D00614Y '
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Approved Copies to:
- City Clerk (Original)
- Finance DepYs Accounting �ivision
- Requesting Dept
CITY OF SAINT PAUL
OFFICE OF THE MAYOR
ADMINISTRATIVE ORDER:
BUDGET REVISION
ADMINiSTRATIVE ORDER, Consistent with the authority granted to the Mayor in Section 70.O7.d of the City
the request of the Director of Finance & Management Services
to amend the 1995 budget of the General Fund
Finance and Management Services Department is authnrized to amend said budget in the following man r.
DEPARTMENT 8,. DIVISION:
LEDGER, FUND, ACTIVITY, OBJECT, PROJECT
Finance & Management Services
General Government Accounts
GL-001 09002-0219 Fees Other Professional5ervices
GL-001 09060-0548 Expettditure from Contingency �
V
v
Y
�c�s��l
C_t,l_!`t�.
and based on
APPROVED
CHANGES
the
AMENDED
BUDGET
0 100,000 100,000
230,000 {100,000) 134,040
230,000 0 230,000
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c �
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by:
Requested
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a
V�}i��:�"� G`r+�a�L li�u{�i�ie
AUG '� 1995
Date
�' ��
Date
�-�2- 95
Date
a
IGREEN SHEET
fJ_ 31334
� DEPARTMENT DIRECTOP O CITV CAUNdL
a CINATfORNEY � QTYCLEPK
� BUDGET DIRECTOp � FIN. 8 MC.T. 5E
� MAYOft (Ofl ASSISiAN'n � �. � L
e�-ra
TOTAL # OF SIGNATURE PAGES
(CLIP ALL LOCATIONS FOR SIGNATURE)
G�— INITIAUDATE
DIR.
Approve the transfer of $100,000 from GL 001 °°^^v�ovz-6�^n to GL 001 09002�9 in order to
hire William A Mercer Inc to conduct a medical claims audit of the City' benefits carrier,
Medica.
_ PIANNINGCOMMISS�ON _ GVILSERVICE
_ CIB GOMMITTEE _
_ STAFF _
_ �ISTRICTCOUflT _
SUPPOPTS WHIGN COUNpL O&IECTIVE7
PERSONAL SERVICE CONTRACTS MUSTANSWER T E FOLLOWING QUESTIONS:
7. Has this personttirm ev¢r workatl untler a contract f this dapartment?
YES NO
2. Has ihis person/firm ever been a ciry employee.
YES NO
3. Does this persoNfi�m possess a skiff not n rmally possessed by any current ciry empbyee?
YES NO
Ezplaln all yes enswsra on seperate s et antl attech to green sheet
INfTIAi1NG PROBLEM. ISSVE. OPPORTUNITY (Who, What, When, Where, Why):
Medica receives approximately $15 million annually in
and retirees. The City has never conducted a medical
business decision to periodically audit any entity t
The City is concerned with the 1eve1 of network pro
network management fees; Medica's method of coordi at
claims, and with the administration of out-of-net ork
The audit would greatly assist in the deve
suggested improvements to be negotiated in
As a result of the audit, the City would b
recoveries from Medica and other carxiers..
ldone
p emiums from the City, its employees,
laims audit. It is a prudent
t receives such large payments.
er savings retained by Medica £or its
ng Medicare benefits on retiree
prescription drug claims.
p�Qent of baseline performance factors and
�ture contract(s) with Medica or other carriers.
in a better position to potentially locate
��� � �
El��EC�
AUG 419av
CETY CLERk�E
��
�
��� ��
�
�.tSP�VqNTACES IP NOT APPROVED:
The City, its employees an retirees, will continue o pay a total of approximately $15
million in premiums to a ealth carrier without a claims audit. It would be extremely
difficult for the City t negotiate performance star�dards snd suggested improvements for
claims administration ' future contracts with Medica and other carriers without having the
results of a thorough laims audit.
