Transcript
Destiny Golden (00:00) I don’t know what happened? Did it say that I was connecting?
Mira Guha (00:04) It said you were joining and I thought, I think there’s something going on because it’s been a couple minutes I.
Destiny Golden (00:09) Had to force, quit, it, force, quit zoom. And then now I’m back in but I’m like wait a minute. Is this me? Okay? It’s going to be five minutes late, but she wants to join. She’s going to join. She was just in another meeting, so we’ll give her like one or two more minutes, but I got the contract.
Mira Guha (00:30) The.
Destiny Golden (00:32) agreement. I have it, the bridge agreement, the contract, the bridge agreement, and everything looks good. So great.
Mira Guha (00:40) Perfect. So it sounds like we’re probably good, to sign this addendum and then just like if Tanya has any questions or if there’s any other small things that need to be changed or requests, for any different, like terms or language that’s something I can bring back internally if we need.
Destiny Golden (00:55) She does have some questions, but I wanted to point out to you and the first unallocated spin line item, it says as of 320 30 36. Oh, good. Catch instead of 20 26.
Mira Guha (01:10) Yes, I will have that. Edited must have just been a typo. It’s not happening anytime soon. No, too funny. Okay. Let me make a note. Ooh.
Destiny Golden (01:34) Right. She should be over.
Mira Guha (01:36) Definitely know if the other and I don’t know if this will be a Tanya question. The other terms work, I did want to flag. We have annual payment frequency outlined here. So it’s.
Destiny Golden (01:51) let me see. I did not see the terms and I didn’t share.
Mira Guha (01:56) My screen. If that’s helpful. I have it. Can you please? I’m a visual person. So I get it. Okay. So yeah, I just wanted to flag. The most frequent we can do is quarterly, I can see, if we wanted to do quarterly or biannual, is the other option we have, I can bring that?
Destiny Golden (02:15) For the current cost? Yeah.
Mira Guha (02:17) For me, for everything here otherwise, as of right now, it just means the 66 would be billed up front as is. So if that’s not gonna work, I can see if we can change, the payment terms.
Destiny Golden (02:29) Okay. We can ask.
Mira Guha (02:32) Yeah, that’s not a fun surprise if you get that bill and you were expecting it to be in chunks. So I understand that. Hopefully the other information, the billing information, the contact info looks right? And then everything does, the rest of it should look like your current agreement, same terms for like the consumption skew flexibility pass throughs, are invoiced separately refers to your previous msa. So everything else hopefully looks correct, but we can just discuss if anything needs to be changed… no.
Destiny Golden (03:41) It looks good to me. Just give her a minute, or two. Of course.
Mira Guha (03:45) How’s your Monday going? How was your weekend?
Destiny Golden (03:49) Saturday? I worked a little, I worked Sunday. I got a lot done personally, which was, great. And then today, not so bad. Not so bad.
Mira Guha (04:01) As far as Mondays go.
Destiny Golden (04:02) As far as Mondays go now, tomorrow’s another story, but today not so bad.
Mira Guha (04:09) Yeah. Sometimes I look at my calendar for the week and it’s like one day I’m not really looking forward to, but it’s.
Destiny Golden (04:17) like that. Sometimes how’s your Monday though? So far? So good.
Mira Guha (04:22) Not too bad. I usually intentionally try to keep it light as I’m easing back into things after the weekend. So today’s not too bad. Tomorrow’s also not too bad. It’s a little busier but it’s always that end of quarter rush especially like deadlines like this one. So we’re trying to crank all those things out, but other than that, it’s pretty good. It’s in Denver. Things are kind of starting to turn green which is weird. But early. Yeah, I know we’re usually still covered in snow at this point, but it has been an insanely warm winter. So none of that, but.
Destiny Golden (04:58) But a nice surprise. I’m sure.
Mira Guha (05:00) We’ll take it. We could use a little more moisture, but it’s nice seeing everything blooming. It’s feeling very eastery already. So can’t be mad about it? Did some gardening this weekend? I’m not really a gardener, but I tried so.
