ALAMEDA ALLIANCE FOR HEALTH
BOARD OF GOVERNORS MEETING
July 27, 2006
6:00 p.m.

1240 South Loop Road, Alameda, CA 94502
Present: Excused: Unexcused:
Ingrid Lamirault
Michael Mahoney (Chair)
Jane Garcia (Vice-Chair)
Gail Steele
Pamela Gumbs
Ray Davis, Jr. MD
Linda Price, MD
John Norton, MD
Charlie Ridgell
 Marty Lynch
Damita Davis-Howard 		None

1. Call to Order:
Meeting was called to order at 6:02 p.m. by the Chair, Michael Mahoney. A quorum of the members was present.

2. Approval of Agenda & Minutes:
Motion: R. Davis, MD
Second: J. Norton, MD
Results: The July 27, 2006 agenda and the May 25, 2006 minutes were approved unanimously.

AGENDA ITEM SPEAKER DISCUSSION HIGHLIGHTS ACTION FOLLOW UP
3. CHAIRS'S REPORT
Report on May 25, 2006 Closed Session








Election of Board Chair and Vice-Chair or Appointment of Ad-Hoc Nominating Committee to Select Board Chair and Vice-Chair (Handout) 		M. Mahoney









M. Mahoney 		Mr. Mahoney presented the report on the Thursday, May 25, 2006 Closed Session:

PRCC:
Dr. Art Chen provided an overview of the recommendations of the Peer Review and Credentialing Committee (PRCC) from the April 18, 2006 and May 16, 2006 meetings. The Board unanimously approved PRCC's recommendations for initial credentialing and recredentialing.

Election of Board Chair and Vice-Chair:
Michael Mahoney and Jane Garcia, the Chair and Vice-Chair, respectively, held office for one year each and were eligible to be re-nominated. The Board re-nominated re-elected Mr. Mahoney and Ms. Garcia for another term.





Meeting Attendance Reminder (Handout):
Staff provided a handout covering attendance requirements for Board members.









Motion: G. Steele Second: R. Davis, MD
Result: The motion to re-appoint Michael Mahoney and Jane Garcia, the Chair and Vice-Chair, respectively, was approved unanimously. 		None






None









None
4. CEO'S REPORT
ATTACHMENT A:

1.CEO's Report 07.27.06.pdf
 I. Lamirault Ingrid Lamirault, CEO, presented the attached report and gave updates on the following:

  • Pilot Expansion of Medi-Cal Managed Care to Seniors and Persons with Disabilities, which was likely to be pulled from the current legislative year.
  • The Schwarzenegger Administration's Roundtable Discussion on Investments to Continue Increasing Enrollment in Children's Health Coverage Programs scheduled for July 28, 2006 at the Alliance offices. Department of Health Services (DHS) Director, Sandra Shewry, and the Managed Risk Medical Insurance Board (MRMIB) Executive Director, Lesley Cummings, will brief meeting participants on the administration's current plans for increasing outreach, enrollment, and retention of children in health coverage programs.
  • The Association for Community Affiliated Health Plans (ACAP) meeting that Ms. Lamirault attended in Washington regarding provider tax regulations in Medicaid (QIF), and actuarially sound rate setting for Medicaid managed healthcare plans.
None None
5. CHIEF MEDICAL OFFICER'S REPORT
Chief Medical Officer's Report

2.CMO's Report - AAH Formulary Update 2nd Qtr 06.pdf 		A. Chen, MD Dr. Chen, Chief Medical Officer, presented the attached formulary update and asked the Board for approval of the Pharmacy & Therapeutics Committee's recommendation. Motion: R. Davis, MD
Second: C. Ridgell
Result: The motion to accept the changes to the Alliance Formulary was approved unanimously. 		None
6. CFO'S REPORT
Financial Reports for the Month & Year-to-Date Ended May 31, 2006 and June 30, 2006

3.Monthly Financial Statement Packet (May).pdf

4.AAH Financials (June 2006).pdf

5.turnaround plan for 7-19 mtg.ppt *this is a power point document. To view, right click on the link, choose "save target as" and then view with your power point viewer.

