AMOUNTOF
$ 1��
COST/flEVENUE BUDGETED (CIRCLE ONE) YES NO
FUNDING SOURCE uL-V V 1 ACTIVITY NUMBER 09002
FINANCIAL MFORMATION: (EXPLAIN}
CITY OF SA{NT PAUL
O�FICE OF THE MAYOR
�
ADMINISTRATIVE ORDER: No: L7�91�]
� BUDGET REVISION Date: —� �`�'j�j _
Approved Copies to:
- City Clerk (Originaq
- Pinance DepYs Accounting Division
- Requesting Dept.
ADMINISTR,4TIVE ORDER, Consistent with the authority granted to the Mayor in SeMion 10A7.4 of the City Charter and based on
the request of the Oirector of Finance & Managem Services
to amend the 1995 budget of the Gene Fund fund, the Director of the
Finance and Management Services Depar6nent is authorized to amend said budget in the following manner.
OEPARTMENT & ONISION:
LEDGER,FUND,ACTNITY,OBJECT,PROJECT
Finance & Management Services
General Govemment Accounts
GL-001 �9002-0219 Fees Other Professional Services
GL-001 09060-054& Expenditure from Contingency
CURRENT APPROVED AMENDED
BUDGET CHANGES BUDGET
0 100,000 M100,000
23�,000 (1�O,O�U) 130,000
230,000 0 230,000
`J
Date
�s-2- S�
Date
�� �2 - 9 5
Date
���y
GREEN SHEE N° 31334
�DEPARTMEMDIRECfOF ❑CITYCAUNGI ��
OCT'ATTOflNEY ' QCITYCLERK
� BUDGET DIRECiOH � FlN. & MGT. SERVICES Dlq.
aMAYOA(OflASSISTANT) f�!'l.-0oF e,.CO4lSt��nt
TOTAL # OF SIGNATUHE PAGES (CLIP ALL LOCATIONS FOR SIGNATUR�
Approve the transfer of $100,000 from GL 001 09002 0431 to GL 001 09002 0219 in order to
hixe William A Mercer Inc to conduct a medical claims audit of the City's benefits carrier,
Medica.
Anv� �A� a
_ PLANNING COMMISSION __ CIVR SERVICE CAMMISSION
_ CIB COMMITfEE _
_ STAFF _
_ DISTRICTCqURT _
SUPPoRTS WHICH COUNCIL OBJECTIVE7
PEHSONAL SERVICE CONTpACTS MUST ANSWEH SIiE FOILOW{Nti �UESTONS:
1. Has this person�rm ever worked urMer a coMract for Mis departmeni? -
YES NO
2. Has this persnnlfirm ever 6een a city employee?
YES NO
3. Dces Mis person/firm possess a skill not normalry possessetl by any curreM city employee?
YES NO �
Explain all yes enswers on separete sheet and ettaeh to green sheet
INITIATING PROBLEM, ISSUE, OPP�RTUNITV (N7w. Whaq `Mien, Where, Why):
Medica receives approximately $15 million annually in premiums from the City, its employees,
and retirees. The City has never conducted a medical claims audit. It is a prudent
business decision to periodically audit any entity that receives such large payments.
The Gity is concerned with the level of network provider savings retained by Medica for its
network management fees; Medica's method of coordinating Medicare bene£its on retiree
claims, and with the administration of out-of-network prescription drug claims.
�'he audit would greatly assist in the development of baseline performance factors and
suggested improvements to be negotiated in future contract(s) with Medica or other carriers.
As a result of the audit, the City would be in a better position to potentially locate
recovexies from Medica and other carriers.
None R�CE.NE�
AUG 41995
ClTY CIERK
The City, its employees and retirees, will continue to pay a total of approximately $15
million in premiums to a health carrier without a claims audit. It would be extremely
difficult for the City to negotiate performance standards and suggested improvements for
claims a'dministration in future contracts with Medica and other carriers without having the
results of a thorough claims audit.
�TAL AMOUNT OF TRANSACTION $ 1 OO. OOO COST/REVENUE BUDOE7ED (CIRCLE ONE) YES NO
FUNDIHGSOURCE '�' ACTIVITYNUMBER OJOOZ
FINANCIAL INFORMA110N: (EXPLAIN) 1 � , /yl '!/
!VS QW . QUV