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the health plan in the 99th percentile for provider satisfaction nationwide.  Administered to the health plan’s provider network by phone through a third party vendor, the annual survey measures provider satisfaction with the services and support received directly from IEHP. The survey included responses from primary care physicians, specialists and behavioral health providers.  “To deliver the best care to our members, our providers need ongoing support from their health plan partner,” said Susie White, IEHP Chief Operating Officer. “Survey responses alert us to what areas we need to improve upon and where gaps lie so we can be effective in applying strategic solutions to support our providers. Ultimately we want to ensure our Providers are feeling secure and confident in the work and services they provide to our members. This survey provides great insight into that.” To gain actionable feedback from the plan’s provider network, the survey focused on key drivers of provider satisfaction. Top drivers included: access to case and care managers, timeliness of claims processing, and number of specialists in the network.  A notable 98.1% of providers shared they would recommend IEHP to other physician practices. Broken down by category, IEHP ranked within the 99th percentile for provider relations, health plan call center staff, pharmacy, utilization and quality management, and coordination of care. The health plan also scored in the 99th percentile in the financial category, highlighting the health plan’s ability to resolve questions or discrepancies of payment.  The survey provided additional insight for ways to improve support activities. “Our provider feedback pointed us to a really great opportunity to enhance access to resources and information supporting telehealth services,” said White. “As we continue to navigate our way through this pandemic together, reinforcing efforts in this area will be critical for our communities.” “The last two years have been an extraordinarily difficult time for our Providers as healthcare professionals and as human beings,” said Jarrod McNaughton, IEHP Chief Executive Officer. “I can’t begin to say how grateful we are for their work in our community and IEHP is committed to make every effort to support our Providers so our Members and Communities can enjoy the optimal care they deserve.”  

ew moms and moms-to-be are invited to visit IEHP’s Community Resource Centers in December for free maternal mental health events, which will offer health and wellness resources and connections to prenatal and postpartum care. Events will be hosted by IEHP’s Maternal Mental Health Team at all three of the health plan’s Community Resource Centers: Thursday, Dec. 1, 9 a.m.- 1 p.m. at IEHP’s Victorville center, 12353 Mariposa Road, Suites C-2 & C-3, Victorville, Calif., 92395 Saturday, Dec. 3, 9 a.m.- noon at IEHP’s San Bernardino center, 805 W. Second St., Suite C, San Bernardino, Calif., 92410 Friday, Dec. 9, 2- 5 p.m. at IEHP’s Riverside center, 3590 Tyler St., Suite 101, Riverside, Calif., 92503 Registration is encouraged by visiting Connect I.E. or IEHP’s Events page on Facebook. In addition to information on community resources for prenatal and postpartum care, attendees will receive baby items and will be eligible for raffle prizes. Members will also learn more about their maternal health benefits and the services they can access.  “The pregnancy process doesn’t end once the baby is born,” said IEHP Manager Heather Waters, LCSW. “Postpartum care is just as important as prenatal care. Our team at IEHP can assist you with linkage to your postpartum appointment and any additional services, such as transportation and behavioral health.”  A recent report from the CDC also highlights this need, citing that more than 80% of pregnancy-related deaths between 2017-2019 were preventable and 53% of deaths occurred between seven days and one year after delivery. The report also notes the leading underlying causes of pregnancy-related deaths include mental health conditions.  “Our Maternal Mental Health team at IEHP is serious about improving maternal health outcomes in our communities, and we look forward to equipping our members with the necessary tools, benefit information and resources they need to deliver healthy babies and remain well after delivery,” added Waters. 

