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Res 2025-182 approving a contract with Frontier Direct care, LLC to build and manage a heallthcare clinic to be used for city employees and who are covered through the City's Health Plan
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Res 2025-182 approving a contract with Frontier Direct care, LLC to build and manage a heallthcare clinic to be used for city employees and who are covered through the City's Health Plan
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9/30/2025 8:54:51 AM
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City Clerk - Document
Resolutions
City Clerk - Type
Approving
Number
2025-182
Date
9/16/2025
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2. Business Agrees to: <br /> a. Initial three(3)-year contract term with two(2)2-year optional renewals <br /> b. Utilize Frontier Direct Pay for pre-negotiated services and set-up of Frontier's cash payment platform account prior <br /> to start of service <br /> c. Utilize Frontier Rx for Alternative Sourcing, MAP/PAP, 340b, Free Mail Generics when in the best interest of the <br /> Business <br /> d. Provide Monthly Claims Report(Minimum)or integration into the Business's TPA <br /> i. Payments by Month(Medical/RX) <br /> ii. HCC over$50k <br /> iii. Network Carrier Utilization Reporting <br /> e. Inclusion of Frontier Customer Experience team during On-Boarding/Open Enrollment <br /> f. Quarterly Reviews of Progress/Programs to Reach <br /> g. Coordinate with Frontier for Outreach events(Health Fairs, Lunch&Learns, onsite seminars, etc.) <br /> Contingencies: <br /> Both parties understand that actual results may vary due to factors beyond Frontier's control, including the emergence of high-cost, <br /> unanticipated claimants or services. In such cases,Frontier and the Business agree to jointly re-evaluate the impact of those factors at <br /> the conclusion of the plan year to assess their influence on overall savings performance. This evaluation may include consideration of <br /> large,catastrophic claims or other atypical utilization patterns that were not reasonably predictable.The parties will collaborate in good <br /> faith and may use a third-party services(actuarial firm,stop loss carrier,or other)to determine whether adjustments or accommodations <br /> are warranted in the interpretation of results or in future performance expectations. <br /> The Savings guarantee is contingent on the following terms and conditions: <br /> a. Continuation of the current schedule of benefits. This Savings Guarantee assumes the current plan benefits and cost <br /> sharing as stated in the Plan Document is substantially similar to the prior year. In the event the Plan Document changes, <br /> the Business will inform Frontier for the purpose of calculating projected savings based on the current schedule of <br /> benefits. <br /> b. Any new risk assumed by the Business's health plan will adjust the savings Baseline Spend for measurement. <br /> C. This Savings Guarantee is based upon the accuracy and validity of the data provided by the Business or its representative <br /> who warrant that the data is accurate. <br /> Illustrative Example of Savings Guarantee Payout(To Be Replaced Post Baseline Agreement) <br /> Description PMPM <br /> Baseline Spend-Year 1 Projected Cost(No Frontier) $500 <br /> Actual Spend-Year 1 (with Frontier) $525 <br /> Difference $(25) <br /> Guarantee Frontier credits the Business$25 PMPM during <br /> the second year of agreement. <br /> 19 <br />
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