HomeMy WebLinkAboutMINUTES - 04132010 - C.88RECOMMENDATION(S):
Accept the Contra Costa Health Plan, Managed Care Commission’s (MCC) 2009 Annual
Report.
FISCAL IMPACT:
None.
BACKGROUND:
The Managed Care Commission, advisory board to the Contra Costa Health Plan (CCHP),
is a 15-member Board-appointed body. The Commission members approved the 2009
Annual Report at their March 17, 2010, meeting and recommend that it be sent to the Board
of Supervisors for acceptance.
On June 18, 2002, the Contra Costa County Board of Supervisors adopted Resolution no.
2002/377, requiring that each regular and ongoing board, commission and/or committee
annually report to the Board of Supervisors on activities, accomplishments, membership
attendance, required training and certification programs and proposed work plan/objectives
for the following year. The attached report fulfills the requirement for the Managed Care
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 04/13/2010 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Susan A. Bonilla, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Tanquary,
313-6004
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: April 13, 2010
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: EMY L. SHARP, Deputy
cc: Tasha Scott, Barbara Borbon, Jill Lorrekovich, Deboran Everist
C. 88
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:April 13, 2010
Contra
Costa
County
Subject:Managed Care Commission’s 2009 Annual Report
Commission.
BACKGROUND: (CONT'D)
ATTACHMENTS
G:\C&G DIRECTORY\NON CONTRACTS\2009 MCC Annual Report.doc
2009 ANNUAL REPORT of the CCHP MANAGED CARE COMMISSION to the
CONTRA COSTA COUNTY BOARD OF SUPERVISORS
Chair: Jeffrey Kalin
Staff: Jill Lorrekovich
Patricia Carson Sussman
Meeting Time/Location: 3rd Wednesday of every other month, 4-5:30pm
595 Center Avenue, Suite 200B, Martinez, CA 94553
The primary topics discussed throughout 2009 were the County and State
budgets, the public health crisis of the H1N1 virus, as well as National Health
Care Reform.
Managed Care Commission - Activities and Accomplishments for 2009
♦ Revised and approved MCC By-laws.
♦ The 2009 Annual Quality Management Program Description was introduced
and accepted. The program description combined the 2009 Work Plan and
2009 Annual Report. New measures were defined.
♦ Monitored status of key CCHP units throughout the year with standing reports
from Quality Assurance, Customer Relations and Resource Management
including Pharmacy, Authorizations/ Utilization Management, Case
Management, Marketing and Member Services and the Advice Nurse units.
♦ Updated on enrollment numbers for all the health plan products at each
meeting.
♦ Continued to be advised of the progress of the Health Care Coverage
Initiative, the program that provides services to many of the County’s
uninsured.
♦ Brown Act revisions sent by County Counsel were discussed and understood.
♦ Reviewed HEDIS measures and results.
♦ Discussed the implications of the Federal Stimulus Package for CCHP and
the County.
♦ Read and received the Consumer Assessment of Health Plans and Systems
(CAHPS). The assessment measures satisfaction.
♦ Introduced to the topic of managing a work force that encompasses multiple
generations and the challenges that presents, especially during a time of
change. The MCC took part in one exercise based on the series of tools that
were used during the CCHP Leadership Training in the spring of 2009.
♦ Reappointed the five Commissioners whose terms were expiring in August.
CCHP is grateful that all Commissioners wished to continue service on the
MCC.
♦ Received a report on the state’s Quality Improvement Project that focuses on
health disparities and childhood obesity in the Latino community.
♦ Kept apprised of health care reform through reports of meetings, testimony,
and a detailed analysis comparing the Senate and House versions for reform.
♦ Kept tabs on the status of Healthy Families and possible loss of recipients
during 2009.
♦ Reviewed the 2008 HEDIS report that is reported in 2009. Discussed the 10
of 15 categories where improvement was shown, as well as the five
remaining categories that need improvement.
♦ Monitored the growth of MediCal during 2009 in the county and across the
state probably because of the rise in unemployment.
♦ Tracked the on-going success of the 340B pricing program and the financial
impact of the program on the county.
♦ One at-large member resigned from the commission due to a move from the
area. There is now one open seat.
Managed Care Commission - Focus Topics
♦ Provider Relations introduced the new Provider On-Line Search Engine.
♦ Informed about the 340B Pharmacy network consolidation and its
complexities.
♦ Presentation of “Performance Guarantees Plans A & B” survey comparing
CCHP to the Kaiser and Health Net employee plans. CCHP was in the 90th
percentile in 9 of 10 categories. The majority of the 9 categories were also
above industry standards.
♦ Reported on and monitored the impact of H1N1 on the Advice Nurse Unit as
well as the rest of the County as well as CCHP’s leadership role with Health
Services in planning the county’s response.
♦ Followed the development and implementation of the new Pharmacy Network
for the uninsured.