will not rest until our communities enjoy Optimal Care and Vibrant Health.  So year after year, #TeamIEHP does what they do best – heal and inspire the human spirit by giving back to the Inland Empire community. Between turkey distributions, vaccine clinics and senior citizen holiday gift drives, 2022 is no different.  Over the Thanksgiving holiday, IEHP distributed 200 free turkeys through its community resource centers, while the remaining holiday season of giving will include a company toy drive for the city of Trona, handwritten cards to local children in the foster system, and community vaccine clinics at holiday events, including Motivating Action Leadership Opportunity’s (MALO) Christmas Extravaganza. IEHP is also hosting an internal holiday gift drive to support senior citizens who have been identified as isolated, neglected or abused. Last year, IEHP team members provided cash donations and filled several boxes with items like blankets, socks, home décor, hygiene products and slippers. All donations were given to the Office on Aging. This year, IEHP team members are looking forward to exceeding last year’s contributions. “It’s the right thing to do,” said IEHP Behavioral Health and Care Management Support Services Manager Ben Jauregui. “Each year, our teams look forward to giving back in this way and reminding our local seniors they are cared for and loved.” For seniors who are isolated, vulnerable or medically at-risk, the holiday season can be challenging – even lonely – according to Jewel Lee, director of the Riverside County Office on Aging.  “This is an opportunity for us to highlight to everyone that even short moments of joy are very valuable to those who have no family or live alone,” Lee added. “We are fortunate to have community partners – like IEHP – who help us touch the lives of people in need of hope and positivity at this time of year.”      

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. 

Indio, Calif., on Dec. 4 and 5.  A long-time supporter of the festival, IEHP will provide health education resources and host a free vaccine clinic near the festival. In partnership with Kaiser Permanente, IEHP’s vaccine clinic will be located just two blocks away from the festival at 45720 Smurr St. in Indio and will offer free COVID-19 and flu vaccines to adults and children from 12-6 p.m. Appointments are not required. Indio’s International Tamale Festival began in 1992 and welcomes diverse crowds to enjoy handmade tamales from around the world. In addition to world-famous tamales, this year’s festival will feature live musical performances, entry to the World’s Biggest Bounce House, a roller rink, carnival rides and hundreds of booths. “Supporting the Indio Tamale Festival has become a tradition for IEHP for more than 15 years,” said Marci Coffey, IEHP’s Community Partnerships Director. “The festival provides fun, family-centered time for our community, and we’re always eager to provide benefit information and connections to resources. This year, we’re especially eager to get back to the festival and offer vaccines to the community.” Historically, hundreds of IEHP Team Members and their family members volunteered for the annual event and were bussed from the health plan’s corporate headquarters in Rancho Cucamonga to Indio. This year, IEHP’s community health teams will be spread throughout the region to support Indio’s Tamale Festival and additional community events in Rialto, Victorville and Needles.  “We want our members and communities to enjoy all the fun during the holidays in the safest way possible,” said Cesar Armendariz, IEHP’s Senior Director of Community Health. “We’re grateful to have the resources and strategic partnerships in place to make vaccines accessible to those who need them and look forward to continuing to encourage optimal care and vibrant health in our region.”  

AN AND IEHP HEALTH ACCESS. Date of Meeting: March 14, 2022 Time of Meeting: 9:00 AM Location of Meeting:  Inland Empire Health Plan Headquarters 10801 Sixth Street, Suite 120 Rancho Cucamonga, California 91730 This Notice shall confirm the REGULAR MEETING of the Joint Powers Agencies - INLAND EMPIRE HEALTH PLAN AND IEHP HEALTH ACCESS. If disability-related accommodations are needed to participate in this meeting, please contact Annette Taylor, Secretary to the IEHP Governing Board at (909) 296-3584 during regular business hours of IEHP (M-F 8:00 a.m. – 5:00 p.m.) Agenda Copies of the Packet may be obtained here.

AN AND IEHP HEALTH ACCESS. Date of Meeting: April 11, 2022 Time of Meeting: 9:00 AM Location of Meeting:  Inland Empire Health Plan Headquarters 10801 Sixth Street, Suite 120 Rancho Cucamonga, California 91730 This Notice shall confirm the REGULAR MEETING of the Joint Powers Agencies - INLAND EMPIRE HEALTH PLAN AND IEHP HEALTH ACCESS. If disability-related accommodations are needed to participate in this meeting, please contact Annette Taylor, Secretary to the IEHP Governing Board at (909) 296-3584 during regular business hours of IEHP (M-F 8:00 a.m. – 5:00 p.m.) Agenda Copies of the Packet may be obtained here.

