REGULAR MEETING OF THE GOVERNING BOARD OF THE INLAND EMPIRE HEALTH PLAN November 3, :00 a.m. Board Report #238

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1 REGULAR MEETING OF THE GOVERNING BOARD OF THE INLAND EMPIRE HEALTH PLAN November 3, :00 a.m. Board Report #238 Riverside County Administrative Center Board Chambers First Floor 4080 Lemon Street Riverside, CA If special accommodations are needed to participate in this meeting, please contact Vickie Hargrove, Secretary to the IEHP Governing Board at (909) during regular business hours of IEHP (M-F 8:00 a.m. 5:00 p.m.) PUBLIC INPUT AT INLAND EMPIRE HEALTH PLAN GOVERNING BOARD MEETINGS The meeting of the Inland Empire Health Plan Governing Board is open to the public. A member of the public may address the Board on any agenda item. Requests to address the Board must be submitted in person to the Secretary of the Governing Board prior to the start of the meeting. The Board may limit the public input on any item, based on the number of people requesting to speak and the business of the Board. All public record documents for matters on the open session of the agenda are available for inspection at the meeting listed in this agenda, and at the following location beginning three (3) working days prior to the meeting date: I. Call to Order Sixth Street, Suite 120 Ranch Cucamonga, CA AGENDA II. Board Secretary: Any changes to the agenda packet including the Information Relative To The Possible Conflict of Interest Form III. COMMENTS FROM THE PUBLIC ON MATTERS ON THE AGENDA A. Board Chair advises persons wishing to address the Governing Board that they must first complete a Request To Speak Form B. Forms are located next to the agendas at the entrance of this room or from the Board Secretary C. Completed Form should be given to the Board Secretary prior to speaking D. The Chairperson may call the person wishing to speak during the discussion on any particular agenda item.

2 IV. Conflict of Interest Disclosure: A. Any person present at this board meeting who wishes to speak on a matter must state: 1. their name and the organization they represent 2. any contributions in excess of $ made by them or their organization in the past twelve (12) months to any IEHP Governing Board member 3. the name of the Governing Board member receiving the contribution 4. the agenda item or matter of consideration with which they are involved V. Adoption and approval of the minutes from the October 14, 2014 Regular Meeting of the Governing Board of the Inland Empire Health Plan VI. CLOSED SESSION SESSION A With respect to every item of business to be discussed in closed session pursuant to Section 54957: PUBLIC EMPLOYEE PERFORMANCE EVALUATION Title: Chief Executive Officer of the Inland Empire Health Plan VII. SPECIAL PRESENTATION (MO ) APPROVING THE PROCLAMATION IN RECOGNITION AND HONOR OF SUPERVISOR GARY OVITT, SAN BERNARDINO COUNTY, FOR HIS SUPERIOR PERFORMANCE, REPRESENTATION AND UNWAVERING SUPPORT FOR/TO THE INLAND EMPIRE HEALTH PLAN Recognition and Celebration of Gary Ovitt s contributions to IEHP 2

3 VIII. CONSENT AGENDA (Items listed on the Consent Agenda are expected to be routine and non-controversial and, unless the Board directs that an item be held for further discussion, the entire Consent Agenda will be acted upon for block approval. If the Board directs that an item listed on the Consent Agenda be held for further discussion, the item will be addressed under Deferred Items, following the Policy Agenda.) A. ADMINISTRATION (Brad Gilbert, M.D.) 1. Update Of Additional Authorized Staffing Positions Under Approved Guidelines 2. Review And Approval Of The Standard Templates To The Following Master Agreements And Attachments, And Authorization For The Chief Executive Officer Of IEHP To Sign The Agreements And Attachments: (MO ) a) DME Attachment B b) Home Infusion Attachment B 3. Adoption Of The Tuition Discount Program Between The University Of La Verne And Inland Empire Health Plan For The Purpose Of Enrolling IEHP Team Members In The University Of La Verne s Academic Programs (MO ) 4. Approval Of The Fifth Amendment To The Chief Executive Officer Employment Contract (MO ) B. FINANCE DEPARTMENT (Laurie Holden) C. OPERATIONS DEPARTMENT (Rohan Reid) 1. Amendment To The Lease With Collection Technology Incorporated Tenant For Reduction Of Rentable Square Feet Third Amendment (MO ) D. INFORMATION TECHNOLOGY DEPARTMENT (Michael Deering) E. MEDICAL SERVICES DEPARTMENT (William Henning, D.O.) F. PROVIDER NETWORK DEPARTMENT (Kurt Hubler) 1. Hospitalist Agreement With Temecula Valley Hospitalist Medical Group, Inc. - New Contract, Effective (MO ) 2. Assignment and Delegation of the Admitter Agreement and Amendments Thereto With Dignity Health Medical Foundation dba Dignity Health Medical Group - Inland Empire, a Service of Dignity Health Medical Foundation and Inland Healthcare Group, A Medical Corporation New Contract, Effective 07/01/2014 (MO ) 3

