ALAMEDA ALLIANCE FOR HEALTH
BOARD OF GOVERNORS MEETING/STRATEGIC PLANNING RETREAT
March 27, 2008, 6:00 p.m.
ALAMEDA ALLIANCE FOR HEALTH

SUMMARY OF PROCEEDINGS
Present: Excused: Unexcused:
Jane Garcia (Chair)
Michael Mahoney (Vice-Chair)
Ingrid Lamirault
Ray Davis, Jr. MD
Pamela Gumbs
John Norton
Gail Steele
Wright Lassiter
Marty Lynch
Linda Price
Richard Thomason


Agenda Item (& Supporting Documents) Speaker Discussion Highlights Action Follow-Up Required
Call to Order Jane Garcia Meeting was called to order at 6:08 p.m. by Jane Garcia. A quorum of the members was present. None None
Approval of January Meeting Minutes
Attachment
1.17.08 Meeting Minutes
Jane Garcia J. Garcia asked for a motion to accept the January 17, 2008 meeting minutes. Motion: R. Davis
Second: J. Norton
Vote: Unanimous
None
Approval of Revised Agenda
Attachment
3.27.08 Revised Agenda
Jane Garcia J. Garcia asked for a motion to accept this month's revised agenda. Motion: J. Norton
Second: M. Mahoney
Vote: Unanimous
None
Chair’s Report
Attachment
Resolution #08-01
Jane Garcia The Chair summarized the the 1-17-08 Closed Session meeting:

Approval of PRCC recommendations for provider credentialing.

The Chair mentioned the topics discussed at the Strategic Planning Retreat, Medicare, Healthy Kids, Health Care Reform, and AAH Management.

J. Garcia asked for a motion to accept Resolution #08-01 to Reappoint John Norton to the Board for another four-year term.

J. Garcia asked that anyone who has not yet completed Form 700 to do so this evening and give to P. Protopappas, Board Liaison.
None None
CEO’s Report
Two Attachments
o CEO Report
o Resolution #08-05
I. Lamirault I. Lamirault discused Medicare will be discussed in Closed Session. Reviewed topics of Medi-Cal, Healthy Families, and Medicare.

Medi-Cal – State legislature approved gov approval to cut 10%. We are still determining how we work through our two associations (Local Health Plans of California and California Association of Health Plans) and coalitions to get our message out regarding the negative impacts on the Alliance budget, provider stability, and member access.

Healthy Kids – funding to replace the County’s grant of $500,000 still looks uncertain. There is a funders meeting on April 8th to discuss funding and communication strategies. The purpose of Resolution #08-05 on tonight’s agenda is to authorize the Alliance to close the program if we cannot secure bridge funding.
  None
CEO’s Report (continued)   The group discussed the advantages and disadvantages of attempting to get County Operated Health System status for Alameda County. Ingrid Lamirault and Leona Butler, CEO from Santa Clara Health Plan, are investigating the feasibility and costs of such an effort.

I. Lamirault asked for discussion of Resolution #08-05 to Close Healthy Kids Program. There was discussion to amend the resolution to state that the Alliance would participate with the providers to try to secure transition funding elsewhere. J. Garcia asked for a motion to accept the resolution as amended.
Motion: M. Mahoney
Second: R. Davis
Vote: Unanimous
 
Finance Committee
Five Attachments
o 2.28.08 Finance Committee Meeting Minutes
o January Financial Report
o Impact of State Budget Crisis on Alliance Financial Outlook
o February Financial Report
o Resolution #08-02
John Volkober J. Volkober reported on the February 28, 2008 Finance Committee Meeting. The January financial report was reviewed and accepted at that meeting. Also discussed at that meeting was the impact of the State budget crisis on the Alliance's financial outlook.

J. Volkober presented the Financial report for month ended February 29, 2008.
J. Garcia asked for a motion accepting the February's financial statements.

J. Volkober discussed the Line of Credit. Have spoken to various banks. We are asking for a $15 million line of credit which will be secured by our receivables from the state of $12.5 million. J. Volkober asked for the board to approve Resolution #08-02 authorizing the CEO to enter into the Line of Credit under reasonable terms. There was a motion to accept it with the proviso that when the terms are finalized that they are approved by the chair of the finance committee and the chair of the board and presented to the full board at the next available meeting.
Motion: J. Norton
Second: G. Steele
Vote: Unanimous





Motion: M. Mahoney
Second: R. Davis
Vote: Unanimous
 
Chief Medical Officer’s Report
Two Attachments
o Resolution #08-03
o Formulary Update
A. Chen, MD A. Chen asked for the board to approve Resolution #08-03 accepting three new doctors to the HCQC. J. Garcia asked for a motion to approve the resolution. J. Norton voted not to approve Dr. Swift.

A. Chen presented the Formulary Update which were approved and recommended by the P&T committee. J. Garcia asked for a motion to accept the proposed changes on the March 2007 Formulary Update.

A. Chen announced that in closing out fiscal year 2007 we were able to provide a limited pay-for-performance distribution for our physicians, particularly significant for our Medi-Cal doctors who had taken the largest cut from our previous contract turn-around period. Because of efficiencies in Healthy Families we were able to use that as a supplement. Seven providers were recognized who had substantially lower emergency room visit rates.
Motion: G. Steele
Second: R. Davis
Ayes: 6, Noes: 1

Motion: M. Mahoney
Second: R. Davis
Vote: Unanimous
 
Other Business J. Garcia M. Mahoney acknowledged J. Garcia who, on Saturday, will be inducted in the Alameda County Woman's Hall of Fame. None None
Public Comments J. Garcia None None None
Set Next Meeting Date
The next meeting will be held pm Thursday, May 22, 2008.

Adjournment
The meeting was adjourned at 7:00 p.m

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