Amy Sim

The committee reviewed key performance metrics across utilization management, access and availability, and member grievances, identifying compliance gaps in certain rural zip codes. The report included updates on diversity, equity, and inclusion training, behavioral health integration, and consumer healthcare survey results. Furthermore, the committee evaluated and recommended the approval of the updated quality improvement and health equity transformation program documents, including the program description, annual evaluation, and the 2026 work plan, which incorporates new tactical priorities for population health and expansion into the D-SNP program.

The board discussed community investment strategies, including the allocation of funds for provider recruitment and retention. Key reports were presented on the financial status, program integrity, compliance, and employee engagement. The board reviewed updates regarding federal and state policy landscapes, specifically concerning Medi-Cal managed care and the proposed transition of members with unsatisfactory immigration status. Additionally, the board approved updates to the compliance plan and code of conduct, and received reports on quality initiatives, including Medicare Model of Care and incentive programs for healthcare providers.

The board received reports from the Community Advisory Board, which included discussions on the Well-Baby Outreach Program, Behavioral Health Outreach and Education, and 2025 CAHPS results. Updates were provided regarding member navigation for Medi-Cal renewals and the first meeting of the Enrollee Advisory Committee for the CareConnect Plan. The Board also reviewed a Population Health and Quality Report, Health Promotion and Education updates, and the approval of two new Community Advisory Board members.

The meeting included an overview of CenCal Health's 2026 priorities, focusing on partnerships, D-SNP stabilization, and funding opportunities, as well as an analysis of major policy and delivery system drivers including federal and state budget impacts. A strategy for Transitional Rent was presented to support members experiencing housing barriers during critical transition points. Additionally, progress on the Regional Member Navigation Hub was discussed, including outreach efforts, cross-sector partnerships, and the development of member support toolkits to assist with Medi-Cal work requirements and re-enrollment.

The board meeting addressed several strategic and operational initiatives. Key discussions included the implementation of HR-1 Medi-Cal policy and the establishment of a Medi-Cal Executive Policy Group for regional collaboration. The board reviewed community investment strategies for 2026, including a framework for reinvesting resources into provider partnerships and affordable care access. Financial performance was reported as stable with strong equity levels. Additional topics included updates on federal and state legislative landscapes, a member navigation initiative aimed at reducing administrative disenrollments, and reports from advisory committees on compliance, audit workplans, and population health management.