Destiny Golden (05:15) Well, that’s good. At least you put forth an effort. I’m not a gardener at all and I don’t try, I don’t.
Mira Guha (05:21) try, I usually wouldn’t but I had a project I’ve been putting off for too long and I was like, I just need to do it. Otherwise, my window’s gonna close on me. So it was.
Destiny Golden (05:33) I’m glad you got it done. She said just one more, a few, a more, one more minute. She’s in an interview. She’s coming. I know one of her questions centered around.
Mira Guha (05:50) Gosh.
Destiny Golden (05:51) Trying to get, I wrote it down somewhere a list of a list… of what each board charges for state licenses per state.
Destiny Golden (06:16) Myra. Are you there? You look frozen to me? Oh, no, I lost her.
Destiny Golden (06:28) Tanya. We,
Destiny Golden (06:34) we lost Myra. I don’t know what happened from medallion. Her screen froze and she, that’s.
Tania Terrero (06:44) okay. So we’ll wait for her, yes, yes.
Destiny Golden (06:50) All right.
Tania Terrero (07:33) All right. I think we give it a couple more minutes and then she might have lost internet, you know, I sent.
Destiny Golden (07:43) her an email, but she probably was not going to get it if she lost internet?
Tania Terrero (07:46) Yeah. Well, then let’s just let’s send her an email. Oh, there she is.
Tania Terrero (08:01) Hi, Myra. Can you hear us? If you can hear us? We can’t hear you… if you want to throw something in chat.
Destiny Golden (08:49) I can see you muted yourself, Myra. We,
Tania Terrero (08:52) can’t hear you? Yeah. Oh, she’s calling it.
Mira Guha (08:58) Hear me. There you go. I am so sorry of all the times my WI fi seems to have gone on, I’m joining from my phone, so I’m so sorry… Tanya, thanks so much for hopping on. Hopefully, we can address any questions… just with me being on the microphone here. The page hasn’t died on me for the agreement. So I’m still looking at it. So happy to see if I can just answer any questions you have, and we can just align on the next steps here. Our team is really looking forward to just wrapping this up as soon as possible.
Tania Terrero (09:32) Yeah. So I, hold on one second. Let me, I lost my zoom for a second. I’m back. So I apologize. I was out on pto, no.
Mira Guha (09:40) Worries.
Tania Terrero (09:41) I just got back and so I was just catching up to the email. So I think the gist of it is you’re saying that we’re over our spend?
Tania Terrero (09:50) Yes. Okay. And so I’ll catch up to more of the context later, but is there more material that you can share with? Like what’s our best option as you guys as our vendors? Like what are you off? What are you suggesting?
Mira Guha (10:04) Absolutely. So based on the way your contract is structured, we’re really taking advantage of that unallocated spend basically just means you can use those funds wherever.
Mira Guha (10:14) So as of right now, I know I can’t share my screen if you want to see more details about the breakdown of where that overconsumption kind of happened. If you go into medallion, there’s a tab that says account, and from there says usage as of right now, the total dollars we had available with your skillflex and that unallocated spend we’re over by about as of right now, it’s increased a little bit since we put this together. Just as stuff has continued to kind of get used. We’re at about 42,000 dollars beyond what was committed in the contract. That’s really just due to a large number of new state licenses. Those are kind of a more expensive SKU, as well as renewal licenses, some credentialing, you can see the breakdown of the number of what’s actually been used in that tab. So the first item if you have that agreement in front of you is meant to kind of just wrap up that piece. Feel free to jump in and stop me. If you have questions, I’m.
Destiny Golden (11:12) going to share my screen so she can see what you’re referring.
Tania Terrero (11:15) To just give me one moment, let me, well, we can look at it after Destiny that’s all right. Because I do have a couple screenshots from Mira already and I get it. Mira, this is an older screenshot. And so I’ll look at it with Destiny tomorrow. And so what are you suggesting? Yeah?
