BOARD OF GOVERNORS MEETING #244 April 2, 2015 ● 2:00 PM L.A. Care Health Plan 1055 W. 7th Street, Los Angeles, CA 90017 1 About L.A. Care Health Plan Mission Statement L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Overview Committed to the promotion of accessible, affordable and high quality health care, L.A. Care Health Plan (Local Initiative Health Authority of Los Angeles County) is an independent local public agency created by the State of California to provide health coverage to low-income Los Angeles County residents. With more than 1.6 million members in five product lines, L.A. Care is the nation’s largest publicly operated health plan. L.A. Care Health Plan is governed by 13 board members representing specific stakeholder groups, including consumer members, physicians, federally qualified health centers, children’s health care providers, local hospitals and the Los Angeles County Department of Health Services. L.A. Care advances individual and community health through a variety of targeted activities including a Community Health Investment Fund that has awarded more than $132 million throughout the years to support the health care safety net and expand health coverage. The patient-centered health plan has a robust system of consumer advisory groups, including eleven Regional Community Advisory Committees (governed by an Executive Community Advisory Committee), health promoters, and three Family Resource Centers that offer free health education and exercise classes to the community, and has made significant investments in Health Information Technology for the benefit of the more than 10,000 doctors and other health care professionals who serve L.A. Care members. Programs Medi-Cal – In addition to offering a direct Medi-Cal line of business, L.A. Care works with three subcontracted health plans to provide coverage to Medi-Cal members. These partners are Anthem Blue Cross, Care 1st Health Plan, and Kaiser Permanente. Since 2012, L.A. Care has enrolled more than 170,000 Seniors and Persons with Disabilities as members, and as of January 1, an additional 164,000 Healthy Way LA members transitioned to L.A. Care’s Medi-Cal program. Medi-Cal beneficiaries represent a vast majority of L.A. Care members. L.A. Care Covered™ – As a state selected Qualified Health Plan, L.A. Care provides the opportunity for all members of a family to receive health coverage under one heath plan in the Covered California state exchange. L.A. Care Cal MediConnect Plan– L.A. Care Cal MediConnect Plan provides coordinated care for Los Angeles County seniors and people with disabilities who are eligible for Medicare and Medi-Cal. L.A. Care Healthy Kids (0-5) – Sponsored by First 5 LA and the Children’s Health Initiative of Greater Los Angeles, Healthy Kids (0-5) provides health coverage for children who do not qualify for Medi-Cal and Healthy Families. PASC-SEIU Homecare Workers Health Care Plan – L.A. Care provides health coverage to Los Angeles County’s In-Home Supportive Services (IHSS) workers, who enable our most vulnerable community members to remain safely in their homes by providing services such as meal preparation and personal care services. www.lacare.org Facebook/lacarehealth LinkedIn/company/l.a.-care-health-plan Twitter: @lacarehealth2 Updated 3/27/2015 AGENDA BOARD OF GOVERNORS MEETING No. 244 Thursday, April 2, 2015, 2:00 P.M. L.A. Care Health Plan, 10th Floor, 1055 W. 7th Street, Los Angeles, CA 90017 I. Welcome Thomas Horowitz, D.O., Chair II. Approve today’s meeting agenda Chair III. Public Comment Chair IV. Approve March 5, 2015 Supplemental Special and Regular Chair meeting minutes V. Approve Consent Agenda Items Chair 1. Contract Amendment with iColor Printing and Mailing Inc. (FIN 100) 2. Contract Amendment with Microsoft Corporation for Software Licensing Enterprise Agreement (EA), and Microsoft Premier Support Services (FIN 101) 3. Contract with Trans Union (FIN 102) 4. Contract with Vendors to Purchase Human Resources Information Systems (HRIS) Software, and Implementation and Support Services (FIN 103) 5. Temporary Staffing Vendor Funds to Workforce Solutions Group, LLC as a Temporary Staff Vendor Manager (FIN 104) 6. RCAC Membership (ECA 100) VI. ADJOURN TO CLOSED SESSION (Est. time: mins.) Chair A. CONTRACT RATES Pursuant to Welfare and Institutions Code Section 14087.38(m) Plan Partner Rates Provider Rates DHCS Rates B. REPORT INVOLVING TRADE SECRET Pursuant to Welfare and Institutions Code Section 14087.38(n) Discussion concerning New Product Lines Estimated date of public disclosure: April 2017 VII. RECONVENE IN OPEN SESSION Chair VIII. Chairperson’s Report Chair IX. Chief Executive Officer Report John Baackes Los Angeles County Auditor-Controller Report Chief Executive Officer Operations Report X. Chief Medical Officer Report Gertrude S. Carter, MD Chief Medical Officer XI. Motions for Consideration 1. Contract amendment with Michael S. Kenny & Company