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Governing Board - Andrew Williams
Leadership Team - Takashi Wada, MD, MPH
021. He is responsible for providing clinical and strategic leadership through accountable, collaborative processes to improve the quality-of-care delivery as evidenced by improved external quality metrics. Dr. Wada leads and drives innovative solutions for program development and implementation to improve access, satisfaction and care outcomes that are sustainable and scalable. Dr. Wada joined IEHP in 2019 as Vice President of Population Health. In this capacity, he oversaw the internal departments of Behavioral Health & Care Management, Community & Family Health, Health Education, and Practice Transformation. He also played a key role in various statewide and regional population health initiatives. Prior to his role at IEHP, Dr. Wada served as Chief Medical Officer/ Deputy Chief Medical Officer for CenCal Health and Director/Health Officer for Santa Barbara County’s Health Department. Dr. Wada holds an undergraduate degree in biomedical sciences from University of California, Riverside and a master’s degree in public health from University of California, Los Angeles (UCLA). After receiving his medical degree at UCLA, he completed his graduate medical education at Kaiser Permanente Los Angeles Medical Center.
Leadership Team - Michelle Rai, MS
2020. She oversees IEHP’s communications and marketing programs and guides the development of long-term communication and marketing strategies. In addition, Ms. Rai oversees the strategic execution of IEHP’s community relations, media relations, internal communications, digital and social media. Ms. Rai has over 20 years of experience in public relations, communications, marketing, and media relations. Prior to joining IEHP, Ms. Rai served as Chair of the Communication Department at Pacific Union College in Napa Valley, Calif. Before her role as Chair, Ms. Rai acted as the College’s Public Relations Director and Public Information Officer. Ms. Rai holds a master’s degree in integrated marketing communications from Golden Gate University. She earned bachelor’s degrees in journalism and communications from Pacific Union College, where she received the prestigious Educator of the Year award in 2016. Ms. Rai’s leadership enables IEHP to increase its brand reach and social media presence, while enhancing perception of the organization and strengthening its place as an industry thought leader.
Leadership Team - Keenan Freeman, MBA
executive role, Mr. Freeman is responsible for the overall financial management of IEHP, its financial reporting and transparency, and for multiple plan financial functions including accounting, purchasing, capitation, cost recovery, risk management, and the coordination of fiscal and other operational audits. Mr. Freeman brings over 28 years of professional finance experience to IEHP which includes 16 years of strategic leadership in multiple functions including financial, operational and strategy development in a provider-owned health plan and a multi-specialty medical group with over 4,000 providers. Mr. Freeman served as Chief Financial Officer for Providence Medical Group in Oregon where he spent 5 years providing operational and financial leadership for over 1,200 physicians, physician assistants and nurse practitioners. In addition, he served for eight years as Chief Financial Officer and two years as Chief Operational Officer for First Care Health Plans in Austin Texas. Mr. Freeman understands the importance of developing external relationships with key physicians, health systems, and governmental entities. He enjoys building cross-functional teams to achieve short and long-term objectives and values the importance of developing external relationships with key physicians, health systems, and governmental entities. Mr. Freeman’s leadership in these areas, and in the annual budget process, keeps IEHP financially stable amid healthcare changes and economic volatility. Mr. Freeman holds a Bachelor’s degree in Administration and Accounting and a MBA from Texas Tech University.