Inland Empire Health Plan (IEHP) had officially opened its doors.  Twenty-six years later, a small cohort of team members hired during the health plan’s opening year – self-proclaimed, “The Originals” – continue to serve their community as IEHP team members.  Comprised of team members from various departments across the health plan, the Originals have contributed to some of IEHP’s most critical projects, supporting the health plan’s innovative spirit and providing optimal care for more than 1.6 million members.  “Our IEHP Originals continue to push us forward through their deep commitment and understanding of what it means to be an IEHP team member,” said IEHP Chief Executive Officer Jarrod McNaughton. “This group reminds us each and every day of where we’ve been, and why we must continue to move forward.” As IEHP celebrates and reflects on the organization’s 26th anniversary this year, the health plan is also honoring its Originals to share more about their commitment and their unique place in IEHP’s history.  “If we worked late or on the weekends, you’d often find our kids at work – they’d play in the open spaces or at the desks while we kept working,” recalled IEHP IT Test Governance and Coordination Manager Imelda Ramirez. “My son used to play under my desk with his Matchbox cars. I still have them at my desk. It was a family adventure getting ready for go-live in 1996 and those first few years.”   To learn more about IEHP’s Originals and their stories, visit IEHP on LinkedIn.  

community residents for its first AfroNoon celebration and mini-museum exhibition launch in White Park earlier this month. Inland Empire Health Plan (IEHP) was thrilled to join the city of Riverside as a sponsor, supporting The Bibbs and its mission to cultivate, collect and showcase expressions of African American arts and culture in the region. AfroNoon served the community as a Black arts festival, highlighting local talent from various artistic elements: music, traditional arts, food, live performances, and craft vendors.  Also featured, pieces by the center’s namesake Charles A. Bibbs, an internationally renowned contemporary visual artist, entrepreneur, and philanthropist whose work is found in museums, galleries, organizations and homes of many collectors, including Riverside City Hall.  “The AfroNoon in White Park was successful!” said Bibbs. “The highly attended event was strongly indicative of the interest and cultural impact the Charles A. Bibbs African American Museum and Cultural Center will have on the community. Many people participated in the event to learn more about the upcoming museum and others came with excitement and support.” “Our presentation of our mini-museum exhibit, featuring the art of local award-winning artists Maurice Howard, Diana Shannon and Charles Bibbs provided a small taste of what is to come when The Bibbs finds a gallery space of its own,” added Bibbs. For IEHP, partnering with The Bibbs represents an opportunity to enhance cultural connections. “Inclusivity is just as critical as medicine is to healing and inspiring the human spirit,” said Michael Deering, IEHP vice president of Innovation Acceleration and Diversity. “The Bibbs is a beacon to our community’s ongoing dedication to diversity, equity and inclusion and also provides space to actively facilitate, honor and celebrate that commitment on the level it deserves.” In addition to sponsorship, the health plan served on the AfroNoon planning committee, provided giveaways and volunteers to support various booths.  Once a permanent location is secured, The Bibbs plans to continue their work to promote permanent and revolving world-class collections from Mr. Bibbs and other African American artists, providing inclusive spaces for community expression. “The Bibbs will be a cultural destination in Riverside.  It will be a ‘voice of empowerment’ wherein established, emerging and youth African American artists will be able to showcase their work in every discipline. For the community it will be a place for individuals and families to collaborate and connect with others in an enjoyable, inclusive environment of creativity and culture,” said Bibbs.  The Bibbs is currently working on a collaboration with Riverside’s Mission Inn Foundation to install a fine arts exhibition before November’s Festival of Lights, in addition to beginning a capital campaign to build its permanent home.  To learn more about The Bibbs, visit thebibbs.org 

