Agenda 06/25/2024 Item #16E 1 (Third Amendment to Agreement No. 14-6293 “Collier County Onsite Medical Clinic” with Millennium Physician Group, LLC.)06/25/2024
EXECUTIVE SUMMARY
Recommendation to approve the Third Amendment to Agreement No. 14 -6293 “Collier County Onsite
Medical Clinic” with Millennium Physician Group, LLC, at an annual estimated expenditure of $780,000
per year, effective November 14, 2024. (Group Health & Life Fund 5017)
OBJECTIVE: To continue to provide onsite medical and limited pharmacy services to employees and dependents
covered under the Collier County Group Health Plan for the purpose of promoting health, wellness, and
productivity.
CONSIDERATIONS: The Risk Management Division administers a partially self-funded Group Health
Insurance Program for its employees, participating constitutional officer employees and their eligible dependents.
In 2006, the Board approved the creation of an onsite medical clinic to provide medical care to employees and
dependents covered under the Group Health Insurance Program. Since that time, services provided through the
clinic have expanded beyond acute care to include the management of chronic conditions such as pre -diabetes and
diabetes under the Take Charge program; cardiac health under the Heart Smart program; and weight management
under the Inside Out program. Services are provided at the Main Campus location as well as a North clinic location.
On September 9, 2014 (Agenda Item 16.E.7), Millennium Physicians Group, LLC (“Millennium”) was awarded an
initial five-year term contract to support the onsite medical clinic operations, with five one -year renewal options.
On October 10, 2017 (Agenda Item 16.E.2), the County approved the First Amendment to the Agreement providing
for the addition of limited pharmacy services through The MedCenter. On October 8, 2019 (Agenda Item 16.E.3),
the County approved the Second Amendment to the Agreement which updated the Scope of Services to eliminate
options that were no longer necessary and to exercise the remaining five -year renewal including an updated Fee
Schedule.
The attached Third Amendment to the Agreement provides for the following changes:
1. Extension of the Agreement for an additional term of one year and six weeks, beginning on November 14,
2024, and ending on December 31, 2025.
2. Include Exhibit B-2, pricing for the extension period with an effective date of November 14, 2024. The
vendor has agreed to hold the current rate of $30.52 per employee per month through December 31, 2025.
3. Adjust agreement term to match the pricing year under the agreement with a new agreement term starting
on January 1, 2025, and ending on December 31, 2025.
Below is a table showing the amounts paid for fiscal years 2022 and 2023.
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Staff is requesting an extension of the Agreement due to future expansion plans of the employee clinic. Although
limited pharmacy services were added to the clinic services, the clinic model itself has not changed since December
2006 (17 years). This extension will allow time to determine which services should be included in the expansion
and to complete an analysis of possible location logistics, prepare the expanded scope of services, and analyze costs
and plan design to accommodate these changes.
Issuing an RFP at this time could result in multiple changes in health care providers within a short period of time,
could disrupt employee care and compromise health outcomes, and could cause lack of confidence in the services
provided by the employee clinic. Extending the contract mitigates these risks and ensures continuity of care.
Services provided by Millennium have been more than satisfactory and employee feedback continues to be
positive. Further, proposed pricing for the extension will be at the current rate of $30.52 per employee per month.
Staff recommends approval of the extension of the Agreement and the terms in the Third Amendment.
FISCAL IMPACT: The total estimated annual cost to provide primary care services (current clinic model) is
$780,000 per year based upon an estimated monthly enrollment of 2307 employees. Sufficient funds have been
budgeted in Fund 5017, Group Health and Life for this purpose.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this item.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board
approval. - CJS
RECOMMENDATION: That the Board approves the Third Amendment to Agreement No. 14-6293 “Collier
County Onsite Medical Clinic” with Millennium Physician Group, LLC, with a total anticipated annual expenditure
of $780,000 and authorize the Chairman to sign the Amendment. (Group Health & Life Fund 5017)
PREPARED BY: Sonja Sweet, Risk Manager
ATTACHMENT(S)
1. Third Amendment to 14-6293 - Vendor Signed (PDF)
2. 11-14-2019 thru 11-13-2024 2nd Amendment and Renewal (PDF)
3. 14-6293Millenium_Amendment1_Pharmacy (PDF)
4. 14-6293 Millennium_Contract_Original (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.1
Doc ID: 28736
Item Summary: Recommendation to approve the Third Amendment to Agreement No. 14-6293 “Collier County
Onsite Medical Clinic” with Millennium Physician Group, LLC, at an annual estimated expenditure of $780,000
per year, effective November 14, 2024. (Group Health & Life Fund 5017)
Meeting Date: 06/25/2024
Prepared by:
Title: Benefits Analyst – Risk Management
Name: Sonja Sweet
06/08/2024 11:05 AM
Submitted by:
Title: Risk Management Director – Risk Management
Name: Michael Quigley
06/08/2024 11:05 AM
Approved By:
Review:
Risk Management Michael Quigley Director Review Completed 06/08/2024 11:57 AM
Procurement Services Francheska Correa Level 1 Purchasing Gatekeeper Completed 06/10/2024 1:18 PM
Procurement Services Sandra Srnka Procurement Director Review Completed 06/10/2024 2:04 PM
Corporate Business Operations Kenneth Kovensky Corporate Business Operations Review Completed 06/18/2024 7:43 AM
County Attorney's Office Carly Sanseverino Level 2 Attorney Review Completed 06/18/2024 1:38 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 06/18/2024 1:39 PM
Office of Management and Budget Blanca Aquino Luque OMB Reviewer Completed 06/18/2024 1:50 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 06/19/2024 3:45 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 06/19/2024 3:47 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 06/25/2024 9:00 AM
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Packet Pg. 1236 Attachment: Third Amendment to 14-6293 - Vendor Signed (28736 : Collier County Onsite Medical Clinic Amendment 3)
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16.E.1.bPacket Pg. 1239Attachment: 11-14-2019 thru 11-13-2024 2nd Amendment and Renewal (28736 : Collier County Onsite Medical Clinic Amendment 3)
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16.E.1.cPacket Pg. 1249Attachment: 14-6293Millenium_Amendment1_Pharmacy (28736 : Collier County Onsite Medical Clinic Amendment 3)
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