Coronavirus (COVID-19) Announcements
of Phase 1A of its vaccination roadmap, vaccines will be distributed to caregivers with In-Home Support Services (IHSS), intermediate care centers, and public and community health centers, including facilities for mental health. Click here to learn more. 1/12/21: San Bernardino County introduces a coronavirus quarantine and isolation calculator. This tool allows people to determine how long they should self-isolate after testing positive for COVID-19, being sick with COVID-19, or being exposed to someone with COVID-19. Click here for more info. 12/7/20: The governor announced a stay at home order for Southern California regions, including Riverside and San Bernardino County, for a minimum of three weeks. This order is in response to a rapid growth in COVID-19 cases and a substantial increase in hospitalizations and ICU admissions. Click here to learn more. 9/11/20: To continue to help slow the spread of COVID-19, Riverside County is urging residents to get tested. In addition, increased testing will help the county move into the next level of the state’s reopening plan. For testing locations, visit gettested.ruhealth.org. 8/21/20: Health officials urge Riverside County residents to get tested for COVID-19, whether or not they are experiencing symptoms. For testing locations, visit gettested.ruhealth.org. 8/21/20: To stop the spread of COVID-19, San Bernardino County Public Health Director urges all residents to get tested. Watch this video to learn more. 7/24/20: Fraud reports have increased due to uncertainty surrounding COVID-19, leaving many San Bernardino residents unsure how to avoid scams or report them to authorities. Scams include fake at-home COVID-19 testing kits or vaccinations, IRS impersonators, illegal robocalls and fake charities. For more information visit the San Bernardino County Public Website. 6/29/20: San Bernardino County is encouraging all residents, including those who have not experienced symptoms of COVID-19, to be testing for the Coronavirus. Click here for testing locations. 6/19/20: Governor Newsom requires California residents to wear face coverings while in public. Click here to learn more. For information on how to wear a proper face covering, watch this short video. 6/12/20: A COVID-19 testing site returns to Blythe. Testing started on June 10th and will continue for two weeks. In addition, a testing site opens at the Edgemont Women’s Club in Moreno Valley and will operate June 17 through June 19th. Click here for more information. 5/29/20: Cooling Centers open throughout Riverside County, offering residents an escape from extreme heat and are open to the public at no cost. The centers will be available through October. Click here for more information. 5/29/20: New COVID-19 testing sites open in San Bernardino County. They are scheduled to run through June with appointment registrations opening weekly. For a complete list of testing locations click here: Click here for a complete list of testing locations. 5/27/20: A drive up COVID-19 testing site will be opened at the old Sears parking lot in Riverside, replacing the testing location at Harvest Christian Fellowship that is closing. Click here for a complete list of testing. 5/22/20: Riverside County added three new COVID-19 testing sites in Corona, San Jacinto and Temecula. Click here for a complete list of testing locations. 4/30/20: Riverside County’s Public Health Officer is extending his order requiring residents to wear face coverings when outside and to continue practicing social distancing through June 19. Residents are still required to remain in their primary residence under Governor Newsom’s existing “stay at home” order unless they are engaged in an essential business or activity, such as grocery shopping or visiting the doctor. Click here for more information. 4/28/20: San Bernardino County opens up criteria for COVID-19 testing. Beginning April 30th, residents 65 and older, healthcare workers, emergency responders, and law enforcement can get tested without displaying symptoms of COVID-19. For testing information, visit the San Bernardino County website. 4/24/20: In response to an increasing number of requests for resources, Riverside County released an online map to connect residents to local food resources. Resources include senior meal sites, school district meal sites and food pantries. Click here to find food resources. 4/20/20: Testing for COVID-19 has been expanded to all Riverside County residents, including those who do not have any COVID-19 symptoms. In addition, a fifth COVID-19 testing site will be established at the Blythe Fairgrounds on April 22nd. All residents interested in testing must call 800-945-6171 for an appointment. Click here for more information. 4/13/20: A fourth drive-up COVID-19 testing site opens in Riverside County on Tuesday, April 14th. The site has been established at the Perris Fairgrounds, located at 18700 Lake Perris Drive. Perris, California. Residents who want to get tested must have symptoms to make an appointment, symptoms include fever, cough, sore throat, runny nose or cough. Residents must call 800-945-6171 to make an appointment. For more information on testing locations, visit the Riverside County Public Health website. 4/13/20: San Bernardino County Public Health will conduct a community drive-through event for COVID-19 testing in Montclair on Tuesday, April 14. This event is open to San Bernardino County residents by appointment only. Residents can make an appointment online at http://wp.sbcounty.gov/dph/coronavirus/ at 2 p.m. on Monday, April 13 or by calling (909) 387-3911. Additional community drive-through events are scheduled throughout this month in Yucaipa, Big Bear Lake, Joshua Tree, and Rancho Cucamonga, California. For more information visit the San Bernardino County website. 