th care visionaries and thought leaders at the health plan’s headquarters on Oct. 13, to share supportive acceleration strategies for a more integrated and sustainable health system. The one-day event featured keynote conversations from industry leaders on trends and changes that are impacting the health care environment in the state and region.  Featured speakers included: Author and Health Care Futurist Ian Morrison; California Health & Human Services Agency Secretary Dr. Mark Ghaly; University California Los Angeles Hospital and Clinic System Chief of Health Equity, Diversity and Inclusion Dr. Medell Briggs-Malonson; IEHP Chief Quality Officer Dr. Edward Juhn; President and Founder of MEDIS, LLC Dr. Michael Barr; and President of HC2 Strategies and Co-Chair of Stakeholder Health Dora Barilla.   “The idea that this isn’t the summit of health care is really key. It’s the future of health. Health is more than health care,” shared Dr. Ghaly in his talk about California Health & Human Services’ vision and efforts. “There is an opportunity to constantly push ourselves and push our partners to think differently about how public and private partnerships can advance this concept of deep community health. It starts with conversations like this and bringing people together.” IEHP Chief Executive Officer Jarrod McNaughton said he hoped the day’s discussions will lead to real reflection and specific action plans. “We’re very serious about moving this community, in partnership with our providers, forward and moving the quality needle,” McNaughton added. “This kind of work can’t happen alone, and we are grateful for the tremendous showing of support and collaboration to ensure vibrant health in our communities for generations to come.”  

MTM is a term to describe a broad range of services offered by Pharmacists on our health care team.  The IEHP Clinical Pharmacy Team reviews the Members’ medicines, making sure they’re taking the right ones for their health conditions. If you are a Provider for IEHP Members who qualify for the MTM Program, you can let them know to look out for a letter from us. They will be enrolled automatically—unless they opt-out. MTM is offered to Members at no additional cost. IEHP's MTM services include these core elements: Medication therapy reviews Medication education Disease management A team of Pharmacists and Doctors developed these MTM services to help provide better prescription drug coverage for our Members. For example, MTM also helps identify possible medication errors. Medicare MTM Program This is a free program under Medicare Part D for IEHP DualChoice Members who have multiple medical conditions, take many prescription drugs, and have high drug costs to assist with better medication management and overall health. IEHP DualChoice Members’ enrollment includes a yearly comprehensive medication review (CMR) and regular targeted medication review (TMR) services throughout the year. MTM services include: Comprehensive Medication Review (CMR) An IEHP Clinical Pharmacist will provide an annual comprehensive review of the IEHP DualChoice Member’s medications over the phone. The Pharmacist will review IEHP DualChoice Member’s medications and make clinical recommendations to IEHP DualChoice Members and Providers. Targeted Medication Review (TMR) The IEHP Clinical Pharmacy Team will also offer TMRs through the year by reviewing issues with the participating IEHP DualChoice Member’s medicines. The team will perform TMRs for all enrolled beneficiaries every three months. The beneficiary may get TMR recommendations by mail and their Primary Care Provider may receive recommendations by fax—if the IEHP Clinical Pharmacy Team deems it necessary. For more information, IEHP DualChoice Members eligible for CMR or TMR services can call 1-877-273-IEHP (4347), 8am-5pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-4347.  Click here for a blank personal medication list. Medicare MTM Program services may have limited eligibility criteria. They are available for the following conditions: 1.   The IEHP DualChoice Member has a minimum of three (3) disease states: Bone Disease-Arthritis-Osteoporosis Bone Disease-Arthritis-Rheumatoid Arthritis Chronic Heart Failure (CHF) Diabetes Dyslipidemia End-Stage Renal Disease (ESRD) Hypertension Mental Health Chronic/ Disabling Mental Health Conditions Respiratory Disease – Asthma Respiratory Disease – Chronic Obstructive Pulmonary Disease (COPD) 2.   The IEHP DualChoice Member is prescribed a minimum of five (5) different medications to treat those disease states: ACE-Inhibitors Angiotensin II Receptor Blockers (ARBs) Antidepressants Antihyperlipidemic Antihypertensives Antipsychotics Beta Blockers Bronchodilators Calcium Channel Blockers Disease-Modifying Anti-Rheumatic Drugs (DMARDs) Diuretics Insulins Oral Hypoglycemics Selective Serotonin Reuptake Inhibitors (SSRIs) Tumor Necrosis Factors (TNFs) Inhaled Corticosteroids Calcimimetic Cardiac Glycoside Colony Stimulating Factors Glucagon-Like Peptide-1 Glucocorticosteroids Neprilysin Inhibitor NSAIDs Phosphate Binders Vitamin D Analogs 3. Drug costs of $1,233.75 (one-fourth of $4,935) for the previous three months are likely to be incurred. To learn more about MTM, call IEHP DualChoice (HMO-DSNP) at 1-877-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY users should call 1-800-718-4347.   For answers to frequently asked questions, please download the FAQ document below: MTM FAQs (PDF) For details, contact the IEHP Pharmaceutical Services Department at (909) 890-2049, Monday-Friday, 8am-5pm. IEHP DualChoice (HMO-D-SNP) [Medicare-Medicaid Plan] is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Information on this page is current as of March 2023. H5355_CMC_20_1900233_Accepted 

