Linda Mikulski

The committee meeting agenda included regulatory updates for Medi-Cal, Covered California, and Medicare. Additional topics for review were delegation oversight, a key performance indicator dashboard, a corrective action plan log, the compliance program work plan, and reports regarding compliance, conduct, ethics, fraud, waste, abuse, and privacy incidents. Furthermore, the meeting included a report from the Compliance Officer.

The Board meeting focused on various administrative, financial, and operational approvals. Key actions included approving professional services agreements for executive coaching, eligibility-related services, and printing services. The Board addressed financial policies, including the establishment of a cash reserve policy and a line of credit with U.S. Bank. Additionally, the Board authorized investment management services, insurance policy renewals, and staffing support for health services. Information technology initiatives were discussed, specifically involving HITRUST assessment services, encounter management software licensing, risk adjustment solutions, and the implementation of the JIVA medical management platform with associated staff augmentation services.

The meeting includes an agenda for the review of the audited financial statements for the 2025 calendar year, presented by the Finance Department. Additionally, the meeting provides an opportunity for conflict of interest disclosures and public comments on agenda and non-agenda matters.

The Governing Board discussed administrative updates, including the launch of a new company podcast, membership report trends, and a successful mission conference. The board received reports on provider dinner series, various award recognitions for staff and the organization, and a new foundation report. Additionally, the board addressed significant health policy topics, including clinical efficiency measures proposed by the Department of Health Care Services, ongoing oversight and data reporting for hospice providers, federal waiver renewals, updates on the Managed Care Organization tax and the impact of Proposition 35, and regulations concerning state-directed payments to hospitals.

The Inland Empire Health Plan's 2025 Quality Improvement and Health Equity Plan provides a comprehensive framework to ensure the delivery of high-quality, safe, equitable, and culturally responsive healthcare services. It aims to achieve optimal care and vibrant health for all communities by focusing on continuous quality monitoring and improvement, integrating health equity initiatives, fostering robust member and provider engagement, and maintaining strong accountability and governance. The plan leverages standardized measures, targeted interventions, and community partnerships to reduce disparities, improve clinical quality, and enhance the overall member experience.