Fiscal 2007 Budget
6.Budget Proposal for Fiscal Year 2007.pdf

Approval of Net Equity Target Resolution

7.BOG Res 06-05 TNE Level 07.27.06. approved.pdf 		J. Garcia











I. Lamirault




M. Barrett

A. Flores-Witte

Z. Glover











J. Volkober














J. Garcia 		Ms. Garcia, Chair of the Finance Committee, and Mr. Volkober, CFO, presented the attached Financial Report for the Months & Year-to-Date Ended May 31, 2006 and (pre-audited financial statement) for June 30, 2006:

  • Financial Results Narrative
  • Income Statement Reports
  • Administrative Expense Detail Report
  • Balance Sheet
  • Cash Flow Statements
  • TNE Calculations
Ms. Lamirault presented the attached Five Point Turnaround Plan (Results and Next Steps) on the Turnaround Plan that was presented to the Board in June 2005 for FY 05-06 implementation. Staff discussed outcomes of the Plan, which included five sets of strategies:

  • Medi-Cal rate increase
  • Medical expense interventions (Presented by Marie Barrett, Sr. Director of Medical Services)
  • Outreach and marketing (Presented by Amanda Flores-Witte, Director, Communications & Marketing)
  • Provider Rates (Presented by Zina Glover, Sr. Director of Operations)
  • Administrative reductions
Gail Steele stated that she sits on the Mental Health Advisory Board and would like to be informed of any problems that members have obtaining mental health care services from Alameda County Medical Center clinics. She suggested setting up a meeting with key doctors and mental health service agencies to resolve some of the issues that have come up.

Mr. Volkober presented the Fiscal 2007 Budget. The Board approved the operating and capital budgets in two separate votes.













Ms. Garcia presented the Net Equity Target resolution and recommended the following revision:

NOW THEREFORE BE IT RESOLVED that the Board deems it necessary to specify that the Alliance should set as a long-term objective a net equity target of six (6) times the minimum level as defined in subdivision (b) of Section 1300.76 of Title 10 of the California Code of Regulations to protect itself from insolvency, while at all times maintaining an adequate network of providers and a viable administrative organization.
Motion: J. Garcia
Second: J. Norton, MD
Result: The motion to approve the Financial Reports for the Month & Year-to-Date Ended May 31, 2006 and June 30, 2006 were approved unanimously.
























Motion: J. Garcia
Second: J. Norton, MD
Result: The motion to approve the operating budget was approved unanimously.

Motion: R. Davis, MD
Second: J. Garcia
Result: The motion to approve the capital budget (on Page 45) was approved unanimously.

Motion: M. Mahoney
Second: C. Ridgell
Result: The motion to approve the Net Equity Target Resolution was approved unanimously.

None

























Alliance staff: Look at data on length of time to obtain an appointment with mental health and other providers; present data to Board.
7. AD HOC BOARD NOMINATING COMMITTEE
Approval of Resolution Recommending a Nominee to the Alameda County Board of Supervisors for Appointment to the Alliance Board of Governors Hospital Seat

8.BOG Res 06-06 for Bylaw Revision.approved.pdf 		M. Mahoney Mr. Mahoney presented the Ad Hoc Board Nominating Committee's recommendation of Wright Lassiter to the Alameda County Board of Supervisors for Appointment to the Alliance Board of Governors Hospital Seat. Motion: M. Mahoney
Second: C. Ridgell
Result: The motion to approve the Net Equity Target Resolution was approved unanimously. 		Alliance staff: Obtain approval of nomination by County Board of Supervisors.
8. OTHER BUSINESS
None None None None None
9. PUBLIC COMMENTS
None None None None None


10. Next Meeting Date
The next meeting date was set for Thursday, September 28, 2006.

11. Adjournment to Closed Session
Motion: M. Mahoney
Second: C. Ridgell
The Alameda Alliance for Health Board of Governors meeting was adjourned at 8:02 p.m.

Respectfully Submitted By
Ingrid Lamirault, Secretary/Treasurer of the Board and CEO