To: Joint Conference Committee (JCC) Members
From: Brian Buchanan, Chief Financial Officer (Interim), Finance
Date: October 3, 2025
Subject: Finance Report
Purpose
To provide the Joint Conference Committee with a high-level overview of activities within the Finance Department, progress, priorities, and challenges.
Department Description
The Finance Department handles, facilitates and supports all financial transactions for the Contra Costa Health Plan (CCHP). The Finance Department also manages the health plan’s regulatory financial reporting to Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS) and California Department of Managed Health Care (DMHC).
Key Accomplishments and Highlights
• Stabilized health plan’s finance operations
• Filed timely financial reports to DHCS and DMHC for Apr-Jun 2025 quarter
• Completed Commercial rate increase filing for next calendar year
• Developed and documented routine processes for key regulatory financial filings
• Built real time revenue and expense data with IT’s support
Current Priorities and In-Progress Work
• Ensuring the fiscal year closes smoothly with the Auditor-Controller
• Continuing to develop and document all other routine processes for health plan finance functions
• Partnering with health plan operations to make data-driven decisions
• Developing standard provider contract rates
• Supporting Medicare D-SNP go-live
Challenges
• The current general ledger (G/L) configuration of Workday does not support CCHP’s regulatory reporting needs. The Finance Department will be working with the Auditor-Controller’s staff to make appropriate modifications
• Unable to close financial records monthly
• Can’t use Workday to generate regulatory or financial reporting
Looking Ahead
• Fiscal year end and audit will run until November 2025
• Audited financial reports will be filed with DHCS & DMHC post year end
• Complete all routine and special data requests from the state
• Analyze CY2026 Medi-Cal draft capitation rate impact, with draft rates released in late September and final rates in December 2025
• Start monthly health plan operating review