cooperative Contract in an
Amount Up to$5001,000.00 Annually for the Initial Three-Year ].erm (ALL COUNCIL DISTRICTS)
REQQM
It is recommended that the City Council authorize execution of an Agreement for consumer healthcare tools,
and support for the Human Resources Department with Life Account, L. .C.,, d1b/a Compass Professional.
11 1
Health Services, using City offi rsco Contract No. 1303 -035 in an amount,up to$500,0010.0O annually for
the initial fluee-year term.
DISCUSSION.
The Human Resources Department will. use this Agree Anent to give City employees,the ability to obtain
pricing and service-quality information, scheduling assistance, aid other comprehen,sive assistance services
associated with healthcare and benefits (healthcare concierge services). Based on experience of other users,
this service is expected to positively impact the quality of care received and to reduce the overall costs for
both the City and individuals who take advantage of the,service.
Life Account,L.L.C., d/b/a Compass Professional health Services, (Compass), will analyze the City's claims
data and determine its highest cost drivers and then recomiri.end appropriate interventions, to impact those
cost drivers. Compass consumer advocates Will use the too],,to give City employees cost and quality
cow parsons for medical services. As an added benefit,, Compass consumer advocates will support employees
in appointment scheduling,, bill review, and other concierge services.
The proposed Agreement,is for a three,year period with three, one-year renewal options. During,the initial
term, services would be provided for a fee of$4.50 per ply per-nionth (prtip►)l plus an annual
allocation in the amount of$150,0010.0101 for participant incentives, which equates to a total anlount of
$1,5010,000.00 for the entire three-year term and an annual amount of$500,000.0101 per year. Approval of this
M&C includes,funding for this Agreement through the remainder of Fiscal Year 2014. The remaining
funding for the initial term will be provided through future budget processes. Should the City fall to fund the
remainder of the initial terin, the City shall have the right to cancel theAgreen"ient.
Compass estimates that the City's healthcare plan will realize claims savings, of$4.8M per year. In tile first
year of the contract, claims savings will be achieved by:
- Using Compass and the City's claim data to identify higher value service providers in the local and
regional market,
-Engaging employees who are currently, using healthcare services or,are anticipated to use healthcare
services in the near future with cost and quality informatioll;
- Educating all enlployees on how to become better llealthcw-e consumers and when to use Compt,"Iss
services; and
rpreting bene,fits f ind i ng ac c es sibl e care
Guiding empIlogees thr()ugh the healthcare process by inte
providers, scheduling appointments,, and reviewhig bilts'.
4�
COOPERATIVE,P1JR,C14,ASE—State law p:rIo s that a local government purchasing an item Under a
Cooperative Purchasing Agreement,satisfies state law requiring that the local goverrinient seek competitive
bids for purchase of the item. In accordance with M&C P—10710, the City etitered into,an Interlocal
Cooperative Purchasing Agreement with the City of Frisco(Frisco) that allows the cities to take advantage of
each other's competitively bid contracts. The Frisco awarded Contract No. 13031-035 for healthcare concierge
following a conipetitivebidding process.
M/VvrBE OFFICE--A waiver of the goal for MBE/SBE Slibc ting requirenients ,was requested by the
Purchasing Division and app roe eld by the M/WBE Office, in accordance with the BDE Ordinance, because
the purchase of goods or services is from SOUrces where,subcontracting or Supplier opportunities are
negligible.
NDMINISTRATIVE CHANGE ORDER--An administrative change order or increase may be made by the
City Manager in the arriount up to $50,000.00 and does not reqtnre specific City Council approval as long as
sufficient-funds have been appropriated.,
AGREEMENT TERMS —'Upon City Council approval, the Agreement shall begin on April 9, 2014 and will
expire on April 8, 2017.
RENEWAL OPTIONS —This Agreement rilay be renewed for up to three additional one—year terms at the
City's option provided that Frisco renews its contract with Compass. This,action does, not require specific
City Council approval provided that sufficient fundsare appropriated for the City ton,,ieet its obligations
during the renewal ,period.,
FISCAL INFO R,I,7j_Q
The Financial Management Services,Director certifies that, fulld.s are avails e in the,curretit operating
budget,, as appropriated, of the Group Health and L: e Itisurance Fund.
BQN\"1.4-0112\CC
CENTERS,
If epters FROM Fund/Acc, s
Agcoun,1LEg _Quja,tjCpUter,
EE�5 5 31200 Q]48 1222,� ,OQ
!LER,T1ELCATjQ,N'S;.
�Sqbvnitted for Q*Ity Managrgr',,s 0
_fficie by:l Susan Alanis, (81,80)
Qri,ginating DepartMeaj..Hegd:, Aaron Bows (85 17)
Additional Inor mationjEou Jack Dale (8357),
Cristinia Caniteffillo (8355)
IN _0 IN
ATTACHMEN11"S,
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Health L
2. Cani sllealthCa e,Contra
zih E_
3. WaiLer 1,4--QJ 1,2.t)d,