h Molina Healthcare, County Behavioral Health, the Offices of Education in Riverside and San Bernardino counties, and select local school districts and charter schools to implement the Student Behavioral Health Incentive Program (SBHIP).  The three-year program is in accordance with the California Department of Health Care Services’ (DHCS) goal to expand prevention and early intervention behavioral health services in schools and provides financial incentives to partnering school districts and charter schools. A total of $389 million has been allocated for California. Between both IEHP and Molina Healthcare, up to $50,845,334 can be utilized to support this program. According to the American Psychological Association, one in five young women and one in ten young men experience a major depressive episode before the age of 25. The COVID Collaborative also notes one in 330 California children have lost either a parent or caregiver in the last two years, adding significant stress and trauma to the lives of California’s youth, along with stay-at-home orders and remote learning.  “If the past few years have taught us anything, it’s that we need to be proactive in addressing mental health and wellness needs early on, before traumas have a chance to manifest later in life,” said Amrita Rai, IEHP’s clinical director of community behavioral health.  Through SBHIP efforts, existing mental health initiatives will be bolstered, and coordination between schools, managed care plans, county behavioral health and community partners aim to address the equity gap and improve access to mental health prevention and treatment for students.  Resources will be directed to fill gaps in these areas throughout the participating schools and their respective communities. Services will be limited to schools who are participating in SBHIP and who receive funding.   “We are well into a crisis when it comes to the mental health and wellness of our youth. Now is the time to be bold and work tirelessly for our children because what we do now will affect generations to come,” said Rai. “Why not focus our resources, our passion, and our commitment back into the community and schools? Our children spend most of their lives in school, which makes this multi-organizational partnership so worthwhile.” Partnerships with local education agencies and school sites include San Bernardino County Superintendent of Schools (SBCSS); Riverside County of Education; Palm Springs Unified School District; Hemet Unified School District; San Bernardino City Unified School District; Rialto Unified School District; Victor Valley Union High School; Ontario-Montclair School District; Leadership Military Academy; Nuview Union School District; Provisional Accelerated Learning Academy; and Riverside County Office of Education Alternative Education Program.  While the initiative will begin at these partner sites, it is anticipated that learnings would benefit other schools and districts interested in implementing similar programs in the future.   “San Bernardino County Superintendent of Schools recognizes the growing mental health crisis among our youth and supports this joint effort to address this critical issue,” said County Superintendent Ted Alejandre. “SBCSS seeks to build capacity within countywide systems and increase access to much needed support to ensure every child receives the services they need when they need them.”  “Educators at the Riverside County Office of Education and within all Local Educational Agencies (LEA) in Riverside County, are vitally interested in addressing the needs of the whole student beyond the classroom. Linking arms with partners across the county via the Student Behavioral Health Incentive Program (SBHIP) will equitably provide mental health services to those who might not otherwise have access to this level of support,” said Riverside County Superintendent of Schools, Dr. Edwin Gomez. Selection of school districts and charter schools was dependent on DHCS guidelines and considered specific criteria, such as the number of students who received Medi-Cal, were foster youth or English learners, received free or reduced priced meals, were interested in participating in the program and other factors.  “It’s the right thing to do. This program gives us a great opportunity to extend both heart and hand to children in our community,” said Dr. Takashi Wada, IEHP’s chief medical officer. “Working together, we can equip them with necessary skills, habits and care they can use today and through adulthood, setting them up for a healthier and happier tomorrow.”  “The COVID-19 pandemic has exacerbated and elevated behavioral health needs in our communities, including in young people. Mental and emotional wellbeing make up a significant portion of overall health and healthy youth lead to improved community wellness. We are proud to partner with IEHP, local offices of education and mental health professionals to address the youth behavioral health crisis in tangible, preventative ways.” said Dr. Sayeed Khan, chief medical officer at Molina Healthcare. Program preparation began this year and will support a January 2023 launch at all 10 participating local education agencies. Through careful planning and implementation, the program will aim to build and support a sustainable system beyond the life of the program, which will end in December 2024. alt=" "="" src="-/media/7c6d40e217094fb1be8ec6cec9473878.ashx?h=233&w=350" class="" />

