Item Description:
title
Amd 2 to Agmt PR00001189 with PillarRx Consulting, LLC to conduct pharmacy benefit manager auditing required by the Hennepin Health contract with the MN Dept of Human Services, ext end date to 08/31/28, incr NTE by $210,000 for a new total NTE of $685,100
end
Resolution:
body
BE IT RESOLVED, that Amendment 2 to Agreement PR00001189 with PillarRx Consulting, LLC to conduct pharmacy benefit manager auditing required by the Hennepin Health contract with the Minnesota Department of Human Services, extending the end date to August 31, 2028 and increasing the not to exceed amount by $210,000 for a new total not to exceed amount of $685,100 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.
end
Background:
Agreement PR00001189 with PillarRx Consulting, LLC is for the pharmacy benefit manager auditing to include pricing, pharmacy benefit manager servicing, benefit, prescription drug event, fraud/waste/abuse, rebates, claims, network management, oversight validation, member call data as well as appeals and grievances. The Hennepin Health contract with the MN Department of Human Services requires Hennepin Health to audit all third-party vendors to ensure they are meeting contractual requirements and standards. Hennepin Health does not have the capacity or staff expertise to conduct a full claims audit and other items included in the list of services.
Amendment 2 to Agreement PR00001189 with PillarRx Consulting, LLC seeks approval to extend the end date to August 31, 2028, and increase the NTE to $685,100.
This board action request aligns with Hennepin County disparity reduction efforts by improving access to culturally specific/sensitive health services and increase community well-being.
recommendation
Recommendation from County Administrator: Recommend Approval