for professional John Wallace consulting services to support the Los Angeles County Department of Health Chief Operating Officer Services (DHS) Managed Care Services (BOG 100) 2. Authorize staff to contract with one or more vendors to acquire professional consultant services to support managed care operational interfaces between L.A. Care, Olive View-UCLA Medical Center, and the Los Angeles County Department of Health Services (BOG 101) 3 3/27/2015 10:05 AM Board of Governors Meeting Agenda April 2, 2015 3. Contract with Inovalon for HEDIS Reporting Solutions to support the Los Angeles County Department of Health Services (BOG 102) 4. Contract with Cerner Corporation to provide online member health appraisal and self-management tools for all lines of business (BOG 103) 5. Approve in concept reforms to expenses in response to the Los Angeles Jonathan Freedman County Auditor-Controller’s Report (BOG 104) Chief of Strategy, Regulatory and External Affairs XII. Advisory Committee Reports A. Executive Community Advisory Committee Hilda Perez/Ozzie Lopez Board Consumer member and Advocate member B. Children’s Health Consultant Advisory Committee Gertrude S. Carter, MD XIII. Committee Reports A. Executive Committee Thomas Horowitz, D.O., Chair 1. Government Affairs Update Cherie Fields Director, Government Affairs 2. Health Pavilion-2015 Whittier Narrows Cinco De Mayo Jonathan Freedman Celebration Sponsorship (EXE 100) B. Finance & Budget Committee Michael Rembis, Chair 1. Financial Report (FIN 105) Tim Reilly 2. Monthly Investment Transactions Report Tim Reilly 3. Revisions to PO AFS-007 (Procurement Policy) and approval Tim Reilly to eliminate PO AFS-026 (Contract Review Process and Approval Process) 4. Core System Update Tom Schwaninger Chief Information Officer C. Compliance & Quality Committee G. Michael Roybal, MD Chairperson XIV. Adjournment Chair The next meeting is scheduled on Thursday, May 7, 2015. The order of items appearing on the agenda may change during the meeting. Teleconference arrangements may change prior to the meeting. Those planning to participate by telephone should confirm with L.A. Care Board Services prior to the meeting. Please keep your comments to three minutes or less. THE PUBLIC MAY ADDRESS THE BOARD OF GOVERNORS ON ALL MATTERS LISTED ON THE AGENDA BY FILLING OUT A “REQUEST TO ADDRESS” FORM AND SUBMITTING THE FORM TO L.A. CARE STAFF PRESENT AT THE MEETING BEFORE THE AGENDA ITEM IS ANNOUNCED. YOUR NAME WILL BE CALLED WHEN THE ITEM YOU ARE ADDRESSING IS DISCUSSED. THE PUBLIC MAY ALSO ADDRESS THE BOARD ON L.A. CARE MATTERS DURING PUBLIC COMMENT. AN AUDIO RECORDING OF THE MEETING IS MADE TO ASSIST IN WRITING THE MINUTES AND IS RETAINED ONLY FOR 30 DAYS. NOTE: THE BOARD OF GOVERNORS CURRENTLY MEETS ON THE FIRST THURSDAY OF MOST MONTHS AT 2:00 P.M. POSTED AGENDA and PRINTED MEETING MATERIALS ARE AVAILABLE FOR INSPECTION AT Board Services, 1055 W. 7th Street – 10th Floor, Los Angeles, California 90017. Any documents distributed to a majority of the Board Members regarding any agenda item for an open session after the agenda has been posted will be available for public inspection at Board Services, L.A. Care Health Plan, 1055 W. 7th Street, 10th Floor, Los Angeles, CA 90017, during regular business hours, 8:00 a.m. to 5:00 p.m., Monday – Friday. Meetings are accessible to people with disabilities. Individuals who may require any accommodations (alternative formats – i.e., large print, audio, translation of meeting materials, interpretation, etc.) to participate in this meeting and wish to request an alternative format for the agenda, meeting notice, and meeting packet may contact L.A. Care’s Board Services Department at (213) 694-1250. Notification at least one week before the meeting will enable us to make reasonable arrangements to ensure accessibility to the meetings and to the related materials. 3/27/2015 10:05 AM 4 Board of Governors General Meeting # 243 Supplemental Special Meeting Minutes – March 5, 2015 L.A. Care Health Plan Conference Room 1018-1019 1055 W. Seventh Street, Los Angeles, CA 90017 Members Management/Staff Thomas Horowitz, DO, Chairperson Ozzie Lopez, MPA John Wallace, Interim Chief Executive Officer Mark Gamble, Vice Chairperson Michael D. Antonovich Gertrude S. Carter, Chief Medical Officer Michael A. Rembis, FACHE, Treasurer ** Hilda Perez Jonathan Freedman, Chief of Strategy, Regulatory & External Affairs Louise McCarthy, Secretary ** G. Michael Roybal, MD, MPH Augustavia J. Haydel, Esq., General Counsel Hector De La Torre Sheryl Spiller Tim Reilly, Chief Financial Officer Jann Hamilton Lee Kimberly Uyeda, MD, MPH Tom Schwaninger, Chief Information Officer Alexander K. Li, MD *Absent ** Teleconference Robert Turner, Chief of Human Resources AGENDA ITEM/PRESENTER MOTIONS / MAJOR DISCUSSIONS ACTION TAKEN CALL TO ORDER Thomas Horowitz, DO, Chairperson, called the meeting to order at 2:05 p.m. Thomas Horowitz, DO, He welcomed Dr.