4 3. Assignment and Delegation of the Open Access Provider Agreement and Amendments Thereto With Dignity Health Medical Foundation dba Dignity Health Medical Group - Inland Empire, a Service of Dignity Health Medical Foundation and Inland Healthcare Group, A Medical Corporation New Contract, Effective 07/01/2014 (MO ) 4. Assignment and Delegation of the Capitated Primary Care Provider Agreement & Amendments Thereto With Dignity Health Medical Foundation dba Dignity Health Medical Group - Inland Empire, a Service of Dignity Health Medical Foundation and Inland Healthcare Group, A Medical Corporation New Contract, Effective 07/01/2014 (MO ) 5. Letter Of Agreement With The Regents Of The University Of California dba UCR Health First Amendment Effective 08/19/14 (MO ) 6. Approval Of Evergreen Contracts (MO ) a) Ancillary Provider Agreement (All Lines of Business) with Oxy Respiratory and Home Medical Equipment Specialists, Inc. Effective December 1, 2014, additional five (5) years term. b) Participating Provider Agreement (All Lines of Business) with California Ear, Nose, And Throat Head & Neck Surgery Medical Corp. Effective December 1, 2014, additional five (5) years term. c) Participating Provider Agreement (All Lines of Business) with Compassionate Cancer Care Medical Group, Inc. Effective December 1, 2014, additional five (5) years term. d) Urgent Care Provider Agreement (All Lines of Business) with Premiere Family Medicine Associates, Inc. Effective December 1, 2014, additional five (5) years term. G. MARKETING DEPARTMENT (Susan Arcidiacono) 4

5 IX. POLICY AGENDA AND STATUS REPORT ON AGENCY OPERATIONS: (All items listed on the Policy Agenda are presented for block approval. IEHP Governing Board Members have the option of excluding an item from a master motion for further discussion or for separate motion) A. ADMINISTRATION (Brad Gilbert, M.D.) 1. Monthly Membership Report 2. Authority To Sign An Amendment To The Agreement With UnitedHealthcare For The Provision Of Health Care Benefits (MO ) 3. Authority To Sign An Agreement With Prudential Insurance For Life, Accidental Death & Dismemberment (AD&D), Short And Long Term Disability (STD & LTD) Insurance And Employee Assistance Program (EAP) For The Provision Of Employee Benefits (MO ) 4. Authority To Sign An Agreement With CSAC EIA Delta Dental For The Provision Of Dental Benefits (MO ) 5. Authority To Sign An Agreement With CSAC-EIA (MES) (Medical Eye Services) For The Provision Of Vision Benefits (MO ) 6. Authority To Sign An Agreement With Flex-Plan Services Inc. For The Provision Of Employee Flexible Spending Accounts For Dependent Care And Health Care (MO ) B. FINANCE DEPARTMENT (Laurie Holden) 1. Review Of The Monthly Financial Reports 2. Review And Approval Of The Annual Net Surplus Targets (MO ) C. OPERATIONS DEPARTMENT (Rohan Reid) 1. Approval Of The 60-Month Lease Agreement With JKS- Marshalls Plaza, LLC For Retail Space To Be Used For Marketing s Community Resource Center (MO ) D. INFORMATION TECHNOLOGY DEPARTMENT (Michael Deering) 1. Authorize The Chief Executive Officer, Or His Designee, To Execute The Third Amendment To The Professional Services Agreement With Dell Marketing, L.P. For Program Manager Services Related To The ICD-10 Implementation (MO ) E. MEDICAL SERVICES DEPARTMENT (William Henning, D.O.) 1. Review Of The IEHP Pharmaceutical Services Drug Therapy Management (DTM) Program 2. Professional Service Agreement (PSA) With PerformRx, LLC For The Provision Of Pharmaceutical Rebate Administration And Medication Therapy Management (MTM) Program Services Seventh Amendment (MO ) 5

6 3. Authorizing The Chief Executive Officer To Execute Professional Services Agreements With Pacific Interpreters And Language Select For Telephonic Interpretation Services (MO ) 4. Review Of The 2013 IEHP Annual Evaluation Of Quality Management Executive Summary 5. Authorization To Increase The Spending Authority Of The Professional Services Agreement (PSA) With T-Base Communications, Inc. For The Provision Of Alternate Format Transcription And Production Services (MO ) F. PROVIDER NETWORK DEPARTMENT (Kurt Hubler) G. MARKETING DEPARTMENT (Susan Arcidiacono) 1. Annual Review Of IEHP Community Outreach Program 2. Update On The IEHP Community Resource Centers H. MAIN OBJECTIVES FOR THE NEXT 90 DAYS AND SUMMARY COMMENTS (Brad Gilbert, M.D.) 1. Main Objectives For The Next 90 Days 2. Summary Comments I. REVIEW OF THE PROVIDER ADVISORY COMMITTEE (PAC) MEETING (Brad Gilbert, M.D.) 1. Overview Of PAC Meeting 2. Comments From PAC Chair X. COMMENTS FROM THE PUBLIC ON MATTERS NOT ON THE AGENDA A. Board Chair advises persons wishing to address the Governing Board that they must first complete a Request To Speak Form B. Forms are located next to the agendas at the entrance of this room or from the Board Secretary C. Completed Form should be given to the Board Secretary prior to speaking XI. Recess Into The IEHP Health Access Meeting XII. Reconvene From The IEHP Health Access Meeting Back Into The IEHP Meeting XIII. ADJOURNMENT (The next meeting of the IEHP Governing Board will be held on Monday, December 8, 2014) 6