4/8/20: Arrowhead Regional Medical Center will begin a COVID-19 drive-thru testing site on Thursday, April 9th. Appointments are required. To make an appointment call 855-422-8029. For more information visit Arrowhead Regional Medical Center. 4/7/20: CalWORKs and CalFresh renewals and SAR 7 status reports do not need to be submitted for March, April or May. This does not apply to Transitional CalFresh or Transitional Nutrition benefits. To access your benefits, visit: c4youself.com or call 877-410-8829 (San Bernardino County) 877-410-8827 (Riverside County). 4/7/20: The San Bernardino County’s Acting Health Officer ordered everyone in San Bernardino County to wear face coverings when leaving home and interacting with other people. Face coverings may include homemade cloth ear loop covers, bandannas and handkerchiefs, and neck gaiters. Also, orders all religious services to be done electronically, including upcoming Easter celebrations.Click here for more information. 4/4/20: The Riverside County Public Health Officer orders the public to stay home and cover their face when leaving and interacting with other people, including essential workers. Face coverings can be bandanas, scarves, neck gaiters or other clothing that does not have visible holes. Click here to learn more. 4/4/20: The Small Business Association (SBA) is offering forgivable loans that help businesses keep their workforce employed during the Coronavirus (COVID-19) crisis. The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. The loan application period opens on Friday, April 3, 2020. For more information visit the SBA website. 3/31/20: San Bernardino County will conduct a drive-thru sample collection event for COVID-19 in the High Desert on April 2nd. This event is open to San Bernardino County residents only. Residents can request an appointment online at sbcovid19.com or by calling (909) 387-3911. For more information on this event visit: http://www.sbcounty.gov/main/default.aspx 3/30/20 – A third drive-up COVID-19 testing site opens in Riverside County on April 1st. The site has been established at Harvest Christian Fellowship church in Riverside. Residents must have symptoms to make an appointment, which include fever, cough, sore throat, runny nose or cough. Residents must call 800-945-6171 to make an appointment. For more information on testing locations, visit the Riverside County Public Health website. 3/30/20 – A COVID-19 testing site in Indian Wells will be relocated to the Riverside County Fairgrounds in Indio. The first day of testing at the fairgrounds is Tuesday (March 31). Residents must have symptoms to make an appointment, which include fever, cough, sore throat, runny nose or cough. Appointments must be scheduled by calling 800-945-6171. For more information on testing locations, visit the Riverside County Public Health website. 3/27/20: San Bernardino County Public Health will conduct a drive-thru specimen collection for COVID-19 on Friday, March 27. The specimen collection for COVID-19 testing will be available for the public by appointment only. Appointment sign-up and details will be available on the county website. 3/25/20: COVID-19 testing for IEHP Members is now available at SAC Health Systems in San Bernardino. IEHP Members must call (909) 771-2911 to schedule a telephone appointment with a Doctor. The Doctor will evaluate the Member and determine if they need COVID-19 testing and will provide details on how to obtain testing. 3/20/2020: Gov Gavin Newsom announces a California statewide order for residents to “stay at home,” excluding essential entities which include grocery stores, take-out and delivery and health care organizations. IEHP is an essential entity and will continue operations to support our Members and Providers through telephonic contact only. OUR BUILDINGS ARE CLOSED TO NON-EMPLOYEES. We highly encourage you (our Members and Providers) to call us if you need any services or have any questions. Continue to visit our website for frequent updates and news from Gov Gavin Newsom. 3/19/2020: IEHP Chief Medical Officer, Dr. Hansberger, has an important message for our Members in the Coachella Valley region about the COVID-19 situation and ways for them to protect their health. Click here. 3/18/2020: To help our IEHP Members stay home and avoid public places, we encourage Members to use mail order delivery service for both new and refill prescriptions. By using this service, Members can get medicines mailed to their home at no cost by using standard shipping. 3/13/2020: We are requesting when you (including Members, Providers, Community Partners, Vendors, and all Visitors) need IEHP services, please call IEHP or your IEHP contact directly to get the help you need. If you must visit IEHP in person, please ensure that you do not have a fever, cough or breathing problem. 3/13/2020: All classes and events at IEHP’s Community Resource Centers are canceled until further notice for the protection and safety of our community during the Coronavirus (COVID-19) situation. We apologize for any inconvenience and expect to resume classes as soon as possible.
technologies for individuals with disabilities by generating content that conforms to the Web Content Accessibility Guidelines (WCAG) 2.0, and Section 508 of the Rehabilitation Act meeting the requirements within the Americans with Disabilities Act. As part of the development process and ongoing website maintenance, IEHP tests the site using assistive technologies, including screen readers, screen magnifiers, speech recognition software and text-only browsers. IEHP uses tools, such as the W3C HTML. Validator, WAVE by WebAIM and the Color Contrast Analyzer, to ensure the best experience possible for all visitors. Should you have any feedback or concerns related to the accessibility of this webpage and resources contained within it, please contact us via email at email@example.com If applicable, please include the web address, brief description of the issue encountered and your contact information.
