Transcript
Noah Laack-Veeder (00:00) what’s up, Noah?
Philip Stefani (00:02) All right. Let’s do this with Larry.
Noah Laack-Veeder (00:06) All right. We are.
Philip Stefani (00:08) Focused on timeline stuff. I’ll pretty much own the talk tracker on like, hey, our analytics team looked at this like kind of scratching our heads. And then if I need any support, I may lean on you. I got you, man. All right.
Philip Stefani (00:32) Hey, good afternoon, Larry.
Lawrence Ekdahl (00:36) How are you? How’s it going?
Philip Stefani (00:37) Doing well. How are you?
Lawrence Ekdahl (00:39) Yeah, I’m doing all right, doing.
Noah Laack-Veeder (00:41) All right. Yeah, you got a haircut? I noticed that I.
Lawrence Ekdahl (00:44) Did get a haircut thanks.
Noah Laack-Veeder (00:47) Hey, you know, men don’t notice that about each other or at least say it, but, hey, I know.
Lawrence Ekdahl (00:52) Yeah, you’re absolutely right. It’s just a weird thing like the other day, I was on a call with dr. Adam. He’s our CMO and he’s like, hey, I really like your shirt.
Noah Laack-Veeder (01:06) You’re like hold on. Thanks. I haven’t gotten a compliment for 20 years, man. Don’t do that?
Lawrence Ekdahl (01:12) Nobody does that. Nobody’s told me that you’re.
Noah Laack-Veeder (01:16) absolutely, right. You like come home and you’re just like honey, they said they liked my shirt, you know, just, yeah.
Lawrence Ekdahl (01:22) Yeah, I feel just great after that, but yeah, no, we’re good. It’s been a doozy as far as snow goes here. We got like 33 inches where I’m at. So I’ve been spending the last few days digging myself out.
Noah Laack-Veeder (01:40) 33 inches. I mean, you know, I’m in Madison, we had a couple of coaches try to shovel off the track today because they want to do a workout out there, and it took them three hours to shovel 100 meters… and I was like, I have a job but I’m glad these retirement guys were just doing that. But that was the story of the day as they were shoveling off the track.
Lawrence Ekdahl (02:03) My son and I had to do like it’s an old home and old home, old foundations and things leak in the basement. So we had to create like a three foot, you know, barrier between the snow and the, so we were out there shoveling for a long time. Yeah, it took a lot. It was a lot of shoveling.
Noah Laack-Veeder (02:28) Oh, man, between.
Lawrence Ekdahl (02:30) That and the chest high pile that the plow left at the end of my driveway. It’s been, oh, man, it’s been an experience. This is like, what did they say? It was like the second biggest storm ever?
Noah Laack-Veeder (02:42) Yeah, in.
Lawrence Ekdahl (02:44) Wisconsin and my son goes to school at my other one, goes to school at northern Michigan.
Lawrence Ekdahl (02:49) So he lives up in the up, okay. And they got 40 inches by him. He said that, wow, they said it was the largest storm. They’ve ever gotten.
Noah Laack-Veeder (02:58) 40 inches. Yeah, man.
Philip Stefani (03:01) I did. Yeah, that’s insane.
Noah Laack-Veeder (03:03) That’s so much snow, man.
Lawrence Ekdahl (03:04) It’s a lot. It’s a lot, you know, the funny thing is like I grew up there in Michigan and I think maybe I said this before that I lived like 10 Miles south of lake superior and it would snow literally every day in the wintertime like we’d be running snow equipment and we would get, you know, upwards of two, 250 inches a year where like here, you know, 60 70 is a big year if we get that much snow.
Lawrence Ekdahl (03:32) So it’s not nearly as much. So, I always thought it’s kind of funny like I’m at work and people are like, oh, you know, it’s March or it’s April. This is Wisconsin. You never know what’s going to happen. We could get a huge snowstorm and I’m like dude, don’t even talk to me about snow like you don’t understand like snow until, you know, live where I live, where, you know, and there’s other places obviously in the country that get snow like that.
Noah Laack-Veeder (03:58) Yeah.
