Agenda 05-21-19 8-a - Minutes - Laserfiche WebLink

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23 1 Commissioner Greene asked him to relay how long he has been in charge, and the 2 issues he has had to address. 3 Trey Sutton said he joined Cardinal Innovations about 18 months, a month prior to the 4 Department of Health and Human Services rating, which dissolved the Cl board, escorted 5 executives out of the building, and put him into the interim CEO role. He said he was the CFO 6 at the NC Department of Health and Human services prior to being at Cl. He said since taking 7 the position, Cl has reconstituted its board, implemented a corrective action plan, and began 8 focusing on a strategic plan that contains 5 focus areas: 9 • Members 10 • Providers 11 • Communities 12 • Invest in Cl employees 13 • Tailored plan (integrated care for all members) 14 15 Commissioner McKee referred to the $9 million deficit for Orange County, and said he 16 would like to know the overall profit/loss balance sheet for last year. 17 Trey Sutton said Cl lost $30 million last year, and are on track to lose a little bit less this 18 year. 19 Commissioner McKee said this is surprising to him. He said he sat on the local Cl 20 board several years ago, and found the corporate board difficult to work with. He said he is 21 aware of families that are still struggling to get the necessary services with Cardinal. He said it 22 was like pulling teeth to get Cl involved with Club Nova. 23 Trey Sutton said he disagreed, and Club Nova spent a fair amount of time at Cl board 24 meetings. He said he has entertained all of Club Nova's requests, and Cl remains committed 25 to the $500,000 it has promised to Club Nova. 26 Commissioner Dorosin asked if Commissioner Price had any thoughts. 27 Commissioner Price said Commissioner Bedford is the current BOCC representative, 28 and also uses the services personally. 29 Commissioner Price said she was on the board during the transition, and it is a night 30 and day difference for the better. She said she understands about the geography issue, but the 31 grass is not always greener, and many changes have to come from the state. 32 Trey Sutton said he is working with Representative Verla Insko and have been 33 partnering on the language. He said Orange County is about 26% above the per capita, and 34 Representative Insko is introducing some legislation that would disregard the prior allocation 35 methodology and moving forward would be different. 36 Commissioner Marcoplos asked if the deadline of April 17`" came from anywhere 37 specific. 38 Travis Myren said this is a NCACC imposed deadline, which was set in the fall. 39 Commissioner Price said this date is in line with getting ready for November. 40 Commissioner Marcoplos said he has more questions and the deadline is tomorrow. He 41 said he is not sure he can resolve how he feels about this in time. 42 Chair Rich asked if there is a regular interval at which changes can be made. 43 Ric Bruton, Cl, said the standard plans will have a contract period of 4 years, and during 44 the initial contract phase for the tailored plan there will be no changes. He said the only 45 opportunity for change will come after the next contract cycle. 46 Ric Bruton said he has been with Cl for 9 years, and with this new management it is 47 night and day for the better. 48 Commissioner Dorosin said the letter is to the NCACC, but asked if it is known who will 49 make the decision as to whether Orange County can change grouping. 50 Staff answered that the State will make this decision.