Healthcare Scholarship Fund - About the Healthcare Scholarship Fund
p Fund is the health plan’s partnership with local academic institutions to help remove the barrier of debt for medical students and develop a growing workforce for healthcare professionals to care for the Inland Empire’s growing Medi-Cal population. Why is the Healthcare Scholarship Fund needed? According to the California Healthcare Foundation, the Inland Empire has one of the lowest ratios of Primary Care Physicians (PCPs) and specialty physicians per 100,000 people in California. In addition, the Inland Empire lacks adequate Specialty and Behavioral Health practitioner capacity to serve the current growing population. With the average cost of a four-year medical degree standing firm at $276,800, pursuing a career in the medical field is out of reach for more and more each year. The HSF will aid students by helping to remove the financial burden of medical school that often restricts the choices of many aspiring healthcare professionals and allow recipients to immediately pursue careers in healthcare. I am a student and am interested in becoming a Doctor, what should I do? Students interested in the IEHP Healthcare Scholarship Fund are encouraged to contact the academic institutions below for more information on how apply. While each institution may have differing eligibility requirements, all Healthcare Scholarship Fund scholarships require students commit to practicing in the Inland Empire for 5 years after graduation. Participating schools and programs include: Loma Linda University Medical School University of California Riverside California University of Science and Medicine
Leadership Team - Jarrod McNaughton, MBA, FACHE
e, he works collaboratively with the IEHP Governing Board to set the strategic vision and provide executive leadership for one of the 10 largest Medicaid health plans and the largest not-for-profit Medicare-Medicaid Plan in the U.S. He cultivates IEHP’s strong partnership with Providers, hospitals and hundreds of community partners to deliver quality whole-person care to more than 1.5 million Members. He ensures financial stewardship and stability for IEHP’s more than $5.4 billion operational budget. A visionary health care leader, Mr. McNaughton joined IEHP in 2018 as Chief Operating Officer. In this role, he was responsible for the operations, claims, provider contracts, enrollment and eligibility, performance improvement and Member services departments, supporting IEHP’s organizational directives, advancing IEHP’s LEAN transformation, and ensuring IEHP’s mission to deliver quality service to our Members and Providers effectively and efficiently. Prior to IEHP, Mr. McNaughton served in several roles of increasing responsibility in hospitals and large hospital systems. For nearly 20 years, he has led multi-tiered operational strategies and innovation that consistently generated superior results. He has a well-established reputation for building dynamic teams, developing leaders and fostering key relationships in the community. His ability to remove obstacles and empower everyone, from frontline Team Members to Physicians, will help support IEHP’s position of strength in the ever-changing health care environment. Mr. McNaughton’s roles as President of Kettering Medical Center and Executive Vice President of Kettering Health Network demonstrated his strategic business acumen, empathy and visionary leadership. He developed a coordinated and detailed strategy for the entire network and spearheaded many forward-looking changes in services and delivery of care to patients at those facilities. The Kettering Health Network in Southwest Ohio includes eight hospitals, nine emergency departments, many outpatient clinics and over 11,000 employees. Prior to his role at Kettering Medical Center, Mr. McNaughton was Vice President at San Joaquin Community Hospital. Among his many achievements there, he developed and implemented a new mission and service department that helped increase patient satisfaction scores from the 40th percentile to the 85th percentile in less than a year. Mr. McNaughton’s strong commitment to the community fits well with IEHP’s mission and company culture. He is an Assistant Clinical Professor at Loma Linda University and a board member for several educational and non-profit agencies. A volunteer with Global Medical Missions, an international aid organization, he has led short-term mission teams to Kenya, Malawi, Nigeria, India, Nepal, Honduras and Mexico. Away from work, he enjoys singing, musical theater and flying single-engine planes. Mr. McNaughton pursued an undergraduate degree from Pacific Union College where he earned a bachelor’s degree. He earned his master’s degree in Business Administration from the University of La Verne, Graduate School of Business. In addition, he is a Fellow of the American College of Healthcare Executives.
Leadership Team - Susie White, MBA
ds the plan’s overall day-to-day operations and is responsible for implementing strategic initiatives and policies which support the Mission, Vision and Core Values of IEHP and the delivery of cost-effective and efficient care to its more than 1.5 million Members. Her areas of accountability include: Member Services, Provider Services, facilities management, security, business systems configuration and support, and delegation oversight. Ms. White has more than 20 years of experience at all levels of health plan operations. She has demonstrated progressive leadership with a focus on innovation, efficiency and transparency from a collaborative, process-based perspective. She is highly regarded for her commitment to driving IEHP’s team culture, developing new leaders and fostering key relationships across the organization and the community. Her vast knowledge of complex regulations covering Medi-Cal and Cal MediConnect Plan (Medicare-Medicaid Plan) membership, especially network administration and oversight, are integral to the operations and strategic direction of IEHP. Ms. White embodies the IEHP team culture and is committed to its Vision and Mission, having joined IEHP in 1998 and having served in various roles of increasing responsibility in the Provider Services department. In her position as Executive Director of Health & Provider Services, she directed multiple diverse teams in the integrated delivery of company wide strategic objectives, seamless medical (health care) service operations, process and system improvement and support of IEHP’s LEAN transformational journey. Ms. White was instrumental in the development of the organization’s Provider Call Center, which centralized calls into one location with an emphasis on improving customer service and increasing Provider satisfaction survey scores. She also spearheaded the innovative $45 million Network Expansion Fund (NEF), which resulted in the addition of more than 300 board-certified Primary Care Physicians (PCPs), Specialists and mid-level Providers to the Inland Empire. Ms. White earned both her Bachelor of Science degree in Health Care Management and her MBA in Management and Leadership from the University of La Verne.