althy cooking to the Inland Empire (I.E.) by showing Members and community residents how to cook delicious, traditional meals with a healthy and spicy twist at the health plan’s Victorville Community Resource Center.   A 2018 MasterChef Latino judge, Chef Mario is a Boyle Heights native and has expertise elevating the culinary experience of residents in and around the Los Angeles area. Chef Mario’s demonstrations highlight cooking with both new and familiar ingredients that are proven to address common health issues in the region, including diabetes and hypertension.  “Healthy eating doesn’t need to mean bland or boring food and Chef Mario knows how to make that possible,” said IEHP’s Community Health Senior Director Cesar Armendariz. “We’re thrilled to connect Chef Mario to our Members and communities to learn how to better utilize spices and well-known ingredients to better manage our health and wellness in a vibrant, delicious manner.” Chef Mario’s cooking demonstrations are open to the community and take place in July every Tuesday from 12:30 p.m. - 1:30 p.m. Classes in August will be every Thursday from 10:30 a.m. - 11:30 a.m. at the health plan’s Victorville center, located at 12353 Mariposa Road, Suites C-2 & C-3. IEHP also plans to record demonstrations for public use in the coming months.  “This partnership means so much to me on a personal level. A healthy way of life should be available to all – it’s such an important component of health care that is often ignored,” said Chef Mario. “Food is the connection to everything, from our physical well-being to our mental well-being. There has been no greater time than now to embrace healthy eating but not sacrifice the flavor. I'm so excited to partner with IEHP and have so many fun demos, recipes and other surprises coming.” In addition, IEHP will connect Chef Mario to community partners for additional cooking demonstrations and civic events. “IEHP is proud to provide education and resources to Members and community residents who want to learn how to better manage their health through cooking. We’re excited to have Chef Mario’s help as we continue to look for ways to serve our community,” said IEHP Chief Executive Officer Jarrod McNaughton. To learn more about IEHP’s Community Resource Centers or to find a nutrition class, visit the community resource page.  alt=" "="" src="-/media/dc4dca59a6f446009bdb09836af76cc9.ashx?h=400&w=300" class="" />

C), received Inland Empire Health Plan’s (IEHP) Mission INSPIRE Award this month at the health plan’s second Annual Mission Conference. The award recognized SAC Health’s ongoing support and service to residents in Riverside and San Bernardino counties. SAC Health’s roots reach back as far as the 1960s, which have led to 35 specialties offered today at 10 locations, including a mobile unit that supports more than 144,000 patient visits each year. SAC Health is also one of IEHP’s most prominent partners, providing care to more than 50,000 of the Inland Empire’s most vulnerable residents and educating future physicians in the region.  In collaboration with SAC Health, new health care clinics were developed in brand new service areas, supporting thousands of residents in Blythe and Barstow. “You can’t do this kind of work and truly impact the community and those that need the care without really strong partnerships. It takes a whole community to do that,” said Dr. Jason Lohr, CEO of SAC Health. “We are overwhelmed with gratitude and humility to be honored with this award.” SAC Health is one of the first recipients of the IEHP Mission INSPIRE Award. The award honors providers, community organizations and partners for their commitment to the health plan’s mission to “heal and inspire the human spirit.”  “We are thrilled to honor SAC Health’s dedication and determination to consistently do the right thing for our communities and Members,” said Jarrod McNaughton, IEHP Chief Executive Officer.  To learn more about the IEHP Mission Conference and how the health plan is charting a collaborative path forward, visit iehp.org.  