Lawrence Ekdahl (03:59) But, yeah, I mean, it’s crazy, but even like, this is a big storm like, yeah, yeah, it’s been a long time since I’ve seen that much snowfall at once. I remember once when I grew up may tenth, I’ll always remember the day, may tenth, we got three feet of snow and, oh, man, and they had to like get the plow trucks out with the big augers to like blow the, yeah, you know, recreate the roads on the side roads. It was nuts. Yeah, they canceled school for a couple of days. All the apple blossoms fell off. So there were no, there were no like apples that year. It was kind of, a weird year. But yeah, that’s the latest, I’ve seen a storm like that.
Noah Laack-Veeder (04:42) Yeah. Five days after cinco de mayo, you had three feet of snow that’s crazy. Yeah.
Lawrence Ekdahl (04:48) As a kid, it was great because we, you know, missed a couple of days of school and we could go sledding again. Yeah. So, but as an adult, I would have just hated it. Yeah.
Noah Laack-Veeder (04:59) I’m over it as a track coach. I’m like we got to get out of this field house, man. We got to get outside.
Lawrence Ekdahl (05:04) Yeah. Oh, yeah. It’s such a difference doing track outside versus inside.
Noah Laack-Veeder (05:09) Yeah, it’s just and just the kids. I’m like just guys, I promise we’ll be outside eventually.
Philip Stefani (05:17) Yeah, maybe today, yeah.
Noah Laack-Veeder (05:19) We’ll see. Yeah, we’ll.
Lawrence Ekdahl (05:21) see. Well, this will melt fast. Yes, like this time of year, it’s going to be gone fast. How much did you get in medicine?
Noah Laack-Veeder (05:26) It was, I mean, it was a lot probably like this is just an estimate like a little under two feet, probably like it was a lot.
Lawrence Ekdahl (05:34) That’s a, that’s a ton, right?
Noah Laack-Veeder (05:36) Yeah. And this, that could be completely wrong. I’m just using my, just my, but, it was a lot of, I also weighed a shovel, so it was like wet and I was just like, what have I, what have I done? It took me like an hour to shovel just my driveway cause it was just,
Lawrence Ekdahl (05:51) yeah, cause you were in that like down that way you were like in that band where it could rain. It could snow like, you know?
Noah Laack-Veeder (05:58) It was, it was a bad couple of days, but now it’s like it’s gorgeous out today. It’s just, it’s warm with just a bunch of snow out, which is funny.
Philip Stefani (06:06) Yeah, huh.
Lawrence Ekdahl (06:07) You know, yeah, it’s nice here too. I think, we hit 40 today, so it’s.
Noah Laack-Veeder (06:11) there we go. Yeah, I can’t it’s looking up spring, spring’s here, right? Spring’s here. Yeah?
Lawrence Ekdahl (06:16) This is it. We’re done now? No more.
Noah Laack-Veeder (06:18) No more. Yeah.
Philip Stefani (06:20) Soon enough. Yeah, it’ll probably all melt pretty soon. You can, yeah, put the snowshoes away.
Lawrence Ekdahl (06:26) All right, Phil, where we at all?
Philip Stefani (06:28) Right. Yeah, we can get into it, for this call. Just wanted to go over, the timeline comparison. Is there anything in particular you wanted to cover outside of that?
Lawrence Ekdahl (06:36) No, go ahead all.
Philip Stefani (06:37) Right. Cool. So let me share. Cool. So put together a couple different columns for this. We obviously got your payers on the left. Yours are highlighted in this lighter yellow here. So yeah, I think just like going through up through this… I don’t know, kind of just wanted to talk through this with you. Like our analytics team looked at this and full transparency. They were kind of scratching their heads because like these are really good turnaround times. They said like compared to what, they see from a lot of other clients. And just given that it’s not broken out by provider type, like we’re wondering if just the number of bcbas you have like the rbts where those are in play, if those are past skewing.
Lawrence Ekdahl (07:26) numbers at all. What I can tell you, is that like for Wisconsin med, 63 days for Wisconsin medicaid, that just can’t be right? It can’t be, and if it is, that’s terrible.
Noah Laack-Veeder (07:39) Like Wisconsin.
Lawrence Ekdahl (07:40) Medicaid has been like a weak turnaround on enrollments for forever. So, that data doesn’t look right? Like my team, Wisconsin medicaid, the medicades. So, Wisconsin and Minnesota are going to be there’s. Going to be there’s mostly rbts mixed in there, but everybody… else is going to be, those are bcbas, and doctors. Yeah.