Awards and Recognitions
ence and access to care for the low-income working residents of the Inland Empire. These recognitions honor our steadfast commitment to improving access to quality, wellness-based healthcare services when and where members need it. NCQA Accreditation IEHP was the first Medicaid-only health plan in California to earn accreditation from the National Committee for Quality Assurance (NCQA) for its Medi-Cal health plan, in 2000. We have retained NCQA accreditation every year since. Innovation Awards from DHCS In November 2021, IEHP received the “Innovation Award - Runner Up 2021” for the Medi-Cal PCP Auto Assignment Redesign, which focused on directing Members to Providers with higher quality scores. In November 2020, IEHP was awarded the prestigious California Department of Healthcare Services (DHCS) Innovation Award. The award was based on IEHP’s groundbreaking work using location intelligence to reach high-risk members and providers in geographic areas affected by power outages, wildfires, and other natural disasters. This is the fourth time the health plan has received this honor. In 2018, IEHP received the Innovation Award from Department of Health Care Services (DHCS), for its Housing Initiative, which provides permanent supportive housing and intensive case management services to homeless, high utilizing Members. In October 2017 IEHP won a California Department of Health Care Services (DHCS) Innovation Award for improving the health of low-income members through a program that coordinates their complex physical and behavioral health care needs across the healthcare system in Riverside and San Bernardino counties. In 2015 IEHP won the first annual Innovation Award from DHCS for its Transitional Care Program, which strives to reduce emergency room usage and curtails the re-admission rates of members recently discharged from the hospital IEHP Receives the CORE Certification Seal In April 2022, IEHP received the CORE Certification Seal for the Eligibility & Benefits, Claim Status, and Payment & Remittance CAQH CORE Operating Rule Sets. As a CAQH CORE-certified entity, IEHP has demonstrated that they follow a set of national operating rules and standards which improve business processes in healthcare — going above and beyond what is federally required. The CORE Seal is widely recognized as the industry gold standard. IEHP Receives Rancho Cucamonga Fire District’s Business Partner of the Year Award In September 2021, IEHP was awarded Business Partner of the Year by the Rancho Cucamonga Fire District at the City’s Fire and Police Recognition. The distinguished award recognizes the health plan’s partnership with the City and County of San Bernardino to host an ongoing super vaccine clinic at the health plan’s headquarters. IEHP Receives Health Equity Award for Engaging Communication In 2020, IEHP received the Health Equity Award for their ability to engage and connect with members via text message during Governor Newsom’s social isolation order. The award was given by mPulse Mobile, a leader in conversational AI solutions for healthcare, during their annual Activate Awards. Click here to learn more. IEHP DualChoice Cal MediConnect Plan Earns Top Customer Satisfaction Score in the Nation The IEHP DualChoice Cal MediConnect Plan had the third-highest score in the country in the 2016 MMP CAHPS survey from the Centers for Medicare and Medicaid Services (CMS), which assesses the experiences patients have with their health plans. In 2016 there were 40 Medicare-Medicaid Plans (MMP) in the nation (called Cal MediConnect plans in California). Annual Excellence Award In 2016, IEHP received the Excellence Award from the Pharmacy Benefit Management Institute (PBMI) for its Pharmacy Pay for Performance Program, which leverages IEHP network pharmacies to offer clinical education to its members. Top Physician Satisfaction Doctors and other medical providers ranked IEHP at or above the 90th percentile in most areas on a 2016 satisfaction survey administered by an independent survey vendor. They ranked IEHP at the: 99th percentile for “IEHP Compared to All Other Health Plans” 98th percentile for “Overall Satisfaction with Call Center Staff” 98th percentile for “Overall Satisfaction with Financial Services” 97th percentile for “Recommend IEHP to Other Physicians’ Practices” IEHP Receives Workplace of the Year Award from Advisory Board in March 2018 Inland Empire Health Plan (IEHP) has been awarded the Advisory Board 2018 Workplace of the Year Award. The annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. IEHP is one of only 20 organizations nationwide to receive the award. Favorite Employer IEHP was voted “Favorite Overall Company to Work For,” “Favorite Training Program” and “Favorite Workplace Culture” by Los Angeles News Group Readers in the 2014 Winning Workplaces survey. “Access to Caring” Award IEHP was recognized for making a difference in advancing health care access and availability to people with disabilities by the Western University of Health Sciences, in 2014. Energy Star Award for Superior Energy Performance IEHP’s corporate headquarters (“The Atrium”) in Rancho Cucamonga, Calif. earned the U.S. Environmental Protection Agency’s ENERGY STAR® certification for superior energy performance in 2017, demonstrating IEHP’s commitment to continued energy savings and environmental responsibility. “Gold Standard” Certification for Electronic Payments and Claims Processing In 2016 IEHP achieved Phase III certification for accurate and efficient electronic provider payments and claims reconciliation from the Council for Affordable Quality Healthcare (CAQH) and the Committee on Operating Rules for Information Exchange (CORE). The voluntary certification is widely viewed as the industry “gold standard” for provider payments and claims processing.