he Student Behavioral Health Incentive Program (SBHIP) event held Feb. 27 at Inland Empire Health Plan’s (IEHP) headquarters.  IEHP, Molina Healthcare of California, Riverside University Health System Behavioral Health, San Bernardino Department of Behavioral Health, the Offices of Education in Riverside and San Bernardino Counties, local school districts and charter schools gathered to acknowledge their collaboration and planning efforts over the last year. These efforts are in response to the California Department of Health Care Services' (DHCS) goal to expand prevention and early intervention behavioral health services in and around schools. The initiative provides financial incentives to partnering school districts and charter schools. To move beyond planning and gear up for the implementation phase of the initiative, the group shared experiences and insight and raised awareness about their plans. Event speakers included Dr. Amy Young-Snodgrass, chief of the division of forensic pediatrics at LLU Children’s Hospital, Dr. Edwin Gomez, Riverside County Office of Education superintendent, Ted Alejandre, San Bernardino County Office of Education superintendent, Jarrod McNaughton, IEHP chief executive officer, Abbie Totten, plan president of Molina Healthcare of California and others.   “Molina Healthcare of California is committed to improving access to behavioral health care services in our local schools,” said Totten. “We are grateful for the opportunity to collaborate with organizations that share in this mission as we move forward to implement innovative solutions addressing this critical issue.” The initiative’s implementation phase will include key interventions that focus on behavioral health wellness programs, care teams, expansion of the behavioral health workforce, substance use disorders and culturally appropriate and targeted populations. In addition, IEHP will be supporting SBHIP interventions through their Health Plan Navigators, stationed on local school campuses.  “The relationships, processes and infrastructure we build together will redefine how we care for our children, and have a positive impact for generations to come,” said Amrita Rai, IEHP’s clinical director of community behavioral health. “Having the opportunity to reimagine our systems of care takes intention and it takes work.  I’m so thankful for organizations that share that vision and are willing to make that future a reality.”

are services for more than 11,000 residents in Needles, Big River, Red Mountain, Blythe, Trona and surrounding areas in California.  The expanded coverage, directed through the CalAIM initiative, will transition traditional services to managed care plans like IEHP and provide a new coordinated care service offering supporting all 27,408 miles of the Inland Empire. Prior to the expansion, residents in these rural areas received health coverage through Medi-Cal’s traditional fee-for-service model but did not have access to services like health education programs, telephone advice nurses, and coordinated care support.  IEHP is currently in the process of contracting and credentialing available Providers in these areas to ensure Members are assigned to the Primary Care Providers nearest to their areas.   “Just like the rest of our Membership, these new Members deserve the best care possible and should have access to a solid network of Providers and community supports,” said Susie White, IEHP Chief Operating Officer. “We’re thrilled some of our trusted Provider partners have made their way into our new service area and opened clinics to welcome our new Members. Teams across our organization continue to work on building a sustainable network for our entire community.”  To help new Members become familiar with the health plan and the resources they now have access to, IEHP’s Community Health Teams have attended and hosted various events in the community, with the commitment to continue the support efforts moving forward. Earlier this year, IEHP joined community partners Young Visionaries, the Family & Kids Foundation, and Food Forward, to provide food, toys, household items, fresh produce, and vaccine opportunities for more than 300 residents in Trona.  “As an IEHP Member, you can absolutely trust that we will do the right thing for you and your family and get you connected to the care you need,” said Jarrod McNaughton, IEHP Chief Executive Officer. “We are so excited to welcome our neighbors in these rural areas and support them in a way that complements and enhances their quality of life for years to come.”  

