On April 9, 2019, Cuyahoga County, Ohio approved a $42.3 million contract with The MetroHealth System (MetroHealth) to provide correctional health care services for the Cuyahoga County Jail system. The contract began May 9, 2019 and runs through May 8, 2022. MetroHealth previously provided physicians and advanced practice providers for the County Jail system, and the County provided nursing staff. Under the agreement, Cuyahoga County will pay MetroHealth up to $12.75 million annually for all staffing, plus other expenses for medical supplies, pharmaceuticals, insurance, administrative duties, and accreditation. Medical staffing will be based on an average of 2 . . .