Inland Empire Health Plan

The meeting agenda includes standard items such as call to order, roll call, and changes to the agenda, followed by public comments. Key discussion topics under the Consent Agenda involve Medi-Cal & Covered California Regulatory Updates, Medicare Regulatory Updates, Delegation Oversight, and reports on the Key Performance Indicator Dashboard, Corrective Action Plan Log, Compliance Incidents, Conduct and Ethics Compliance Incidents, Fraud, Waste, and Abuse Incidents, Risk Management Process, and Privacy Incidents. The Policy Agenda features the Compliance Officer's Report. The document also notes an upcoming meeting date in June 2026.

The meeting agenda included several key discussion items covering administration, finance, health services, information technology, and quality. Administration items involved approving the 2026 Annual Compliance, HIPAA, and Fraud, Waste, and Abuse Program Descriptions and Code of Business Conduct and Ethics, as well as approving a Memorandum of Understanding (MOU) with the IEHP Foundation to match employee donations up to $100,000 for an emergency assistance fund. Finance topics included approving an updated Delegation of Authority form for the Pension Prefunding Trust Fund, seeking delegation authority to approve estimated $4 million in annual insurance policy renewals (Property, Casualty, Management, Cyber, and Fiduciary Liability), approving the Sixth Amendment to the security services agreement with Securitas for an additional year, and ratifying an access agreement with Ryan Companies US, Inc., for parking lot use which includes a $250,000 donation to the IEHP Foundation. Health Services required approval of the Third Amendment to the Professional Service Agreement with Freed & Associates for CalAIM and Population Health consulting services and approval of an MOU with Riverside University Health System -- Public Health for coordinated care services, effective for five years at no direct cost. The Information Technology department sought ratification for the Fifth Amendment to the software license agreement with Clinical Architecture, LLC., for continued use of Symedical and Pivot software platforms. Quality agenda items included approving a $20,000 grant agreement with the California Health Care Foundation to enhance behavioral health care via Community Health Worker integration in Emergency Departments, seeking delegation of authority for the Eighth Amendment to the Participation Agreement with Manifest MedEx for technical consultant and custom development services, approving the 2026 Quality Management Program Description and Workplan, and approving funding up to $20,810,848 for the 2026-27 Quality Achievement Program.

The meeting began with the roll call, confirming a quorum despite one absence, followed by public comments. During the Health Access session, the primary concern discussed was the failure of medical transportation services provided by a contracted vendor, Call the Car, highlighted by traumatic incidents involving members needing specialized transfer assistance and resulting in physical injury and prolonged wait times for essential appointments. Members urged IEHP to ensure continuity of care and address administrative authorization delays. The main session included the monthly finance report for December 2025, which showed a surplus of $280K for the month, contributing to a year-to-date surplus of nearly $4.7 million, though slightly under budget due to ECM team vacancies. The board also proceeded with the annual election of the Governing Board Chair and Vice Chair. The CEO shared a mission moment celebrating the organization's 30th anniversary and honoring long-term employees.

The meeting covered several key operational and strategic updates, starting with acknowledgments for Veterans Day. The Chief Executive Officer provided a detailed report on October activities, highlighting record engagement and community connections. Discussions included the monthly membership report, with a deeper dive expected during the CFO report regarding redeterminations, and thanks extended to county partners for their collaboration. Updates were provided on community outreach, including participation in the Susan G. Komen More Than Pink Walk, where the entity raised over $10,900 to become the top fundraiser. Another highlight was the Covered California enrollment event on November 2nd, which saw participation from high-level officials. Staff provided updates on the intensive medical redetermination effort, noting that direct assistance results in over 90% renewals, and detailed communication strategies to reach more members. Significant progress was reported regarding the NCQA Health Equity Accreditation pursuit, with application submitted in October and results expected in December. Additionally, the entity discussed the upcoming Quality Innovation Design Challenge scheduled for December 12th. Finally, an update confirmed that Manifest MedX, the health information exchange partner, was selected as one of nine Qualified Health Information Organizations (QHIOs) in California, ensuring readiness for state data exchange framework requirements by January 1, 2024.

The agenda for this meeting included several key items, such as public comments, conflict of interest disclosures, and the adoption and approval of the Meeting Minutes from the November 13, 2025, Regular Meeting. The Policy Agenda featured a status report on agency operations from the Finance Department, specifically including the Monthly Financial Report for December 2025, which detailed variances in revenue, operating expenses, and non-operating income compared to budget and prior months. The meeting also included dedicated time for public comments on matters not on the agenda and board member comments.