Mira Guha (11:32) So the proposal we have in front of you, it cleans that up. It just kind of designates which part is which there’s also another section where we are factoring in requests that have been made but have not actually been consumed yet. We don’t consume a request until our team has done what’s called intake. It’s basically like an audit as we prepare to create an application or actually create the file, all that good stuff. So we have a number of requests that are queued up. They’re already in medallion. So they will be consumed. It’s just a matter of time. So that’s kind of the second piece, the third piece.
Tania Terrero (12:06) Hang on before we leave the second piece. So there is actual work that we’ve shared over with you guys that you haven’t touched yet. That’s correct?
Destiny Golden (12:16) Renewal license requests, but.
Tania Terrero (12:19) So, are we being put at risk? Are we going to be losing any clinician licensure because it’s just sitting there Mira?
Mira Guha (12:27) You shouldn’t be again, unfortunately, I can’t actually pull it up. It’s just the way the requests work. So the requests are made in the platform. And then as long as the provider profile is complete, we can go ahead and actually start working on them. But I’m trying to see, I think I have a couple right in front of me. They’re all renewal licenses. We can’t work on the renewal license until the renewal window is actually open. So some of those have been requested, but we can’t actually work on them or sometimes if there’s a license that requires another license first, like for example, if you have a nurse practitioner, they need to get their RN license before we can get the nurse practitioner license.
Mira Guha (13:08) So that might mean it’s been requested, but we haven’t been able to work on it. So as of right now, I’m not aware of anything being at risk. It’s just that there are things in the platform that we haven’t started work on. Once we do, they will be consumed. If there’s any concern. I’m happy to have our folks go ahead and take a look and make sure everything is moving fluidly, but we have protocols in place to make sure licenses aren’t lapsing, anything like that.
Tania Terrero (13:32) So, okay, perfect. Great. So we want to make sure there’s no disruption to care to our patients, right?
Mira Guha (13:37) Absolutely.
Tania Terrero (13:38) So the proposal, where can I find that? Is that in the email there?
Mira Guha (13:44) Should be a link to it. It’s probably just hyperlinked it’ll say proposal and you can click on it. You should have access to view it. And I don’t know if Destiny, if you have it and you can copy and paste it?
Tania Terrero (13:54) I can share my screen. If you guys like I have the you?
Mira Guha (13:59) Know that might be helpful. Perfect. That’s what I was doing before my WI fi went out. Awesome. Yeah. So those are the first two parts and the in platform information. If it’s helpful, I can send the most recent screenshots when my internet comes back.
Mira Guha (14:21) Great. Any questions on the breakdown for those first two episodes? Yeah.
Tania Terrero (14:25) I got to review it. Odessa if you just send me the link directly. Yeah, I want to review it and I think though Mira, it’s a really good time for us to one talk about this, right?
Tania Terrero (14:38) And figure out the next steps in the contract. But then also talk about how things have been going, right? Of course, and how the team has been performing. And if there’s any opportunities that we feel that could be improved as we extend on this relationship too, right? And hopefully extend beyond. I think we’re coming up to our, are we coming up to two years? Yeah. Yes, September will be two years. Yeah. So as we come up to the term, I think of our contract in September. I’d love to be able to talk about just this, get this settled because I know this is time sensitive, right? And obviously we want to be able to reconcile anything we have outstanding. Definitely anything else is at risk, but also talk about some of the feedback that we’ve received from clinicians in particular, about the service and the timeliness and all of that. So, I think it’s a good time.
Tania Terrero (15:26) I would like to regroup if that’s okay with you this week. Just give me an opportunity to get out of my email hole of being away for a week of course, and get this document. And then maybe we could re, we can touch base again… on Wednesday or Friday and I’ll look and give you a couple options if that works. And so we want to share some feedback too because I personally have heard from a lot of clinicians about some feedback that I want to make sure that we’re being good partners.
