ALAMEDA ALLIANCE FOR HEALTH
BOARD OF GOVERNORS MEETING
November 30, 2006
6:00 p.m.

1240 South Loop Road, Alameda, CA 94502

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

1. Call to Order:
Meeting was called to order at 6:10 p.m. by the Chair, Michael Mahoney. A quorum of the members was present.

2. Approval of Agenda & Minutes:
Motion: R. Davis, MD
Second: Marty Lynch
Results: The November 30, 2006 agenda and the September 28, 2006 minutes were approved unanimously.

AGENDA ITEM SPEAKER DISCUSSION HIGHLIGHTS ACTION FOLLOW UP
3. CHAIRS'S REPORT
Report on September 28, 2006 Closed Session







Resolution 06-11 recommending reappointment to the Board
1.Draft BOG Res 06-11 Reappointment of Board Members 11.30.06.approved.doc
M. Mahoney Mr. Mahoney presented the Chair's Report on the Thursday, September 28, 2006 Closed Session:

Dr. Chen provided an overview of the recommendations of the Peer Review and Credentialing Committee (PRCC) from the November 21, 2006 PRCC meeting for the Board's approval. The motion to approve the recommendations was approved unanimously.

Mr. Mahoney presented Resolution 06-11 recommending reappointment of Dr. Gumbs to the "At Large" seat representing pharmacists on the Board. The motion to approve the resolution was approved unanimously.










Motion: Marty Lynch
Second: R. Davis, MD
Result: The motion to accept Resolution 06-11 was approved unanimously.









Alliance staff: Present the approved resolution to the Board of Supervisors for approval
4. CEO'S REPORT

2.Letter to DHS RE Supplemtental Data Request


3.Letter from DHS RE Medi-Cal Auto-Assignment 11.06
I. Lamirault Ingrid Lamirault, CEO, presented a letter that she sent to Vanessa Baird, Chief of Medi-Cal Managed Care Division of DHS, regarding the Supplemental Data Request for Mercer Rate Methodology. DHS is currently reviewing their rate methodology and is preparing a new report, which is being discussed with the legislature, but cannot be released to health plans now. Recently, DHS asked the Alliance for additional data. The local initiates wrote letters to DHS, and the Alliance's letter emphasized that adequate rates are necessary for the Alliance and the safety net system, pointed out the flaws in DHS' format for asking for information, and requested a meeting to discuss the issues and how the new methodology based on claims will impact us. Mr. Mahoney asked Ms. Lamirault to distill the Alliance's concerns down to a one-page document to inform Assemblywoman Mary Hayashi, 18th District, and Senator Ellen Corbett, 10th District, and their staffs.

Dr. Norton offered to present the document about the Alliance's questions and concerns to Assemblywoman Hayashi at a meeting on December 6, 2006. Ms. Lamirault presented a letter from DHS to all of the Two Plan and Geographic Managed Care Counties regarding the Medi-Cal Managed Care Auto-Assignment Project. The formula for auto-assignment of Medi-Cal recipients in the TANF population who do not select a plan (the Alliance or Blue Cross) is now based on an assessment of comparative plan performance on seven measures. In 2006, the Alliance received a 54% default allocation. In 2007, the Alliance will receive 64%. Ms. Lamirault discussed the Medicare application, which Alliance staff have been working hard on. The application is due in March 2007 for services to begin in January 2008. The greatest challenge is that signed provider contracts are required. New contracts for mental health services and transplants are also required for this new line of business. Marty Lynch requested a report on the plans for utilization and case management of the Medicare population. Ms. Lamirault said that the Alliance will be interviewing potential vendors for utilization and quality management services.
None

















I. Lamirault: Send 1-page document on the Alliance's questions and concerns to be addressed by DHS to D. Norton before 12/6/06.
None

















I. Lamirault sent the attached "Issues Brief on Medi-Cal Managed Care rates to Dr. Norton.









Alliance staff: Provide information on plans for utilization and quality management of the Medicare population, including vendors who might provide these services.
5. CFO'S REPORT
Financial Reports for the Month & Year-to-Date Ended September 30, 2006 and October 31, 2006

4.Financial Statements (Month of September)

5.AAH Financial Statements Oct
J. Volkober Mr. Volkober, CFO, presented the attached Financial Reports for the Month & Year-to-Date Ended September 30, 2006 and October 31, 2006:
  • Financial Results Narrative
  • Income Statement Reports
  • Administrative Expense Detail Report
  • Balance Sheet
  • Cash Flow Statements
  • TNE Calculations
Motion: M. Lynch
Second: R. Davis, MD
Result: The motion to approve the Financial Reports for the Month & Year-to-Date Ended September 30, 2006 and October 31, 2006 was approved unanimously.
None
6. STRATEGIC PLANNING COMMITTEE'S REPORT
Alliance Resolution #06-06 to Amend the Bylaws of Alameda Alliance for Health

6.BOG Res 06-06 for Bylaw Revision.approved

7.Alliance Bylaws.FINAL.November 2006

R. Davis, MD Dr. Davis presented the revised Alliance Bylaws, which were reviewed and edited by the Strategic Planning Committee, for approval by the Board. The Committee recommended approval of the revised Bylaws.

The Board discussed the major changes since the previous Bylaws and approved the revision unanimously.
Motion: Marty Lynch
Second: J. Norton, MD
Result: The motion to accept Resolution #06-06 was approved unanimously.
Alliance staff: Present the approved resolution and Bylaws to the Board of Supervisors for approval.
7. OTHER BUSINESS
None None None None None
8. PUBLIC COMMENTS
None None None None None


9. Set Next Meeting Date
The next meeting date was set for Thursday, January 25, 2007.

10. Adjournment

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