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.”  

curity in the high desert. Community residents can receive a free food box at VVC’s Lower Campus every Monday from 11 a.m. to 12:30 p.m. While residents are encouraged to register online at tinyurl.com/vvcfoodboxreg, non-registered walk-ups are welcome at 12:30 p.m., while supplies last. Recipients must be 18 years or older, and boxes are limited to one per household. Prior to partnering with VVC, the health plan hosted weekly food box drive-thru distribution events at their Victorville Community Resource Center (CRC), totaling more than $5M in food from June 2020 to July 2021. “Food insecurity is one of the greatest needs in our region. We knew the distribution efforts had to continue,” said Delia Orosco, IEHP Victorville CRC Manager. “We are so grateful to VVC, a key community partner, for continuing to serve the community so our resource centers can prepare to reopen and serve again in the future.” To support high desert residents, food is ordered weekly through Community Action Partnership of San Bernardino, picked up each Monday morning by High Desert Second Chance, and delivered to VVC. IEHP Team Members, VVC students and faculty, and volunteers from God’s Hand Extended operate the event and work to distribute food directly to residents. “It is truly our pleasure to partner with such amazing organizations like IEHP and God’s Hand Extended. This is a collaborative effort and great example of how education, healthcare, and community organizations can come together with a common goal and purpose to serve,” said Amber Allen, VVC Special Grant Programs Director. “By bringing our community to the college to provide food, we are opening the doors to people who may not be aware of available opportunities at VVC. This effort helps us to meet people where they are, so they have the ability to focus on their goals, beyond just meeting their basic needs.” In addition to food distribution efforts, IEHP and VVC will launch on-campus health and wellness programs to support VVC students. Programs will include personalized wellness support for students, fitness classes and more. “These resources are brought to the community, by the community,” said Jarrod McNaughton, IEHP Chief Executive Officer. “These partnerships place life-changing resources within reach for so many of our most vulnerable residents. Times may be tough, and resources may be sparse, but partnerships and collaborations allow for hope and progress to be continuously made.” VVC hopes to continue the distribution effort for as long as it is needed. To learn more about the food box drive-thru, visit vvc.edu/events/free-weekly-food-box-drive-thru.

rting our providers. We are committed to quality, driving us to create programs and services to meet the needs of our members and providers. In fact, IEHP is one of the top-rated Medicaid plans in California. Determined by both the Healthcare Effectiveness Data and Information Set (HEDIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS), NCQA has awarded IEHP an Accreditation status for Medi-Cal. This status is only given to health plans that have clinical and service programs that meet or exceed NCQA standards. Learn more about how IEHP delivers quality services and care below.  Quality Report Inside the 2023 Quality Report, we take you through our quality journey by looking at our performance over the past year with critical measures. We show you how that data translates into tangible outcomes for our Members, Providers and Team Members. While there were many areas where we excelled, there were also places where we found opportunities for improvement. The goal of this Quality Report is to be transparent—with you and with ourselves. This journey is ongoing, and we hope to learn from it so we can do better and be better for those who rely on us the most. 2023 Annual Quality Report (PDF) 2022 Annual Quality Report 2020 Annual Quality Report (PDF) Quality Management IEHP supports an active, ongoing, and comprehensive quality management program with the primary goal of continuously monitoring and improving the quality of care, access to care, patient safety, and quality of services delivered to IEHP Members. The Quality Management (QM) Program provides a formal process to systematically monitor and objectively evaluate, track and trend the health plan’s quality, efficiency and effectiveness. Quality Management Evaluation 2021 Quality Management Annual Evaluation (PDF) Quality Management Program Description 2022 Quality Management Program Description (PDF) HEDIS Every year, IEHP assesses the overall quality of health care experienced by IEHP members. To achieve this IEHP uses  NCQA, a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations and manages the evolution of HEDIS® which provides: a set of standardized performance measures based on statistically valid samples of members the public with information to compare health plan performance HEDIS Rate: 2021 Medi-Cal HEDIS Rates (PDF) 2021 Medicare HEDIS Rates (PDF) Physician Satisfaction IEHP values a strong partnership with our providers. To support them we offer many services from online support to a call center, to a dedicated service representative. That's why doctors think highly of IEHP. In fact, according to the 2022 Provider Satisfaction Survey conducted by SPH Analytics, 98.2% of physicians would recommend IEHP to other physicians. See the full results of the 2022 Provider Satisfaction Survey (PDF). Population Needs Assessment Every year, IEHP sends out a Population Assessment Survey to IEHP Members to learn more about their needs. View the results below.  2020 Population Needs Assessment Results  You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Download Adobe Acrobat Reader.