Explanation
BACKGROUND:
In 2020, it was discovered that OptumRx, Inc., through an audit process, had overcharged the City of Columbus as it pertained to coordination of benefits from February 1, 2019 through January 31, 2020.
OptumRx paid claims incorrectly when coordination of benefits were pursued that resulted in overpayments by the City between February 1, 2019 through January 31, 2020. OptumRx, Inc. has agreed to issue payment to the City in the amount of Two Thousand Four Hundred Fifty Three and 71/100 Dollars ($2,453.71), representing a refund for the overpayments during that period. OptumRx is not the current vendor supplying pharmacy benefit management services, so there are no additional funds to be recovered.
It is in the City’s best interest to enter into a Settlement Agreement with OptumRx, Inc. and accept payment in order to resolve this issue.
Emergency action in being requested so that this settlement payment of $2,453.71 from OptumRx, Inc. can be deposited by the Treasurer into the Employee Benefits Fund (5502) in order to correct an overcharge error and allow the transaction to be finalized at the earliest possible time.
FISCAL IMPACT: This ordinance authorizes a deposit of $2,453.71 to be accepted by the Treasurer and deposited into Fund 5502, the Employee Benefits Fund.
Title
To authorize the Director of Human Resources to enter into a settlement agreement with OptumRx, Inc.; to accept funds in the amount of $2,453.71; and to declare an emergency.
Body
WHEREAS, it was discovered that OptumRx, Inc. had overcharged the City of Columbus as it pertained to coordination of benefits claims from February 1, 2019 through January 31, 2020; and
WHEREAS, OptumRx, Inc. will issue payment to the City in the amount of $2,453.71 in order to settle the overpayments made by the City for the period February 1, 2019 through January 31, 2020;
and,
WHEREAS, an emergency exists in the usual daily operation of the Department of Human Resources in that it is immediately necessary to authorize the Director to enter into the settlement agreement with OptumRx, Inc. so that timely receipt of the funds can be authorized and deposited;
NOW, THEREFORE,
BE IT ORDAINED BY THE COUNCIL OF THE CITY OF COLUMBUS:
SECTION 1. That the Director of Human Resources is hereby authorized to enter into a settlement agreement with OptumRx, Inc. for $2,453.71 to resolve the issue of overpayments by the City from February 1, 2019 through January 31, 2020 as per the attached.
SECTION 2. To authorize the Treasurer’s Office to accept and deposit $2,453.71.
SECTION 3. That, for the reasons state in the Preamble hereto which is hereby made a part hereof, this ordinance is declared to be an emergency measure and shall take effect and be in force from and after its passage and approval by the Mayor or ten days after passage, if the Mayor neither approves nor vetoes the same.