C4I-Ref- FCWPC - Reintegrate Baptist Hospital Network Among Providers To EmployeMIAMIBEACH
City of Miomi Beoch, ,l700 Convention Center Drive, Miomi Beoch, Florido 33,l39, www.miomibeochfl.gov
COMMI SION MEMORANDUM
To: Mayor Philip Levine and Members of
FROM: Jimmy L. Morales, City Manager
DATE: November 19,2014
SUBJECT: REFERRAL TO THE FINANCE
City Com SSION
CITYWIDE PROJECTS (FCWPC)
BAPTIST
TO CITYHOSPITAL NETWORK AMONG PROVIDERS AVAILABLE
EMPLOYEES
ADM! NISTRATION RECOMMEN DATION
Discuss the item and refer for consideration and recommendation.
BACKGROUND
Effective August 14, 2014, negotiations between Humana, the City's Administrative Services Only
(ASO) carrier, and the Baptist network ended in a deadlock. As a result, all Baptist Hospitals,
physicians and associated health care practitioners are out of network providers for City of Miami
Beach employees who take advantage of the health care coverage benefits associated with
employment with the City.
BAPTIST IN.NETWORK SOLUTIONS
The Administration would like to seek the FCWPC's recommendation as to which of the four
available options the City should pursue. They include:
1. Switching carriers - piggybacking off the contract between Miami-Dade County and AvMed
as a full replacement for Humana.
2. Adding a carrier - piggybacking off the contract between Miami-Dade County and AvMed
while retaining Humana's services.
3. Adding a rental network - adding a network that includes Baptist facilities and affiliated
providers and having Humana administer.
4. No change in carrier - staying with Humana and encouraging the organization to make
every effort to re-engage Baptist as a network provider.
Based on a report run showing employees and retirees living south of 56 Street, as they are closer
Agenda ltem
Date118
Commission Memorandum
Referral to FCWPC - Health lnsurance Options
November 19, 2014 Page 2 ot 2
to Baptist Hospital than any other health care facility in the area, there are 354 individuals out of
1,473 covered, who are affected by this change.
CONCLUSION
The Administration recommends referral of this matter of the Finance and Citywide Projects
Commiltee.rlffi
JLM/dBISC-T
119