Governing Board - Daniel P. Anderson
ofit sector. He has spent the last fifteen years advocating health care access for the low-income and uninsured population. In April 2008 he was appointed to the IEHP Governing Board and served as the Vice-Chair from January 2018 - December 2020. Dr. Anderson has addressed the health needs of the underserved and uninsured populations in his many lectures and presentations to the community. Currently, he is the President/CEO of Riverside Community Health Foundation. Dr. Anderson received his Bachelor of Arts in Religious Studies and holds a Master of Divinity Degree and a Doctor of Ministry Degree.
Governing Board - Eileen Zorn
ional management, research, and quality improvement. In January 2003, she was first appointed to the IEHP Governing Board. In February 2015, she was appointed as Vice-Chair. Ms. Zorn was appointed to Chair in February 2016. Ms. Zorn has published many healthcare related articles and has received several recognitions and awards during her career. She received her Bachelor’s degree in Nursing from Columbia Union College in Takoma Park, Maryland and a Master’s of Science in Nursing from Loma Linda University in 1976.
Leadership Team - Vinil Devabhaktuni, MBA
n this role, Vinil will provide leadership for the overall information technology architecture, as well as the design, development, implementation, and support of IEHP’s systems. Vinil joins IEHP most recently from Health New England, where he served as the Chief Information and Technology Officer and was responsible for managing a unique portfolio and elevating the role of technology from a supportive function to a strategic partner that played a major part in the growth of the organization. Vinil also developed and executed an end-to-end operational roadmap for sales, underwriting and accounting. In addition, he rearchitected and streamlined production support and application development operations to bring stability, predictability, and optimizations to the organization. Prior to his role at Health New England, Vinil served as vice president, digital transformation officer at AIG in New York. While in this role, he led a $50M global digital transformation initiative, which included migration and consolidation of digital properties from 140 countries around the world. Vinil holds a Master of Business Administration degree from Bay Path University in Longmeadow.