Mira Guha (16:03) Absolutely. Wednesday works for me. I’m happy to regroup once my WI fi is back and finds, if you can let me know sometimes, I can set something up as far as the feedback. Absolutely. I know I’ve been meeting occasionally with Destiny for I’m the one for your account, who would do the executive business review, would love to have your feedback as well. Anything we can obviously do on our end to improve your experience, your admins, your providers’ experiences would love to relay that feedback. So, happy to go ahead and set something up. Of course, this being the time sensitive issue just because of the, you know, overconsumption, and our accounting team usually does a cutoff if we reach the deadline without signature, but I do want to make sure that your feedback is being heard. And if there is any correcting corrective action, we can follow that, making sure we’re on top of that.
Tania Terrero (16:50) Sounds good. When this started earlier this month, the discussion or last month?
Mira Guha (16:57) For the consumption piece or? Yeah?
Tania Terrero (17:00) Consumption I.
Mira Guha (17:02) think we’ve kind of been keeping an eye on it for a while Destiny. I think we were talking about it last year and then we just saw a huge spike, I think like in January February. So we had to regroup.
Tania Terrero (17:13) Okay. No worries. All right. Sounds good. So, I have a little bit of availability Wednesday and then more free on Friday. Okay. So I’ll send you a couple options via email and then let’s reconnect. Okay? And I’ll give you an opportunity to review the proposal. Okay?
Mira Guha (17:34) That sounds great.
Mira Guha (17:34) Quick question. Destiny. Are you ever meeting with Colette? I know she’s your engagement manager. So I want to make sure if I,
Destiny Golden (17:41) meet with Colette every month.
Mira Guha (17:43) Amazing. Okay. That’s good to know. Too. Perfect. Yeah, how’s.
Tania Terrero (17:46) it going, how’s it going? She?
Destiny Golden (17:49) Gets all the feedback, any issues that I have, I bring to Colette. So she is well aware of the challenges we faced.
Tania Terrero (17:58) But are they improving? Are they changing? I mean, it’s fantastic.
Destiny Golden (18:01) I wouldn’t say that it’s improving. Okay?
Tania Terrero (18:04) So, that’s what we got to talk about, Mira, right? Like it’s great. There’s a connection or a person to talk to, but if it’s not improving, that’s what we need to talk about.
Mira Guha (18:12) Absolutely understood. I’d love to set up some time to do that and touch base with Colette and make sure that we actually have a plan of action where we are seeing that improvement… I’ll go ahead and work on that if you can send me the availability just so we can get the consumption piece wrapped up, that would be great. And, yeah, Colette for context is your engagement manager, she does the operational day to day. She’s more the subject matter expert, but I’m here to help with kind of high level strategy. And if it works for you, I know you’re kind of digging yourself out of the post pto hole. I would love to set up like a monthly check in. So, if there’s anything that isn’t being addressed in those regular calls with Colette or support or whatever we have, that kind of higher level strategy that I’m working with and escalating internally as needed.
Tania Terrero (18:59) Destiny’s your person. She’s a director of provider services. She’s got full autonomy. She can, you know, it’d be great for her to be able to talk to you as well, two monthly, yes, or if you want to make a call with Colette and to not create another call for ourselves, right? So it’d probably be better just join that call. Yeah.
Mira Guha (19:16) I can see what we can do. We usually do kind of try to keep those separate just because what we’re covering is between the two of us is pretty different. But whatever makes the most sense. Destiny, obviously, I don’t want to take up too much of your time but would love to set up something recurring.
Mira Guha (19:30) So if there’s days times, I can see if Colette, we can kind of try to combine forces for that call if that availability works on my end. So I’ll check in with her, yeah.
Tania Terrero (19:41) Yeah. And even if it doesn’t work every time even if you save yourself 50 percent of the meetings, then great. And if you have to do something ad hoc separately because you want to escalate either of the three of you, I think that makes perfect sense. Okay? All right. Mira, I got it. I’m going to look at it and I’m going to send you some times dates for us to reconnect this week. Thank you so much for accommodating this time this afternoon.
Mira Guha (20:04) Yeah. Thank you. Apologies again for the technical snafus, but glad we were able to connect where it mattered.
Tania Terrero (20:09) No worries. All good. Thank.
Mira Guha (20:12) You. All right. Thank you. Both. Have a great rest of your day.
Tania Terrero (20:14) See you soon bye.