Board meetings, strategic plans, and buyer signals from Gilbert Riojas’s organization
Dec 12, 2026·BoardMeeting
Board
Board of Governors Regular Meeting Minutes
The Board of Governors discussed several key items, including a closed session regarding the CEO's performance evaluation and contract renewal, and reports from the Compliance Advisory, Finance, and Community Advisory Selection committees. The CEO provided updates on legislative developments, advocacy efforts, and strategic initiatives. The Board reviewed detailed HEDIS quality measures, the rollout and operational strategy for the Medicare D-SNP program, and approved both the monthly financial statements and the Fiscal Year 2026 final budget. Additionally, an overview of the 2026-2028 organizational strategic plan was provided as an informational item.
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Quality Improvement Health Equity Utilization Management Committee Meeting Minutes
The committee meeting covered updates on Alameda Alliance health programs, including new member introductions and equity initiatives such as the Food is Medicine pilot. Key business included the review and approval of various policies, procedures, and meeting minutes. Utilization management updates focused on the use of board-certified consultants, alignment of the prior authorization grid, and the transition of services to auto-authorization based on data-driven criteria. Quality improvement and health equity strategy presentations highlighted strong performance on HEDIS measures, successful accreditation, and the integration of community health workers to address social determinants of health. Additionally, population health management strategies were discussed, emphasizing the need for targeted, data-driven interventions and improved member engagement.
Aug 14, 2026·BoardMeeting
Board
Board Of Governors Regular Meeting Minutes
The Board meeting covered updates from the Compliance Advisory Committee regarding audit findings, DMHC deficiency remediation, and privacy improvements. The Finance Committee presented May and June financial statements, noting trends in membership decline, TNE, and MLR. The CEO provided an update on strategic priorities, including managing membership shifts and potential product expansion. The Board reviewed detailed reports on Grievance and Appeals for July. Additionally, the meeting included a presentation on the Healthcare Services philosophy and clinical programs, as well as an educational overview of the Enterprise Risk Management (ERM) framework. Public comments focused on challenges with discharge planning and ECM eligibility for skilled nursing facility patients.
Jun 12, 2026·BoardMeeting
Board
Compliance Advisory Committee Regular Meeting
The meeting agenda includes a compliance activity report covering plan audits and state regulatory oversight such as DMHC routine full medical surveys, DHCS annual routine medical surveys, and CMS and HSAG audits. Additionally, the committee will discuss the compliance dashboard, anti-fraud activity, compliance committee overview, and Medi-Cal and Medicare program updates. The business portion of the meeting will address a potential update to the Compliance Advisory Committee Charter.
Extracted from official board minutes, strategic plans, and video transcripts.