Pharmacy Services - Academic Detailing
treach program for our providers and pharmacies. We perform phone and one-on-one outreaches with physicians, nurse practitioners, physician assistants, and pharmacy staff. Our goal is to transform the prescriber and pharmacy practice and enhance the provider, pharmacist and member experience. Clinical Drug Education Clinical Drug Education provides materials that focus on a specific drug, drug class, and/or disease state. These materials contain pharmacological and clinical practice information to assist providers and pharmacies in their practice. As new drug information is available, it is important to stay up to date on clinical research findings to assist with member care and medication-use decisions. Practice Development Practice development education provides materials that focus on enhancing provider and member experience. The materials contain guidance on Formulary Utilization and PA submissions as well as insights regarding electronic prescribing and electronic health records. It is our commitment to provider practice optimization tools and resources to enhance member care. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website. Biosimilars A growing trend in healthcare is the use of biosimilar drugs. The following information will assist you and your practice on prescribing biosimilars. What is a Biosimilar? (PDF) Biological Product Definitions (PDF) Prescribing Biosimilar Products (PDF) Prescribing Interchangeable Products (PDF) Opioid and Chronic Pain Management In collaboration with Riverside University Health System (RUHS) and Centers for Disease Control and Prevention (CDC), IEHP would like to provide the following information to assist you and your practice on prescribing opioids for chronic pain management. CURES CURES FAQ (PDF) CURES 2.0 User Guide (PDF) CURES tips and tricks (PDF) Naloxone Naxolone Drug facts (PDF) Naxolone instructions for use (PDF) First Responder Naxolone administration fact sheet (PDF) Opioid Prescribing Guidelines Medication Assisted Treatment (MAT) and Opioid Treatment Program (OTP) FAQ (PDF) CDC Guideline Infographic (PDF) CDC Guidelines Factsheet (PDF) TurnTheTide Pocket Guide for Prescribing Opioids for Chronic Pain (PDF) Opioid Tapering Clinical Pocket Guide to Tapering (PDF) Tapering Resource-AAFP (PDF) Opioid Tapering Resource pack (PDF) Pharmacy Medication Assisted Treatment (MAT) for Substance Abuse (PDF) Urine Drug Testing CDC Urine Drug Testing Factsheet (PDF) UDT for monitoring opioid therapy-AAFP (PDF) X-Waiver X-Waiver resources Quick information about DATA 2000 https://www.samhsa.gov/medication-assisted-treatment/statutes-regulations-guidelines#DATA-2000 X-waiver online form https://www.samhsa.gov/medication-assisted-treatment/become-buprenorphine-waivered-practitioner For more information, contact SAMHSA: (866) BUP-CSAT (866-287-2728) firstname.lastname@example.org Practice Optimization Electronic Prescribing (e-Rx) Electronic prescribing is a growing standard in the healthcare industry. Most electronic health record systems offer electronic prescription capabilities. The information below will provide insight to the practice of e-prescribing. Benefits of e-Rx brochure (PDF) Formulary Utilization The IEHP Formulary offers a variety of drugs based on safety and efficacy for any condition. The information below will help you find out how to access and interpret the formulary Medicare FAQ (PDF) The process of submitting a prior authorization may be cumbersome for your practice. The information below will help you understand this process and assist with receiving a proper decision in a timely manner. For any questions regarding Pharmacy Academic Detailing Training please contact: PharmacyAcademicDetailing@iehp.org You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website. Information on this page is current as of January 1. 2022
Latest News - Dr. Takashi Wada Named IEHP Chief Medical Officer
a will oversee IEHP’s Health Services department and collaboratively lead the implementation of initiatives such as CalAIM, Home and Community-Based Services, the organization’s Strategic Plan, and more. In addition, Dr. Wada will provide clinical and strategic leadership through accountable processes to improve the quality-of-care delivery with improved external quality metrics. “With innovative healthcare initiatives rolling out at state and federal levels, I’m eager to lead and support our team’s work, so that we may contribute in new and meaningful ways that will positively impact the wellness of our own members and communities,” he said. Dr. Wada joined IEHP in 2019 as Vice President of Population Health. In this capacity, he oversaw the internal departments of Behavioral Health & Care Management, Community & Family Health, Health Education, and Practice Transformation. He also played a key role in various statewide and regional population health initiatives. Prior to his role at IEHP, Dr. Wada served as Chief Medical Officer/ Deputy Chief Medical Officer for CenCal Health and Director/Health Officer for Santa Barbara County’s Health Department. Dr. Wada received an undergraduate degree in biomedical sciences from University of California, Riverside, and a master’s degree in public health from University of California, Los Angeles (UCLA). He completed his medical degree from UCLA and his graduate medical education at Kaiser Permanente Los Angeles Medical Center. “Dr. Wada truly has a passion for this work,” said IEHP Chief Executive Officer Jarrod McNaughton. “I couldn’t be more thrilled that he is joining our Executive Team. We are absolutely looking forward to working with Dr. Wada in his new role and continuing our mission to heal and inspire the human spirit.”
Latest News - IEHP Earns Industry CORE Certification for Data Security
Operating Rules for Information Exchange (CORE®) Eligibility, Claim Status, and Payment & Remittance Certification Seals. This means IEHP successfully completed an extensive testing process and review of national operating standards, enabling health plans and providers to electronically share large quantities of administrative data quickly and accurately. These rules and guidelines aim to improve the efficiency and improve national health care system costs. “Exceeding these standards is critical to ensuring our providers have the necessary information to provide the very best care to our members,” said Vinil Devabhaktuni, IEHP’s Chief Information Officer. “Our teams work tirelessly to build sustainable systems and processes to support this effort and will continue to find innovative solutions to support the ongoing needs of our members and providers.” Widely viewed as the industry “gold standard,” the CORE Certification illustrates IEHP’s commitment to the secure exchange of member data and timely provisions of health care services. The certification also demonstrates IEHP’s ongoing work effort adhering to the operating rules and their underlying standards, plus going above and beyond what is required. “Inland Empire Health Plan is demonstrating industry leadership,” said Robin J. Thomashauer, CAQH president. “Operating rules are most effective when everyone follows them, and today, thanks to IEHP, our nation’s health care system has taken another important step forward.” CAQH CORE is a collaboration of more than 130 participating organizations that work together to develop operating rules. Participants represent health care providers, health plans, vendors, associations, government entities and the organizations that set standards for health care and data exchange. CORE Certification is currently available for all currently published Operating Rule Sets. To learn more about IEHP visit iehp.org. For more information about CAQH CORE, visit www.caqhcore.org.
