Item Description:
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Amd 2 to Agmt PR00000534 with MetaStar, Inc. to conduct an annual audit on Hennepin Health’s HEDIS processes as required by contracts between Hennepin Health and the Department of Human Services, 01/01/19-09/30/27, incr NTE by $89,112
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Resolution:
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BE IT RESOLVED, that Amendment 2 to Agreement PR00000534 with MetaStar, Inc. to conduct an annual audit on Hennepin Health’s HEDIS processes in order to fulfill Hennepin Health’s contractual obligations with the Department of Human Services for the period of January 1, 2019 through September 30, 2027; increasing the not to exceed amount by $89,112 for a new total not to exceed amount of $259,632 be approved; that the Chair of the Board be authorized to sign the Agreement on behalf of the County; and that the Controller be authorized to dispense funds as directed.
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Background:
Amendment 2 to Agreement PR00000534 with MetaStar, Inc. is to conduct an annual audit on Hennepin Health’s HEDIS processes in order to fulfill Hennepin Health’s contractual obligations with the Department of Human Services for the period of 01/01/19-09/30/27.
Pursuant to the contracts between Hennepin Health and DHS and the MDH rules, Hennepin Health is required to conduct an annual HEDIS audit and report on the resulting performance rates for each contract. In order to assure the accuracy and compliance with the rules governing HEDIS, an audit of the background claims, data pulls, process controls, record abstraction and resulting performance rates must be audited by an accredited vendor. MetaStar was chosen for its proximity to Hennepin Health (located in Madison, WI), and for its status as the Quality Improvement Organization (QIO is a federal designation) for the State of Wisconsin. The MN QIO - Stratis Health- is not permitted to audit in the same state for which it is the QIO. MetaStar uses a team of NCQA-certified auditors for the validation. HEDIS data are used for reporting to the MDH and MN Community Measurement which is used to assess the health and quality of MN residents. Hennepin Health has used MetaStar as this vendor for at least 10 years. Metastar's past history with Hennepin Health assures the minimum amount of time is spent doing background reporting on Hennepin Health's systems and processes which saves Hennepin Health money over the long term as the audit is completed in 1-2 days.
This board action request aligns with Hennepin County disparity reduction efforts to improve access to culturally specific/sensitive health services and increase community well-being.
recommendation
Recommendation from County Administrator: Recommend Approval