Philip Stefani (08:12) Okay. That’s helpful. Okay. So, so doctors as well like MDS for?
Lawrence Ekdahl (08:18) Well, not MDS, they’re psychologists, but, okay.
Philip Stefani (08:23) Behavioral health. Yeah. Got it.
Lawrence Ekdahl (08:25) Some of this stuff, Phil, I don’t like this can’t be right? 126 days for Dean. This seems off. Yeah.
Philip Stefani (08:36) So, what I want to talk through is like, for our data like this is also including like, you know, we do medical doctors, we do dos, like we do all sorts of other provider types that are obviously not going to be captured in the numbers you?
Lawrence Ekdahl (08:49) Are seeing still 70 to 90 days… where?
Philip Stefani (08:54) Were you looking at that?
Lawrence Ekdahl (08:55) I’m still looking across at Dean under the bcba column, yeah.
Philip Stefani (08:59) So, that column for bcbas and mid levels, those are the timelines that like our analytics team typically sees obviously a range. But for those payers. So, we just wondered like if it would be possible to break this out by provider type, like if it might look closer to that because if that’s the case, then obviously, there is going to be like significant revenue acceleration and we can kind of talk through this, you know, these ones.
Lawrence Ekdahl (09:25) We don’t credential anything. But like I said, other than those payers that I gave you, those are the only ones where it’s where there are BTS involved, Wisconsin and Minnesota medicaid. All the rest of them are just bcbas. And, and of course, like I said, the psychologists, but there’s not many of those. Yeah. And we don’t see a difference in turnaround between bcbas and psychologists… and.
Philip Stefani (09:53) So, like for BCBS Iowa, it’s just that 30 30 days across bcba. Yeah.
Lawrence Ekdahl (09:59) I mean, granted now, my, I was on the call with my manager and we had her data up and she’s just like, you know, well, it’s you know, this one was 27. This one was right? So it’s like, okay, well, right? Around 30 that’s kind of what we did. I don’t have this stuff in a format to where I can be like, on average, this is the number, right? Like out of all these providers, it’s just not data that we track to that level. But yeah… nothing like the timelines that you’re showing here, although some of it is in line like the 55 to 90. Like we’re seeing you’re getting 60. Yeah, I mean, it’s in that range that you have there, but you’re you know, on the low end.
Philip Stefani (10:45) Yeah. So, I mean, with that in mind, like a, I think we would just say like it seems like you have a supercharged process then like it seems like you all are pretty dialed. I.
Lawrence Ekdahl (10:57) Told you my team’s good. Yeah.
Philip Stefani (10:59) With the timelines they’re getting like we were confident with what we’ve talked about that like we would kind of standardize that and like give you predictability there. I think there’s definitely a conversation to be had around the cost savings piece which we were looking at. But yeah, I mean, just like looking at this data, I don’t know if the revenue acceleration piece is, if the numbers are like what’s in the caravel column, then the revenue acceleration piece is not so dramatic. If actually it’s kind of more like.
Lawrence Ekdahl (11:29) Like I’d be worried about losing revenue in this circumstance from, you know, what I’m seeing here?
Philip Stefani (11:37) Yeah, to say like we would be essentially delivering these turnaround times. Yeah. Yeah… I mean, I definitely see your point there. I guess, yeah, if the process is pretty dialed like to that degree, I guess like, what makes sense from your perspective? I think what I would say is like we certainly wouldn’t be delivering like worse turnaround times. Again, all of our timelines take into account MDS dos, like a ton of provider types that typically take longer that aren’t captured, in your average. And so that’s part of what we’re showing here. But yeah, curious, I think, yeah.
Lawrence Ekdahl (12:17) I mean, the bcba like for most of this, we’re like the bcba here is 60, I don’t know what you’re basing like we’re kind of, in range for almost all of this.
Philip Stefani (12:30) For the bcba stuff. Yeah.
Lawrence Ekdahl (12:32) Yeah. What I’m looking at some are a little longer, some of your ranges have, you know, but I mean, for the most part, we’re… in, you know, we’re close, some of them were off.
Philip Stefani (12:48) Yeah. And so then where the delta comes from is like taking an average of both the bcba and the mid level piece, assuming that the mid levels would come back a little bit longer.