Latest News - IEHP Leaders Honored with LLU Alumnus of the Year Awards
ommunity Behavioral Health Amrita Rai were each named Alumnus of the Year by their respective departments at Loma Linda University (LLU) for their promotion of the vision and purposes of their alma mater along with their contributions to the community. Pham earned his master’s degree with an emphasis in healthcare administration from LLU’s School of Public Health. At IEHP, Pham develops and executes IEHP’s strategy system to advance the health plan’s mission and achieve its bold 2030 vision: we will not rest until our communities enjoy optimal care and vibrant health. In this work, Pham constantly seeks new ways for IEHP to better serve the community and its most vulnerable residents. “We were pleased to honor Mr. Thomas Pham with the SPH Alumnus of the Year Award at our 2022 commencement ceremony. His notable contributions as part of IEHP to the health and well-being of the Inland Empire communities reflect our vision for healthy people living in resilient communities supported by equitable systems of health,” said Dr. Helen Hopp Marshak, LLU Dean, School of Public Health. Honored by LLU’s School of Behavioral Health, Rai graduated with a master’s degree in social work. In her current role at IEHP, Rai actively leads both community and statewide initiatives in improving access to mental health services, including the Student Behavioral Health Incentive Program. “Amrita Rai received the 2022 Alumni of the Year award at the graduation services of the Loma Linda University School of Behavioral Health for her unwavering commitment to servant leadership and the delivery of equitable behavioral health services for the most vulnerable populations throughout the Inland Empire,” said Dr. Beverly Buckles, LLU Dean, School of Behavioral Health. Rai also shares her expertise and passion at various speaking engagements throughout the year, inspiring awareness and continued improvement of the development and delivery of behavioral health services. “The transformational work Thomas and Amrita have done in their respective areas is a true testament to their love for the Inland Empire community. Active contributions and engagement from team members like Thomas and Amrita make IEHP’s commitment to heal and inspire the human spirit possible, and we are grateful for their service,” said Jarrod McNaughton, IEHP Chief Executive Officer.
Latest News - IEHP Sponsors Inland Empire Disabilities Collaborative Scholarships and Awards
nsorship to Inland Empire Disabilities Collaborative (IEDC) that will be distributed to 10 students who applied for IEDC scholarships. Scholarships were distributed June 16 at San Bernardino Valley College, where IEDC Member Denise Booker was also honored for her dedication to bring awareness of Juneteenth to the Riverside community. “Providing opportunities, aid and continuing to advocate and honor individuals who stand for equity is critical to our mission to obtain optimal care and vibrant health in our region,” said IEHP Director of Community Health and IEDC Board President, Dr. Gabriel Uribe. “Since 2019, IEDC has distributed 33 scholarships to Inland Empire students with disabilities who are pursing undergraduate, graduate, vocational or technical degrees. It’s a tradition we hope to continue through our partnerships and community support.” Established in 2006, IEDC is powered by a partnership between IEHP, Community Access Center and PossAbilities of Loma Linda University Health. Today the organization brings together more than 900 service providers from several organizations across the Inland Empire who serve seniors and people with disabilities. “It's imperative we do what we can to level the playing field and advocate for underserved and marginalized communities. That’s what’s so inspiring about Mrs. Booker. She stood up, she spoke up and she sparked positive change in her community,” added Uribe. Booker has been an IEDC member since 2017 and has been active in advocating for the Black community. Through her organization, The Black Collaborative, Booker has led advocacy efforts to inform local politicians and leaders about Juneteenth and why the day is important in our nation’s history. “The collaboration I have with IEDC provides me the opportunity to help a section of my community that I otherwise would not be able to,” said Booker. “My relationship with IEDC brings true the African proverb, ‘If you want to go fast, go alone; if you want to go far, go together.’”