Philip Stefani (13:00) And we would also be assuming that your numbers skew heavier to the bcba side because you have more bcbas than the mid levels or doctors.
Lawrence Ekdahl (13:10) Yeah, of course. Yes, mid levels like mid levels on our end would be a bcaba, bcabas are not credentialed. Yeah. Okay. For the most part, again, the, medicades do credential them, but nobody else does?
Philip Stefani (13:26) I see. So, yeah, I mean, if the timeline was going to be this average across these different provider types, like obviously there would be some revenue acceleration. But if like this column, this caravel column is like, you know, what you would stake your house on that you’re seeing today, then probably, it doesn’t look like there’s so much or really any revenue acceleration. So, I mean, in terms of this conversation, like, I think we’re confident that we’d be providing like, you know, the ability to let me zoom this out. You know, you wouldn’t have to grow your team where you’re set to grow your team right now. But yeah, I imagine probably sitting in your shoes. Like there’s probably no world where, you know, don’t want to stop what you’re you know, doing today, if the timelines are that good?
Lawrence Ekdahl (14:19) Yeah. Agreed. Yep, can you send this to me Phil?
Philip Stefani (14:23) Yeah, I can send this to you to review, I guess like based on what we’re looking at here though, we’ve got the two pillars, we’ve got headcount avoidance and then the timeline piece, like what is your thought kind of on that? Well? Like is it worth continuing the conversation just on the headcount?
Lawrence Ekdahl (14:43) Avoidance piece at the moment. I’m going to say no, no… but I need to think about it. That’s why I want you to send this to me and I’m going to bump those numbers again past my manager and just make sure that, you know, let’s double check this. But, yeah, right now, looking at this, I don’t see, you know, it seems like maybe we could look for, I don’t know, I don’t know, I don’t know what the answer is, but I would have a hard time selling it.
Philip Stefani (15:16) Yeah, no, I don’t blame you. I think our only ask would be like just looking at this caravel column like our analytics team just flagged like, hey, these are all like pretty round numbers whereas, you know, if you’re calculating an average, well?
Lawrence Ekdahl (15:29) Like I said, we’re not right? Like I told you why that is, we’re not, they aren’t like averages because we don’t have that. So, yeah.
Philip Stefani (15:43) Yeah. So, I mean, if, like if there was a way to do like a more apples to apples comparison, like we would definitely want to look at that.
Philip Stefani (15:50) And the other side of the coin is like, you know, if you work with medallion, you’d obviously like have access to like granular data on your function more analytics.
Lawrence Ekdahl (15:57) Sure.
Philip Stefani (15:59) So, yeah, that would definitely be a value piece as well. Okay?
Lawrence Ekdahl (16:07) Yeah. Send this over to me, Phil. I’ll think about it. I’ll talk to some folks and we’ll see where we sit when that process is done. Okay? Yeah.
Philip Stefani (16:16) I can send this over in terms of timeline. Like when would it make sense to kind of circle back with you on this?
Lawrence Ekdahl (16:24) I mean, we can get something on the calendar in a couple of weeks. We’ll see where things are sitting.
Philip Stefani (16:29) Okay. Cool. I can put a placeholder for like maybe April first. It’s not next Wednesday but the Wednesday after we can move it around if we need to. Okay?
Lawrence Ekdahl (16:40) Yes, that’ll work. I was just thinking I have a pto plan, but I’ll be in the office on Wednesday, so, yeah, that works.
Philip Stefani (16:46) You’re just thinking of the,
Lawrence Ekdahl (16:47) upcoming snowstorm.
Philip Stefani (16:48) April first? Huh. Yeah, that would be an April.
Lawrence Ekdahl (16:52) Fool’s joke. Yeah, like.
Philip Stefani (16:54) Hey, yeah. Thanks. Hopefully not, hopefully, it’s avoided… cool. All right. Well, Larry, appreciate the feedback. I’ll send this to you. I’ll put a placeholder on the calendar for the first if any questions come up in the meantime. Happy to be a resource especially as you’re like going back to the drawing board on the timelines. But, yeah, we’ll connect in April.
Lawrence Ekdahl (17:16) Okay. Thanks, Phil. Appreciate it. All right.
Philip Stefani (17:18) Thank you. Have a good rest of your day.
Lawrence Ekdahl (17:20) You too. Bye.